| 朱玉清,丁彩飞.丁彩飞辨治女性盆腔炎经验[J].浙江中医药大学学报,2020,44(11):1082-1085. |
| 丁彩飞辨治女性盆腔炎经验 |
| DING Caifei’s Experience in Differentiating and Treating Female Pelvic Inflammatory Disease(PID) |
| DOI：10.16466/j.issn1005-5509.2020.11.011 |
| 中文关键词: 盆腔炎 中医药 辨证论治 灌肠 脐灸 名医经验 丁彩飞 验案 |
| 英文关键词: pelvic inflammatory disease traditional Chinese medicine treatment based on syndrome differentiation clysis moxibustion at the navel medical experience of famous doctor DING Caifei recipe case |
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| 中文摘要: |
| [目的]总结浙江省名中医丁彩飞教授治疗急慢性女性盆腔炎的经验。[方法]通过门诊跟师，收集丁彩飞教授治疗女性盆腔炎的相关医案，总结分析丁师治疗盆腔炎的病因病机、辨治思路、用药特色，并附验案一则佐证。[结果]丁教授提出冲任胞脉瘀滞是女性盆腔炎的主要病理环节，而“湿、毒、虚”是导致慢性盆腔炎迁延难愈的主要病理因素。治疗上以“活血化瘀、解毒利湿”祛邪，兼以“补肾健脾”扶正为大法，将此症分为肾虚血瘀型、湿热瘀阻型、寒湿凝滞型三种证型辨证论治，配合中医外治法、物理疗法、生活调摄等，以获良效。所选验案中患者属于湿热瘀阻型盆腔炎，治以清热除湿、化瘀止痛，拟验方三根汤加减，配合中医外治，患者盆腔炎症状明显缓解。[结论]丁彩飞教授根据盆腔炎不同时期的病理特点、不同证型的临床特征，审证求因，融合中西，六法合参，凸显出中医治疗盆腔炎的特色和优势，其经验值得学习和借鉴。 |
| 英文摘要: |
| [Objective]To summarize Professor DING Caifei's experience in treating acute and chronic female pelvic inflammatory disease(PID).[Methods]Through follow-up study of the outpatient clinic，collecting the related medical records of Professor DING， the etiology and pathogenesis， differential diagnosis and treatment ideas and medication characteristics of Professor DING in treating female PID were summarized and analyzed，and one medical case was attached as verification.[Results]To Professor DING， the stagnation of thoroughfare vessel，conception vessel and uterine collateral is the main pathological link of female PID，while “dampness， toxicity and deficiency” are the main pathological factors leading to the prolonged and difficult recovery of chronic PID.The treatment should be “promoting blood circulation and removing blood stasis， clearing away toxic material and draining dampness” to drive away pathogenic factors， and “tonifying the kidney and invigorating the spleen” to strengthen the healthy Qi. PID can be divided into three syndromes for syndrome differentiation and treatment: Kidney deficiency and blood stasis， damp heat and blood stasis， and cold and dampness stagnation， combined with external treatment of traditional Chinese medicine(TCM)，physical therapy and lifestyle change to obtain curative effect.The selected medical case was PID of damp heat and blood stasis.The patient's symptoms were significantly relieved after treated by modified proved Sangen Decoction to clear away heat and dampness， remove blood stasis and relieve pain， combined with the external treatment of TCM.[Conclusion]According to the pathological features of different stages of PID and the clinical characteristics of different syndromes， Professor DING Caifei identifies the syndrome and seeks the cause，combines Chinese and western medicines， combines the use of six methods， highlighting the characteristics and advantages of TCM in the treatment of PID， her medical experience is worth learning and drawing reference. |
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