| 虞红蕾,曹灵勇,许家栋,等.从三阴中风探讨围绝经期综合征的经方证治规律[J].浙江中医药大学学报,2022,46(3):243-247. |
| 从三阴中风探讨围绝经期综合征的经方证治规律 |
| Discussion on the Syndrome Treatment Rule of Classical Formulas of Perimenopausal Syndrome from Three-yin Wind-stroke |
| DOI：10.16466/j.issn1005-5509.2022.03.003 |
| 中文关键词: 经方 围绝经期综合征 伤寒论 金匮要略 疾病传变规律 六经辨证 中风 张仲景 |
| 英文关键词: classical formulas perimenopause syndrome Treatise on Febrile Diseases Synopsis of the Golden Chamber disease transmission rule syndrome differentiation of six channels wind-stroke ZHANG Zhongjing |
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| 中文摘要: |
| [目的] 探讨并总结经方治疗围绝经期综合征的思路和规律。[方法] 基于女性更年期的生理特点，从六经体系及其疾病传变规律的角度，结合《伤寒论》《金匮要略》等经方典籍的理法方药，总结围绝经期综合征的经方治疗规律。[结果] 围绝经期综合征的基础病机为血虚中风、虚寒水饮、火热内扰，在此基础上可分为太阴中风和厥阴中风两大类。太阴中风偏营伤失养者，以养营解表为治则，治疗以黄芪桂枝五物汤及黄芪竹叶汤为主；太阴中风偏虚热夹饮者，以清热除饮为治则，治疗以芪芍桂酒汤及黄芪汤为主。厥阴中风偏寒热夹杂者，以分调水火为治则，治疗以柴胡桂枝干姜汤及柴胡桂枝汤为主；厥阴中风偏于水热蕴结者，以荡涤水热为治则，治疗以柴胡加龙骨牡蛎汤及大柴胡汤为主。[结论] 从三阴中风来探讨围绝经期综合征的经方证治规律，可以为本病的临床诊疗思路提供较为可靠的辨证基础。 |
| 英文摘要: |
| [Objective] To explore and summarize the ideas and rules of classical formulas in the treatment of perimenopause syndrome. [Methods] Based on the physiological characteristics of female climacteric， combined with Treatise on Febrile Diseases， Synopsis of the Golden Chamber and other classics， this paper summarized the syndrome treatment rules of classical formulas of perimenopause syndrome from the perspective of the six channels system and disease transmission rule. [Results] It is considered that the basic pathogenesis of perimenopausal syndrome is blood deficiency and wind-stroke， deficiency cold and fluid retention and internal disturbance of fiery. On this basis， it can be divided into Taiyin wind-stroke and Jueyin wind-stroke. In the case of Taiyin wind-stroke， Huangqi Guizhi Wuwu Decoction and Huangqi Zhuye Decoction are adopted in nutritional blood deficiency， while Qishao Guijiu Decoction and Huangqi Decoction are adopted in deficiency heat and fluid retention. The treatment principle of the former is nourishing the nutrient Qi and releasing the exterior， and the treatment principle of the latter is clearing heat and eliminating water. In the case of Jueyin wind-stroke， Chaihu Guizhi Ganjiang Decoction and Chaihu Guizhi Decoction are adopted in cold heat inclusion， while Chaihu plus Longgu Muli Decoction and Dachaihu Decoction are adopted in water heat retention. The treatment principle of the former is regulating fire and water， and the treatment principle of the latter is eliminating water and heat. [Conclusion] It can provide a reliable basis of syndrome differentiation for the clinical diagnosis and treatment of perimenopausal syndrome to explore the rule of prescriptions of perimenopausal syndrome from three-yin wind-stroke. |
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