| 范君艳,严烩利,史巧.从伏邪理论探讨宫颈HPV感染的防治[J].浙江中医药大学学报,2022,46(9):997-1001. |
| 从伏邪理论探讨宫颈HPV感染的防治 |
| Explore the Prevention and Treatment of Cervical HPV Infection from the Theory of Hidden Pathogens |
| DOI：10.16466/j.issn1005-5509.2022.09.013 |
| 中文关键词: 伏邪 宫颈HPV感染 邪伏子门 扶正祛邪 治未病 标本兼治 医案 |
| 英文关键词: hidden pathogens cervical HPV infection pathogens hidden in cervical orifice of uterus strengthening the body resistance and eliminating pathogenic factors prevention treatment of disease treat both symptoms and root causes medical case |
| 基金项目:河南省属科研院所科研基金项目(JBKY2020005) |
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| 中文摘要: |
| [目的] 从“伏邪”理论为切入点，深入探究伏邪理论在宫颈人乳头瘤病毒(human papilloma virus，HPV)感染中的应用，为中医防治宫颈HPV感染提供新的临床思路。[方法] 从伏邪的源流、致病特点出发，结合宫颈HPV感染的发病机制，探讨伏邪理论与HPV感染的相关性，并附医案一则加以验证。[结果] 宫颈HPV感染具有隐匿性、迁延难愈性、易火化等特点，受内、外两方面因素的影响，与中医“伏邪”有相似之处。宫颈HPV感染的根本病机是正虚邪实，以肾气亏虚、脾失健运、肝失所养为本，伏毒、痰、瘀为标。在具体治疗上，应本着扶正祛邪的原则，扶正以固肾培元、调补阴阳，兼以健脾养肝为要，祛邪以祛湿解毒、化痰消瘀为法；同时运用中医学“治未病”思想，从“未病先防、既病防变、瘥后防复”三方面对宫颈HPV感染进行分期论治。所举医案中患者辨为肝郁脾肾虚、浊瘀阻滞型，以疏肝健脾补肾、活血利湿止带为主要治法，临床效果明显。[结论] 从“伏邪”理论论治宫颈HPV感染，为中医药防治宫颈HPV感染提供了更为广阔的思路和方法。 |
| 英文摘要: |
| [Objective] To provide a new clinical idea for the prevention and treatment of cervical human papilloma virus(HPV) infection in traditional Chinese medicine(TCM)， and explore the application of “hidden pathogens” in cervical HPV infection deeply from the theory of “hidden pathogens”. [Methods] From the origin and pathogenic characteristics of “hidden pathogens”， combined with the pathogenesis of cervical HPV infection， this paper explored the correlation between “hidden pathogens” and HPV infection. One case was presented for verification. [Results] Cervical HPV infection has the characteristics of being occult， persistent and difficult to heal， and easy to turn into fire. This disease is affected by both internal and external factors， and is similar to “hidden pathogens” in TCM. The fundamental pathogenesis of cervical HPV infection is deficiency of healthy energy and excess of evil， which is based on kidney Qi deficiency， spleen dyskinesia， liver malnourishment， and hidden poison， phlegm and blood stasis are the outer phenomena. The specific treatment should follow the principle of strengthening the body resistance and eliminating pathogenic factors， strengthening the body resistance through strengthening the kidney and nourishing Yin and Yang， invigorating the spleen and nourishing the liver; eliminating pathogenic factors through dispelling dampness and detoxification， resolving phlegm and removing blood stasis. At the same time， using the idea of “prevention treatment of disease” of TCM， the cervical HPV infection is treated by stages from three aspects of “prevention before disease， prevention of degeneration after disease， and prevention of relapse after recovery”. In the medical case mentioned， the patient was classified as the syndrome of liver stagnation， spleen and kidney deficiency， turbidity and blood stasis blockage， and the main treatment methods were soothing the liver， strengthening the spleen and tonifying the kidney， promoting blood circulation， removing dampness to arrest leucorrhoea with obvious clinical effect. [Conclusion] Treatment of cervical HPV infection from the theory of “hidden pathogens” provides a broader idea and method for the prevention and treatment of cervical HPV infection with TCM. |
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