| 任宁,马扬,章勤.章勤教授基于“气血水”学说论治妇科病经验浅谈[J].浙江中医药大学学报,2023,47(6):633-636. |
| 章勤教授基于“气血水”学说论治妇科病经验浅谈 |
| Professor ZHANG Qin’s Experience in Treating Gynecological Diseases Based on the Theory of “Qi， Blood and Water” |
| DOI：10.16466/j.issn1005-5509.2023.06.010 |
| 中文关键词: 血不利则为水 气血水同治 妇科疾病 温通疏补 气 血 水 章勤 |
| 英文关键词: unsmooth blood circulation results in water retention treat Qi, blood and water together gynecological diseases warm, smooth, evacuation and replenishment Qi blood water ZHANG Qin |
| 基金项目:全国名老中医药专家传承工作室建设项目(GZS202202) |
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| 中文摘要: |
| [目的] 总结章勤教授应用“气血水同治”原则治疗妇科病的经验。[方法] 通过整理章师的临床医案，总结妇科疾病中所蕴含的气血水关系，印证“血不利则为水”当“气血水同治”这一论断；梳理跟师临诊经验，细察章师用药，总结气血水共举治法，并举医案一则佐证。[结果] 气血水三者同源共生，根于阴阳，互为因果，章师认为“血不利则为水”，因为“血不利”，果为“水”，本为“气”失调，当温以利水、通以活血、疏以调气、补以治本，同治气血水。文末所举医案为胞宫及冲任瘀血留滞，水见机而病，章师治以活血消癥、利水通经，终得良效。[结论] 章师明确“血不利则为水”这一病机理论中气、血、水三者的关系，以“温通疏补”辨治妇科疾病，使血利、水化、气行，其经验为临床治疗妇科疾病提供了新思路。 |
| 英文摘要: |
| [Objective] To summarize Professor ZHANG Qin’s experience in treating gynecological diseases with the principle of “Qi， blood and water treatment”. [Methods] By sorting out the clinical medical cases of Professor ZHANG， the relationship among Qi， blood and water contained in gynecological diseases was summarized to confirm the conclusion that “unsmooth blood circulation results in water retention”， then should be“treated Qi， blood and water together”. In order to summarize the methods of treating Qi， blood and water together， the clinical experience of Professor ZHANG was teased out and the medication rule was analyzed， and one medical case was cited for evidence. [Results] Rooted in Yin and Yang， Qi， blood and water are homologous and symbiotic， and in reciprocal causation. Professor ZHANG thinks the connection of Qi， blood and water can clearly clarify the core of “unsmooth blood circulation results in water retention”， “unsmooth blood circulation” is the reason， “water retention” is the result， “Qi imbalance”is the root cause， so Qi， blood and water should be treated together by warming to alleviate water retention， dredging to improve blood circulation， smoothing to regulate Qi activity and tonifying to effect a permanent cure. The medical case exemplified at the end of the article was the disease caused by blood stasis blocking uterus and Chongren， affecting water metabolism， Professor ZHANG adopted the treatment of promoting blood circulation and eliminating diseases， benefiting water and menstruation， with good curative effect. [Conclusion] Professor ZHANG clarifies the relationship among Qi， blood and water in the pathogenesis theory of “unsmooth blood circulation results in water retention”， and treats gynecological diseases with “warm， smooth， evacuation and replenishment”， so as to make blood circulate， water transport and Qi flow， her experience provides new ideas for clinical treatment of gynecological diseases. |
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