| 骆丽娜,何若苹.何若苹治疗崩漏临证经验[J].浙江中医药大学学报,2023,47(10):1143-1146. |
| 何若苹治疗崩漏临证经验 |
| Clinical Experience of HE Ruoping in Treating Metrorrhagia and Metrostaxis |
| DOI：10.16466/j.issn1005-5509.2023.10.006 |
| 中文关键词: 崩漏 补气血 滋阴清热 化瘀固冲 中医药治疗 名医经验 何若苹 |
| 英文关键词: metrorrhagia and metrostaxis replenish Qi and blood nourishing Yin and clearing heat removing blood stasis and consolidating Chong vessel traditional Chinese medicine treatment experience of famous doctor HE Ruoping |
| 基金项目:杭州市医药卫生科技项目(OO20190516) |
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| 中文摘要: |
| [目的] 总结何若苹主任治疗崩漏的经验。[方法] 搜集整理何师门诊医案，从病因病机、辨证分型两方面总结阐述何师治疗崩漏的经验，再以典型医案为例进一步论述诊治特色。[结果] 何师认为，崩漏一病，病因无外乎虚、瘀、热三者，或三者夹杂而致病，虚则经血失于统摄，瘀则经血离经，热则迫血妄行，临床多从脾肾论治，治疗当以补益气血、滋补肝肾而清热化瘀固冲，选方分别为归脾汤合四物汤或补中益气汤、六味地黄丸合二至丸、生化汤合逍遥散或合四物汤加减。列举医案三则，分别为心脾两虚、脾不统血证，冲任失调、奇经虚滞证，湿瘀互结、血热妄行证，经辨证论治后临床均能取得较好疗效。[结论] 何师治疗该病根据临床特点辨证审因，严分虚实，查清兼症，而后分型论治，临床收效显著，对中医药治疗该病具有重要的临床指导意义。 |
| 英文摘要: |
| [Objective] To summarize the experience of Professor HE Ruoping in treating metrorrhagia and metrostaxis. [Methods] Professor HE’s outpatient medical records were collected and sorted out， and Professor HE’s experience in treating metrorrhagia and metrostaxis was summarized from the aspects of etiology， pathogenesis and syndrome differentiation. Then the characteristics of diagnosis and treatment were further discussed by citing typical medical cases as examples. [Results] Professor HE believes that the cause of metrorrhagia and metrostaxis is nothing more than deficiency， blood stasis， heat， or the three mixed. Deficiency leads to loss of control of menstrual blood， blood stasis leads to menstrual blood separation， and heat leads to forced blood flow. In clinic， the treatment should be based on tonifying Qi and blood， nourishing the liver and kidney， clearing away heat and removing blood stasis， and strengthening Chong， and the selected prescriptions are respectively Guipi Decoction combined with Siwu Decoction or Buzhong Yiqi Decoction， Liuwei Dihuang Pill combined with Erzhi Pill， Shenghua Decoction combined with Xiaoyao Powder or Siwu Decoction. There are three cases listed which are respectively the deficiency of both the heart and spleen， the spleen not controling the blood， the imbalance of Chong and Ren vessels， the deficiency of extra meridians， the accumulation of dampness and blood stasis， blood heat bleeding syndrome. After treatment based on syndrome differentiation， the clinical curative effect can be achieved. [Conclusion] Professor HE treats the disease according to the clinical characteristics of syndrome differentiation and examination of the cause， strict differentiation of deficiency and excess， identification of concurrent symptoms， and then classification of treatment， so the clinical effect is remarkable. This has important clinical significance in the treatment of this disease with traditional Chinese medicine. |
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