| 陆齐天,曾薇薇,周一辰,等.戴德英教授治疗不同类型子宫内膜异位症经验[J].浙江中医药大学学报,2020,44(7):623-627. |
| 戴德英教授治疗不同类型子宫内膜异位症经验 |
| Professor DAI Deying’s Experience in the Treatment of Different Types of Endometriosis |
| DOI：10.16466/j.issn1005-5509.2020.07.005 |
| 中文关键词: 子宫内膜异位症 子宫内膜肺异位 子宫腺肌病 不孕 痛经 红藤方 戴德英 医案 |
| 英文关键词: endometriosis pulmonary endometriosis adenomyosis infertility dysmenorrhea Hongteng formula DAI Deying consilias |
| 基金项目:上海市名老中医学术经验研究工作室项目(SHGZS-2017021)；上海中医药大学第四期名老中医药专家学术经验研究工作室项目(SZYMZYGZS4009)；中医妇科重点专科培育项目(沪卫中管[2019]7号) |
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| 中文摘要: |
| [目的]探析戴德英教授临床治疗不同类型子宫内膜异位症的经验。[方法]通过门诊跟师学习，整理相关病例资料，从子宫内膜异位症的临证特点、戴师创制红藤方的思路及针对不同类型内异症的治疗经验三个方面展开，分析戴德英教授运用红藤方治疗不同类型子宫内膜异位症的经验，并附三则验案以验证。[结果]子宫内膜异位症因其表现之“杂”与复发之“勤”而成为妇科疑难病症。戴德英教授究其病因病机为癥积下焦、瘀久化热、瘀热互结、胞脉阻滞，临证注重审证求因，以经方为本，辨证加减，创制红藤方，并根据不同临床表现，结合不同治法，临床每获良效。本文所附三则验案，分别为子宫内膜肺异位，辨证为瘀热内结、肺气不宣；子宫腺肌病，辨证为腑气不通、湿热内结；经行腹痛，辨证为气滞血瘀、蕴而化热，戴师分别予红藤方加减配合调周治疗，中西医结合及中医内外疗法综合治疗，均获良效。[结论]戴德英教授辩证地看待病和证的关系，临床巧用红藤方结合不同治法治疗不同类型子宫内膜异位症，其经验值得后辈学习借鉴。 |
| 英文摘要: |
| [Objective] To explore Professor DAI Deying’s experience in the treatment of different types of endometriosis.[Methods] Through learning from Professor DAI， sorting out the relevant cases， from the clinical characteristics of endometriosis， Professor DAI’s idea of creating Hongteng formula and the experience of using Hongteng formula to treat different types of endometriosis were analyzed. At the same time， three cases were attached for verification.[Results] Endometriosis has become a difficult gynecological disease because of its miscellaneous manifestations and frequent recurrence. Professor DAI believes that the etiology and pathogenesis of the disease is that blood stasis in the lower-Jiao produces heat， then stasis and heat block uterine vessels， clinical attention is paid to examining and seeking causes， with classical prescription as the basis， dialectical addition and subtraction， Hongteng formula was created to treat endometriosis， and according to different clinical manifestations， combined with different treatment methods. The three cases attached to this paper were pulmonary endometriosis， internal stagnation of stasis and heat， failure of lung Qi in dispersion syndrome; adenomyosis of viscera Qi blockage and internal stagnation of damp and heat; dysmenorrhea of Qi stagnation and blood stasis leading to heat， Professor DAI combined modified Hongteng formula and the menstruation regulation， using surgical operation and external treatment respectively to treat different patients， and achieved good clinical effects.[Conclusion] Professor DAI Deying treats the relationship between disease and syndrome dialectically， and uses Hongteng formula combined with different treatment methods skillfully in clinical practice， which is worth learning for later generations. |
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