文章摘要
王阳,邢玉,万宇,等.刘艳霞教授利用中药贴敷法治疗妇科疾病经验[J].浙江中医药大学学报,2024,48(1):46-49, 58.
刘艳霞教授利用中药贴敷法治疗妇科疾病经验
Professor LIU Yanxia’s Experience in Treating Gynecological Diseases with Chinese Medicine Application Therapy
DOI:10.16466/j.issn1005-5509.2024.01.007
中文关键词: 中药贴敷  月经病  不孕症  妇科痛症  肥胖  外阴硬化性苔藓
英文关键词: traditional Chinese medicine application therapy  emmeniopathy  sterility  gynecological pain  obesity  vulvar lichen sclerosus
基金项目:国家自然科学基金(81904241);国家中医药管理局重点专科项目(040203001004);中央高校基本科研业务专项资金青年教师启动资金项目(2022-JYB-XJSJJ-066)
作者单位
王阳 北京中医药大学东方医院 北京 100078 
邢玉 北京中医药大学东方医院 北京 100078 
万宇 北京中医药大学东方医院 北京 100078 
李莎莎 北京中医药大学东方医院 北京 100078 
刘颖 北京中医药大学东方医院 北京 100078 
刘艳霞 北京中医药大学东方医院 北京 100078 
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中文摘要:
      [目的] 总结刘艳霞教授应用中药贴敷疗法治疗多种妇科疾病的学术经验。[方法] 回顾分析刘教授利用中药下腹部贴敷及外阴贴敷疗法治疗妇科难治疾病的临床医案,从病因病机、治则治法、经验处方等方面,系统总结刘教授的诊疗经验,并附以一例女性外阴硬化性苔藓验案进一步佐证及说明。[结果] 刘教授依据下腹经络循行特点,针对病因病机特点,创制了以“温肾暖宫贴”“化瘀止痛贴”“健脾祛湿帖”和“扶正防感贴”为代表的中药下腹部贴敷经验方,分别用于治疗不孕、妇科痛症、肥胖、亚健康状态。同时,刘教授依据外阴硬化性苔藓病损特点的不同,将该病分为增生型和萎缩型,采用不同的经验方进行外阴贴敷治疗。文中所示萎缩型外阴硬化性苔藓验案辨为肝肾亏虚证,以补肾养血、化瘀止痒为整体治则,采用二仙汤合当归补血汤加减,配伍化瘀、止痒中药外敷于外阴病灶局部,疗效明显。[结论] 刘教授依据病因病机及疾病特点不同,创制了不同的中药贴敷法经验方,用药特色鲜明,诊疗效果满意,可为临床提供一定参考。
英文摘要:
      [Objective] To summarize Professor LIU Yanxia’s academic experience in clinical application of Chinese medicine application therapy in the treatment of various gynecological diseases. [Methods] To review and analyze Professor LIU’s clinical experience in the treatment of gynecological refractory diseases by using Chinese medicine patch for lower abdomen and vulva application, and systematically summarize Professor LIU’s clinical experience from the aspects of etiology, pathogenesis, treatment principles, methods and empirical prescriptions. A medical case of female vulvar lichen sclerosus was attached for further evidence and explanation. [Results] Professor LIU bases on the circulation characteristics of the lower abdominal meridians, and in accordance with the characteristics of etiology and pathogenesis, forms an empirical formula for applying Chinese medicine patch to the lower abdomen, represented by “warming the kidney and warming the uterus” “removing stasis and relieving pain” “strengthening the spleen and removing dampness” “strengthening the body and preventing infection”, which has been respectively used to treat infertility, gynecological pain, obesity and sub health conditions. At the same time, Professor LIU divides vulvar lichen sclerosus lesions into proliferative and atrophic types based on the different characteristics, and uses different empirical formulas for vulvar plaster therapy. The case of atrophic vulvar lichen sclerosus was characterized by liver and kidney deficiency syndrome. The overall treatment principle was to tonify the kidney, nourish blood, and eliminate blood stasis and relieve itching, and modified Erxian Decoction and Danggui Buxue Decoction was used, combined with Chinese medicine application therapy for removing stasis and relieving itching at the local area of the vulvar lesion, which resulted in a significant therapeutic effect. [Conclusion] Professor LIU Yanxia has developed an empirical prescription for applying Chinese medicine patch to different diseases based on the different etiology, pathogenesis and characteristics of the disease. The medication features are distinctive, and treatment effect is satisfactory, which can provide reference for clinical practice.
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