夏桂成教授从心论治闭经的学术思想探讨
Discussion on Professor Xia Guicheng's Academic Thought of Treating Amenorrhea by Regulating Heart
-
摘要: 国医大师夏桂成教授治疗闭经重在从心论治,认为闭经的发生与心关系密切,心-肾-子宫轴在月经来潮及其周期性演变中具有重要作用。若心脾失调、心气闭塞等致心气不下,胞脉闭阻,可致经闭不行。根据月经周期与调周法理论,虽闭经日久,但患者仍处于经后期,阴长癸水失调,或合并他因难以阴长至重,重阴至阳转化失常,不能进入经间排卵期顺利排出卵子,导致经闭不行,故治疗以经后期为重。此期是治疗的奠基时期,强调宁心安神,静能生水。在经后期滋阴补肾基础上加入清心安神或镇降安神的药物,同时配合对患者的情志疏解和人文关怀。Abstract: Professor Xia Guicheng put great emphasis on the treating of amenorrhea by regulating heart. He thinks that heat is closely related to amenorrhea. Heart-kidney-uterine plays an important role in menses and its periodic changes. If the balance of heart and spleen is disturbed and the heart qi is blocked, then the heart qi will be stagnated and the uterine vessels will be blocked, which together will cause amenorrhea. According to menstrual cycle and cycle regulating theory, thought amenorrhea may have lasted for a long time, the patients are still in the period of postmenstrual, and they have imbalance of Yin zhang gui shui, or there are other factors together contribute to the severe Yin zhang and it has problem transferring into Yang. Therefore patients have problem having ovulation to expel the eggs. So the treating should focus on postmenstrual period. Tranquilizing mind is of great significance to the treatment. On the basis of yin enriching and kidney nourishing, drugs which can tranquilize the mind should be used and during the same time, doctors should care about patients' emotions and try to help them to be optimistic.
-
Key words:
- Xia Guicheng /
- academic thoughts /
- amenorrhea /
- heart
-
[1] 夏桂成,谈勇,赵可宁,等.夏桂成实用中医妇科学[M].北京:中国中医药出版社,2010:4. [2] Xia GC, Tan Y, Zhao KN, et al. Xia Guicheng practical gynecology of traditional Chinese medicine[M]. Beijing: China press of traditional Chinese medicine, 2010:4. [3] 傅山.傅青主女科[M].北京:人民卫生出版社,2015:29,33. [4] Fu S. Fu Qingzhu gynecology[M]. Beijing: People's medical publishing house, 2015: 29, 33. [5] 黄帝内经素问[M].北京:人民卫生出版社,2015:15,67,92. [6] The Yellow Emperor's Inner Classic: Basic Questions[M]. Beijing: People's medical publishing house, 2015:15, 67,92. [7] 夏桂成.妇女“经闭”的病因机制及其辨证论治[J].江苏中医,1960(11):9-14. [8] Xia GC. Etiology mechanism and dialectical treatment of women amenorrhea[J]. Jiangsu J Tradit Chin Med, 1960(11):9-14. [9] 刘完素.素问病机气宜保命集[M].北京:中国中医药出版社,2007:127. [10] Liu WS. Collection of Writings on the Mechanism of Disease, Suitability of Qi, and the Safeguarding of Life as Discussed in the Basic Questions[M]. Beijing: China press of traditional Chinese medicine, 2007:127. [11] 夏桂成.痰湿闭经论治[J].吉林中医药,1989(3):1-2. [12] Xia GC. Treatment of amenorrhea caused by phlegm and dampness[J]. Jilin J Tradit Chin Med, 1989(3):1-2. [13] 夏桂成,谈勇,赵可宁,等.妇科方药临证心得十五讲[M].北京:人民卫生出版社,2012:25. [14] Xia GC, Tan Y, Zhao KN, et al. Fifteen Lectures of Clinical Experience of Using Drugs in Gynecology[M]. Beijing: People's medical publishing house, 2012: 25. [15] 谈勇,赵可宁,任青玲,等.坤壶撷英——夏桂成妇科临证心得[M].北京:人民卫生出版社,2014:30,105,146-148. [16] Tan Y, Zhao KN, Ren QL, et al. Kunhu Xieying-Clinical Experience of Professor Xia Guicheng[M]. Beijing: People's medical publishing house, 2014:30,105,146-148. [17] 李时珍.本草纲目[M].北京:华夏出版社,2002:1286. [18] Li SZ. The Grand Compendium of Materia Medica[M]. Beijing: Huaxia publishing house, 2002:1286. [19] 何炫.何氏虚劳心传[M].南京:江苏科学技术出版社,1985:8-9. [20] He X. Heshi Xulao Xinzhuan[M]. Nanjing: Jiangsu science and technology publishing house, 1985:8-9.
点击查看大图
计量
- 文章访问数: 1807
- HTML全文浏览量: 4
- PDF下载量: 2720
- 被引次数: 0