夏桂成教授治疗子宫腺肌病痛经的临床经验

摘要

[Objective]To discuss the clinical experiences and unique views of Professor XIA Guicheng, a master of Chinese medicine in treating adenomyosis dysmenorrhea. [Method] To analyze the understanding of professor XIA Guicheng about the pathogenesis of adenomyosis dysmenorrhea. To sum up the clinical experiences in treating adenomyosis dysmenorrhea according to the kidney to adjust the cycle. [Result]For adenomyosis dysmenorrhea, XIA believes that the pathogenesis of this disease is the key virtual reality. The virtual refers to the deficiency of kidney-yang which is the root of its occurrence.The subject refers to the blood stasis which is its pathological basis. The deficiency of kidney-yang losses of warm effect, leading to stagnation of Qi and blood stasis for dysmenorrhea. According to the principle of"Ji ze zhi biao,huan ze zhi ben", when the dysmenorrhea attacks severely, we should control the pain from the standard treatment, mainly including relieving spasm and pain ,warming Yang wet and tranquilizing mind. We ought to value the root cause in normal time, that is the kidney to adjust the cycle. In particular, we pay attention to the inter ovulation period of warming kidney to help Yang, and the patient's daily life, emotional diet. [Conclusion] Professor XIA Guicheng 's experience in treating adenomyosis dysmenorrhea is worth to spread.%[目的]探讨国医大师夏桂成教授治疗子宫腺肌病痛经的临床经验.[方法]学习夏桂成教授对子宫腺肌病痛经病因病机的认识,总结其运用补肾调周方法分期辨证论治子宫腺肌病痛经的经验.[结果]夏老认为本病病机关键为本虚标实,本虚者肾阳虚是其发病的根本,标实者血瘀是其病理基础.肾阳不足,温煦失司,影响冲任气血的调畅,从而导致气滞血瘀发为痛经.根据"急则治标,缓则治本"原则,痛经剧烈发作时,从标论治,控制疼痛,主要体现在解痉止痛、温阳利湿、宁心安神三个方面.平时宜治本求因,即补肾调周,尤其重视经间排卵期的温肾助阳,并注重患者生活起居、情志饮食方面的配合,每获佳效.[结论]夏桂成教授运用补肾调周思想治疗子宫腺肌病痛经,疗效颇显,值得临床进一步学习与推广.