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国医大师柴嵩岩治疗子宫内膜异位症证治思路
作者姓名:王阳  黄念  佟庆
作者单位:北京中医药大学, 北京 100029,北京中医药大学, 北京 100029,北京中医药大学东方医院, 北京 100078
基金项目:北京中医药大学东方医院1166人才培养项目
摘    要:国医大师柴嵩岩提出子宫内膜异位症(endometriosis,EM)为"阳证、热症、实证",其基本病机为湿热毒邪侵袭冲任血海;在治疗过程中形成了分时论治、分年龄论治、辨证论治等论治方法;基于长期临床经验,将EM辨为湿热瘀阻证、气滞血瘀证、肾虚血瘀证、气虚血瘀证;以"解毒热、化湿浊、祛瘀滞、散结聚"为遣方用药原则,取得了良好的临床疗效。

关 键 词:子宫内膜异位症  痛经  不孕症  湿热瘀阻证  气滞血瘀证  柴嵩岩
收稿时间:2018/11/21 0:00:00

Chinese Medicine Master Chai Songyan's Thoughts in Diagnosis and Treatment of Endometriosis
Authors:WANG Yang  HUANG Nian and TONG Qing
Affiliation:Beijing University of Chinese Medicine, Beijing 100029, China,Beijing University of Chinese Medicine, Beijing 100029, China and Dongfang Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100078, China
Abstract:Chinese Medicine Master Chai Songyan points out that endometriosis (EM) is a Yang syndrome, a heat syndrome, and an excess syndrome, and its basic pathogenesis is damp-heat and toxic pathogens invading Chongren Xuehai. In the course of treatment, the treatment methods based on time, age, and syndrome have been formed. Based on long-term clinical experience, EM is differentiated into syndrome of stagnant dampness-heat, syndrome of Qi stagnation and blood stasis, syndrome of kidney deficiency and blood stasis, and syndrome of Qi deficiency and blood stasis. The medication principles of "detoxicating and alleviating fever, removing dampness and turbidity, removing blood stasis and stagnation, and dispersing agglomeration" have helped to achieve good outcomes.
Keywords:endometriosis  dysmenorrhea  infertility  syndrome of stagnant dampness-heat  syndrome of Qi stagnation and blood stasis  Chai Songyan
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