本文關(guān)鍵詞： 崩漏 瘀血內(nèi)阻胞宮 活血化瘀法 經(jīng)驗(yàn)總結(jié)　出處：《遼寧中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：崩漏是指非行經(jīng)期間,經(jīng)血暴下不止或淋漓不凈者,前者稱之“崩中”,后者謂之“漏下”。本病相當(dāng)于現(xiàn)代醫(yī)學(xué)中的功能失調(diào)性子宮出血(簡(jiǎn)稱功血),其主要臨床特點(diǎn)為月經(jīng)的周期、經(jīng)期、經(jīng)量都發(fā)生了嚴(yán)重的紊亂,重者可引發(fā)貧血或不孕。祖國醫(yī)學(xué)認(rèn)為崩漏的主要病機(jī)是沖任損傷,不能制約經(jīng)血,子宮藏瀉功能失常,致經(jīng)血非時(shí)而下;而導(dǎo)致沖任損傷的常見原因主要有脾虛、腎虛、血熱、血瘀四個(gè)方面。導(dǎo)師王翠霞教授經(jīng)過20多年的臨床實(shí)踐,將崩漏的病因概括為虛、熱、瘀三個(gè)方面,并認(rèn)為隨著病程的發(fā)展,虛和熱又均可致血瘀。導(dǎo)師指出瘀血阻于沖任胞宮,使得舊血不去,新血不歸,致使離經(jīng)之血非時(shí)而下,是為崩漏發(fā)生的主要病機(jī),正如唐代孫思邈在其著作《備急千金要方》中所述:“瘀結(jié)占據(jù)血室,使離經(jīng)之血不得歸經(jīng)”。在崩漏的治療上,導(dǎo)師通因通用,采取活血化瘀以止血之法,寓止于行,同時(shí)重視滋腎養(yǎng)陰以攝血。選方用藥時(shí),多選用具有活血養(yǎng)血,化瘀止血功效的藥物為主,寓止血于活血中,瘀血得除,沖任通暢,胞宮藏瀉功能恢復(fù),則疾病得愈。此外,對(duì)于本病的治療,導(dǎo)師亦強(qiáng)調(diào)遵循“急則治其標(biāo),緩則治其本”的原則,適時(shí)運(yùn)用中西醫(yī)結(jié)合療法治療本病,并且注重預(yù)防調(diào)護(hù),臨床上取得了不俗療效。
[Abstract]:Collapse and leakage refers to those who are not under menstrual violence or who are not clean during menstrual bleeding. The former is called "collapse", while the latter is called "leakage". This disease is equivalent to dysfunctional uterine bleeding (referred to as dysfunctional uterine bleeding) in modern medicine. Its main clinical characteristics are menstrual cycle, menstrual period, menstrual volume has serious disorder, serious cases can lead to anemia or infertility. Motherland medicine believes that the main pathogenesis of insipidus is damage, can not restrict meridian blood. Uterine storage and diarrhea dysfunction, resulting in irregular blood flow; The common causes of the damage are spleen deficiency, kidney deficiency, blood heat and blood stasis. Professor Wang Cuixia, after more than 20 years of clinical practice, summed up the causes of collapse for deficiency, heat, blood stasis three aspects. With the development of the course of the disease, deficiency and heat can cause blood stasis. The tutor pointed out that blood stasis is the main pathogenesis of the occurrence of insipidus, which prevents the old blood from going away, the new blood does not return, and causes the blood from the meridian to come down at different times. As the Tang Dynasty Sun Simiao in his work "prepare urgent Qianjin important prescription" stated: "Blood stasis to occupy the blood room, so that the blood from the meridian can not return to the scriptures." in the treatment of leakage, the teacher Tongying general purpose, to take the method of promoting blood circulation and removing stasis in order to stop bleeding. At the same time, pay attention to nourishing kidney and nourishing yin in order to absorb blood. When choosing prescriptions, we should choose drugs that have the effect of activating blood circulation and nourishing blood, removing blood stasis and stopping bleeding. In addition, for the treatment of this disease, the tutor also emphasized the principle of "urgent treatment, slow treatment," timely use of integrated Chinese and western medicine to treat this disease. And pay attention to prevention and nursing, clinical has achieved good results.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R249;R271.12

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