【摘要】：子宮腺肌癥是子宮的內(nèi)膜腺上皮及其間質(zhì)部分異位于子宮的肌層內(nèi),但沒有超過子宮范圍的一種疾病,至今此病尚沒有十分明確的發(fā)病機制,是一種常見的婦科病,臨床表現(xiàn)以經(jīng)行腹痛為主要癥狀之一,西醫(yī)以止疼類藥物、激素類藥物和手術(shù)治療為主。祖國醫(yī)學(xué)文獻中雖然沒有子宮腺肌癥這一病名的記載,但據(jù)其臨床癥狀可見于“痛經(jīng)”、“ve瘕”等文獻論述中,其中臨床上以痛經(jīng)為最多見癥狀之一。治療上中醫(yī)則以辨證施治為主,隨癥加減,在中藥內(nèi)服的基礎(chǔ)上同時加用針灸、灌腸、貼敷等特色外治療法。陳瑩教授從事臨床工作30余年,有豐富的治療經(jīng)驗,吾有幸跟隨教授出診,總結(jié)其應(yīng)用中醫(yī)藥治療因子宮腺肌癥而致痛經(jīng)的經(jīng)驗。教授講求辨證論治,隨癥加減,認為子宮腺肌癥所致的痛經(jīng)以“瘀血”阻滯為病因病機的關(guān)鍵,而瘀血形成的根本原因與陽氣不足,溫通作用下降,沖任氣血運行不暢有直接關(guān)系,而腎陽又為一身陽氣之本,故臨床上導(dǎo)師以溫腎助陽、化瘀止痛消ve為基本治法,并結(jié)合臨床經(jīng)驗,創(chuàng)立了經(jīng)驗用方經(jīng)痛寧并隨癥加減,同時配合月經(jīng)周期治療本病,在疼痛的發(fā)作期同時配合針灸、膏藥外貼法,并囑患者勿貪食寒涼,加強鍛煉,療效確切。
[Abstract]:Adenomyosis is a disease in which the endometrial glandular epithelium and its stroma are located in the myometrium of the uterus, but they do not exceed the range of the uterus. So far, there is no clear mechanism of this disease and it is a common gynecological disease. The main symptoms were abdominal pain, pain medication, hormone medicine and surgical treatment in western medicine. Although the name of uterine adenomyosis is not recorded in the medical literature of the motherland, its clinical symptoms can be found in the literature of dysmenorrhea and ve mass, among which dysmenorrhea is one of the most common symptoms. On the treatment, traditional Chinese medicine is mainly based on syndrome differentiation, plus or minus with syndrome, on the basis of traditional Chinese medicine, acupuncture, enema, application and other characteristics of external treatment at the same time. Professor Chen Ying is engaged in clinical work for more than 30 years and has rich experience in treating dysmenorrhea caused by uterine adenomyosis. The professor emphasizes on syndrome differentiation and treatment, and adds and subtracts with the syndrome. He thinks that the key to cause and pathogenesis of dysmenorrhea caused by uterine adenomyosis is "blood stasis" block, while the root cause of blood stasis is insufficient yang qi, and the effect of warming is decreased. There is a direct relationship between the unsmooth operation of Chong Ren Qi and blood flow, and the kidney yang is the root of a body of yang qi. Therefore, the clinical tutor takes warming the kidney to assist yang, removing stasis and relieving pain as the basic treatment method, and combining with clinical experience, has created the experiential prescription Jingtong Ning and adds or subtracts it with the symptoms. At the same time with menstrual cycle treatment of this disease, in the period of pain with acupuncture, plaster paste, and told patients not to eat cold, strengthen exercise, the curative effect is accurate.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R249;R271.113

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