汪悦从五脏虚实论治产后痹的经验
WANG Yue's Experience on Treating Postpartum Arthralgia from Deficiency and Excess of Five Zang-Organs
DOI:10.13192/j.issn.1000-1719.2021.02.012
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1.南京中医药大学附属医院,江苏 南京 210029
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林雪妮, 汪悦. 汪悦从五脏虚实论治产后痹的经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.02.012
LIN Xueni, WANG Yue. WANG Yue's Experience on Treating Postpartum Arthralgia from Deficiency and Excess of Five Zang-Organs[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.02.012
林雪妮, 汪悦. 汪悦从五脏虚实论治产后痹的经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.02.012 DOI:
LIN Xueni, WANG Yue. WANG Yue's Experience on Treating Postpartum Arthralgia from Deficiency and Excess of Five Zang-Organs[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.02.012 DOI:
产后痹是风湿科临床常见的疾病,该病以自觉症状为主,目前现代医学对该病的研究尚不完善,治疗手段有限,效果欠佳。该病在中医归属于“痹证”的范畴。产后这一特殊阶段决定了其与寻常痹证有着不同的病因病机与治疗手段。妇女产后失血伤津,元气大伤,加之素体虚弱,调护不当,外感风寒湿邪侵袭,发为此病。久之气血运行受阻,则易生“虚”与“瘀”。治疗上当以补气养血活血为要。而产后“多虚”“多瘀”,易导致五脏功能失调,从而出现不同的临床表现。汪悦教授在治疗产后痹时重视“血虚受风”这一病机关键,认为产后痹虚证多见,但仍有实证,病属虚实错杂,其疾病之虚实又主要表现为五脏之虚实。治疗上主张调理气血及脏腑功能。针对不同脏腑的虚实变化,治疗侧重均有不同。现作者对汪悦教授治疗产后痹的经验进行总结,分析五脏的生理功能、病理特点与产后痹病因病机的关系以及具体的治疗方法,并附验案一则。
Postpartum arthralgia is a common clinical disease in rheumatism clinic.The disease mainly has self-conscious symptoms.The current modern medical research on the disease is not perfect, treatment methods are limited and the curative effect is unsatisfactory.In traditional Chinese medicine, this disease belongs to the category of "Bi syndrome", also known as arthralgia.Postpartum arthralgia and common arthralgia are different in many ways, like etiology, pathogenesis and treatments.Postpartum period is closely related to the loss of blood, body fluid and Qi.The serious hurt of promordial Qi combines with improper care and the exogenous wind-evil invading the body, lead to the disease.If Qi and blood are blocked for a long time, it is easy to produce "deficiency" and "blood stasis" .In treatment, it is important to invigorate Qi, nourish blood and promote blood circulation.The state of postpartum period is inclined to the dysfunction of the five Zang-organs, resulting in different clinical manifestations. Professor WANG Yue contributes the pathogenesis of postpartum arthralgia to "blood deficiency with the attack of wind" . He believes that the deficiency syndrome of postpartum arthralgia is more common, but there is still excessive syndrome. The syndrome type is mixed.The deficiency and excess of the disease behaves as the deficiency and excess of five Zang-organs.Regulating Qi, blood and the functions of five Zang-organs is the key treatment.Considering the different physiological and pathological of five Zangorgans, thisarticle analyzed relationships between the characteristics of five Zang-organs and the pathogenesis of postpartum arthralgia in or derto summarize the experience of Professor WANG Yue's theory of treating postpartum arthralgia, and there was a case for examination.
产后痹五脏虚实名医经验汪悦
postpartum arthralgiafive Zang-organstreatment experienceWANG Yue
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