杨正望教授运用大补元煎治疗青春期子宫内膜增厚症临证经验
Clinical Experience of Professor Yang Zhengwang in Treating Adolescent Endometrial Thickness with Dabuyuan Decoction
DOI:10.3969/j.issn.1003-8914.2022.08.024
扫 描 看 全 文
1.湖南中医药大学硕士研究生2019级(湖南 长沙 410208)
2.湖南中医药大学第一附属医院妇产科(湖南 长沙 410007)
扫 描 看 全 文
杨越兰, 杨正望. 杨正望教授运用大补元煎治疗青春期子宫内膜增厚症临证经验[DB/OL].(2023-08-01)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.3969/j.issn.1003-8914.2022.08.024
YANG Yuelan, YANG Zhengwang. Clinical Experience of Professor Yang Zhengwang in Treating Adolescent Endometrial Thickness with Dabuyuan Decoction[DB/OL].(2023-08-01)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.3969/j.issn.1003-8914.2022.08.024
杨越兰, 杨正望. 杨正望教授运用大补元煎治疗青春期子宫内膜增厚症临证经验[DB/OL].(2023-08-01)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.3969/j.issn.1003-8914.2022.08.024 DOI:
YANG Yuelan, YANG Zhengwang. Clinical Experience of Professor Yang Zhengwang in Treating Adolescent Endometrial Thickness with Dabuyuan Decoction[DB/OL].(2023-08-01)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.3969/j.issn.1003-8914.2022.08.024 DOI:
子宫内膜增厚为女性非生理性的内膜腺体增生病变,被视为子宫内膜癌的癌前病变,近年来在女性中越来越常见,临床以异常子宫出血、阴道异常排液或下腹疼痛等症状多见,根据其临床表现,归属中医“崩漏”范畴。目前国内外关于子宫内膜增生性疾病诊断标准尚未统一,缺乏规范化治疗。杨正望教授发现青春期子宫内膜增厚症在临床上以肾虚血瘀证最为常见,治疗上以补肝肾为主,佐以活血化瘀,予以大补元煎加减,临床疗效好。此文重点介绍大补元煎治疗子宫内膜增厚的临证经验,以提供中医诊疗思路。
Endometrial thickening is a non-physiological endometrial gland hyperplasia in women. It is regarded as a precancerous lesion of endometrial cancer. It has become more and more common in women in recent years. It is clinically characterized by abnormal uterine bleeding, abnormal vaginal discharge or Symptoms such as lower abdomen pain are more common. According to their clinical manifestations, they belong to the category of Chinese medicine metrorrhagia. At present, the diagnostic standards for endometrial hyperplasia diseases at home and abroad have not been unified, and the treatment is also lacking in standardization. Professor Yang Zhengwang found that the adolescent endometrial thickening syndrome is the most common clinically with kidney deficiency and blood stasis syndrome. The treatment is mainly to invigorate the liver and kidney, supplemented by activating blood to remove blood stasis, and adding and subtracting Dabuyuan decoction. The clinical effect is good. This article focuses on the clinical experience of Dabuyuan decoction in the treatment of endometrial thickening in order to provide traditional Chinese medicine diagnosis and treatment ideas.
肾虚血瘀证子宫内膜增厚症大补元煎杨正望
kidney deficiency and blood stasis syndromeendometrial thickeningDabuyuan decoctionYang Zhengwang
SANDERSON PA, CRITCHLEY HOD, WILLIAMS ARW, et al. New concepts for an old problem: the diagnosis of endometrial hyperplasial[J]. Hum Reprod Update, 2017, 23(2):232-254.
明·张介宾.景岳全书[M]. 李继明,点校.北京: 人民卫生出版社, 2017:1202.
马惠荣, 尤昭玲, 王若光, 等.1016例功能失调性子宫出血中医证型分布的临床流行病学调查[J]. 上海中医药杂志, 2009, 43(2):37-39.
张美龄.荆芥炭止血物质基础及其作用机制的研究[D]. 北京: 北京中医药大学, 2018.
黄美艳, 蔡秀江.当归补血汤临床应用研究进展[J]. 实用中医药杂志, 2019, 35(11):1415-1417.
全国卫生产业企业管理协会妇幼健康产业分会生殖内分泌学组.中国子宫内膜增生诊疗共识[J]. 生殖医学杂志, 2017, 26(10):957-959.
黄美艳, 徐荣芝, 蔡秀江.大补元煎临床应用研究进展[J]. 实用中医药杂志, 2020, 36(3):401-403.
0
浏览量
1
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构