《邵氏医案》从血辨治痛经浅析

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英文篇名：Analysis of the Treatment of Dysmenorrhea by Blood Syndrome Differentiation from Shao Shi Medical Records 作者：张瑜 ; 杨益萍 ; 陈永灿 英文作者：ZHANG Yu;YANG Yiping;CHEN Yongcan;Zhejiang Chinese Medical University;Tongde Hospital of Zhejiang Province; 关键词：邵氏医案 ; 痛经 ; 血虚内热 ; 血虚肝风 ; 水结血瘀 ; 气阻血滞 ; 益母胜金丹 ; 五苓散 英文关键词：SHAO's Medical Records;;dysmenorrhea;;deficiency of blood and internal heat;;blood deficiency and liver wind;;water and blood stasis;;stagnation of Qi and blood;;Yimushengjin Dan;;Wuling powder 中文刊名：BHON 英文刊名：Journal of Zhejiang Chinese Medical University 机构：浙江中医药大学;浙江省立同德医院; 出版日期：2019-01-15 出版单位：浙江中医药大学学报 年：2019 期：v.43;No.291 基金：“十三五”浙江省中医药(中西医结合)重点学科建设计划项目(2017-XK-B03);; 2017年浙江省名老中医专家传承工作室建设项目(GZS2017002)~~ 语种：中文; 页：BHON201901012 页数：3 CN：01 ISSN：33-1349/R 分类号：55-57

摘要

[目的]分析总结浙江近代著名临床医家邵兰荪治疗痛经的经验,以期为临床治疗提供借鉴。[方法]通过研读裘吉生编《邵氏医案》,筛选出其中治疗痛经的医案十余则,并结合邵氏在妇科方面的学术思想,进一步分析其辨证立法遣方特色,从而总结邵氏治疗痛经的临证经验。[结果]邵氏治疗痛经多从血辨治,且分虚实两端,其中属虚者血虚内热用益母胜金丹养血清热、活血止痛,血虚肝风治以养血柔肝、息风止痛;属实者水结血瘀用五苓散利水散瘀、行气止痛,气阻血滞治从行气活血、调经止痛。[结论]在治疗妇人痛经方面,邵氏辨治遣方确有独特经验,这些经验可为中医药治疗此类疾病拓宽诊治思路,有助于提高临床疗效。
        [Objective]To analyse the famous clinician SHAO Lansun treatment of dysmenorrhea experience with a view to the clinical treatment of it to provide reference.[Methods]By studying the Shao Shi Medical Records edited by QIU Jisheng and selecting the cases of dysmenorrhea to further analyze and sum up his clinical experience. [Result]The treatment of dysmenorrhea by Shao was mostly based on syndrome differentiation of blood, and it was divided into deficiency and excess, among which the deficiency of blood and internal heat use Yimushengjin Dan nourishing blood and clearing heat, and the treatment of blood deficiency and liver wind by nourishing blood and softening liver. Water and blood stasis were used to eliminate stasis and water with Wuling powder, and stagnation of Qi and blood to promote Qi and activate blood. [Conclusion] SHAO Lansun has his own characteristics in prescription and therapy, which can broaden the diagnosis and treatment thinking for dysmenorrhea and improve the clinical curative effect.

引文

[1]胡滨.邵兰荪生平及其医案考略[J].浙江中医学院学报,1985,9(1):37-39.
    [2]陆晓东,蒋新新.邵兰荪诊治经带经验述要[J].浙江中医学院学报,1992,16(5):30-31.
    [3]朱丹溪.丹溪心法[M].北京:人民卫生出版社,2017:205.
    [4]张景岳.妇人规[M].广州:广东科技出版社,1984:76.
    [5]龚廷贤.寿世保元[M].北京:人民卫生出版社,2014:117.
    [6]喻昌.医门法律[M].北京:人民卫生出版社,2006.
    [7]陈永灿.简易名方临证备要[M].北京:人民卫生出版社,2016:381-385.
    [8]裘庆元.珍本医书集成:第四册[M].北京:中国中医药出版社,1999.
    [9]龚廷贤.万病回春[M].北京:人民卫生出版社,2007:325.
    [10]高士栻.医学真传[M].天津:天津科学技术出版社,2012:43.
    [11]唐宗海.血证论[M].北京:人民卫生出版社,2005.
    [12]彭田芳,王振亮.试探邵兰荪运用引药的特点[J].国医论坛,2016,31(2):13-15.
    [13]陈文昭.陈素庵妇科补解[M].太原:山西科学技术出版社,2013:13.
    [14]王英.《宋氏女科撮要》版本及学术思想探要[J].中国中医药图书情报杂志,2015,39(2):50-53.
    [15]巢元方.诸病源候论校注[M].北京:北京科学技术出版社,2016:375.