基于“肝体阴用阳”论治围绝经期综合征
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摘要
肝体阴而用阳,围绝经期女性多处于"阴常不足,阳常有余的状态",故补肝体、调肝用在围绝经期综合征(perimenopausal syndrome,PMS)的发生发展过程中至关重要。肝血虚证运用补养肝血的药物充养肝体;肝阴虚证运用酸肝化阴的药物充养肝体;肝郁气滞证采用疏肝理气解郁药物使肝气调达以调理全身之气机;肝经郁火证采用苦寒泻火药物清泄肝火,疏泄肝气;阴虚阳亢证用养肝育阴、平抑肝阳药物补肝体、调肝用。
Liver stores yin blood and controls active qi movement. Perimenopausal women are mostly in the state of deficiency of yin and excess of yang,so it is very important to nourish liver and regulate liver in the occurrence and development of perimenopausal syndrome( PMS). For deficient liver blood syndrome,drugs for nourishing liver blood can be used. For liver-yin deficiency syndrome,drugs with sour and sweet transforming into yin can be used. For liver-qi stagnation syndrome,modified drugs for soothing liver,regulating qi and relieving depression can be used to regulate the whole body's qi. For liver-meridian stagnation-fire syndrome,drugs with bitter and cold for purging fire can be used to clear away liver-fire and soothe liver-qi. For syndrome of yin deficiency and yang hyperactivity,drugs for nourishing liver yin,calming liver-yang and regulating liver-qi can be used.
Liver stores yin blood and controls active qi movement. Perimenopausal women are mostly in the state of deficiency of yin and excess of yang,so it is very important to nourish liver and regulate liver in the occurrence and development of perimenopausal syndrome( PMS). For deficient liver blood syndrome,drugs for nourishing liver blood can be used. For liver-yin deficiency syndrome,drugs with sour and sweet transforming into yin can be used. For liver-qi stagnation syndrome,modified drugs for soothing liver,regulating qi and relieving depression can be used to regulate the whole body's qi. For liver-meridian stagnation-fire syndrome,drugs with bitter and cold for purging fire can be used to clear away liver-fire and soothe liver-qi. For syndrome of yin deficiency and yang hyperactivity,drugs for nourishing liver yin,calming liver-yang and regulating liver-qi can be used.
引文
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[15]王联庆,王昆.从肝论治妇科病的体会[J].陕西中医,2007,28(3):361-362.
[2]甄志平,杨秋颖,李晗冉,等.妇女更年期综合征流行现状与研究进展[J].中国生育健康杂志,2014,25(2):183-185.
[3]郭红玉,钱菁.从心肾论治更年期综合征体会[J].江苏中医药,2017,49(5):25-26.
[4]袁立霞,刘刚.从肝论治妇女更年期综合征[J].山东中医杂志,2007,26(7):439-440.
[5]曹泽毅.中华妇产科学[M]. 2版.北京:人民卫生出版社,2005:2532-2538.
[6]马月香.肝主疏泄调节人体功能的理论与实验研究[D].济南:山东中医药大学,2005:76.
[7]刘静君.肝郁体质与更年期综合征相关性的理论与流行病学调查研究[D].济南:山东中医药大学,2006:57.
[8]钱丽旗.姜坤从肝论治更年期综合征经验[J].江苏中医杂志,1997,18(8):5-6.
[9]刘永胜.从肝肾论更年期综合征[J].中国误诊学杂志,2010,10(3):586-587.
[10]严春玲.从水不涵木辨治更年期综合征[J].新中医,2013,45(3):7-9.
[11]高丹,王保和.滋水涵木法治疗更年期高血压心得[J].天津中医药杂志,2018,35(1):31-33.
[12]赵昌林.肝主疏泄为调控免疫功能的核心[J].中医杂志,2017,58(7):568-571.
[13]睦承志.肾主骨生髓与绝经后骨质疏松症病理基础关系[J].屮医药通报,2007,6(1):38-40.
[14]王秀莹.调肝补肾法治疗绝经后骨质疏松症的临床经验[J].中国中医药现代远程教育,2017,15(19):141-142.
[15]王联庆,王昆.从肝论治妇科病的体会[J].陕西中医,2007,28(3):361-362.