崩漏治疗中炭药应用问题的探讨

Exploration on the Application of Scorched Medicaments in the Treatment of Metrorrhagia.

通过复习崩漏文献,结合崩漏临床用药实践,对崩漏治疗中炭药应用问题进行了探讨。认为:炭药用于崩漏治疗有标本兼顾的优点,并非单纯为了止血;崩漏的病因和病机,仍是炭药“存性”的作用之“的”。崩漏留瘀的原因较多,不可囿于“血见黑则止”而将崩漏留瘀完全归咎于炭药。崩漏治疗中应用炭药,仍应遵循辨证用药的原则,从而才能拓宽炭药的用药思路,充分发挥炭药的治疗作用。

The author claims,through reviewing literatures andhis own experience,that scorched drugs have the ad-vantages of tackling both the root causes as well as themanifestations instead of solely dealing with hemosta-sis.The“intact nature”of scorched drugs is aiming attreating the causes and pathogenesis of uterine hemor-rahage,hence,it is inappropriate to attribute thecause of blood stasis accumulated in the womb to theapplication of scorched drugs based on the traditionalidea that“blood stanched in the presence of blackness(scorched)”.It is reasonable to widen the way ofthinking,basing on the principle of differentiation ofsyndrome,when applying the scorched drugs so as tobring it into its full play.