许润三教授运用补法治疗慢性盆腔疼痛经验

Experience of professor XU Run-san in treating chronic pelvic pain with tonifying method

慢性盆腔疼痛是妇科常见症状,中医药治疗是缓解非手术指征慢性盆腔疼痛的重要方法。妇科知名专家许润三教授60余年的临床经验认为,虚型慢性盆腔疼痛在临床占有一定的比例,病程较长、反复发作的慢性盆腔疼痛以气虚、阳虚,血行迟滞而痛或虚中夹瘀为主要病机者居多。慢性盆腔疼痛病因复杂,根据中医"异病同治"理论,对各种引发慢性盆腔疼痛的疾病,只要见到气虚、阳虚证候,均可从虚论治,采用益气升阳、温中补虚,或补虚行滞、温通化瘀、缓急止痛等"补而通之"之法。临证抓住其辨证要点,灵活运用补中益气汤、黄芪建中汤等补方,是提高疗效的关键。

Chronic pelvic pain is a common symptom of gynecological diseases, traditional Chinese medicine treatment is a important method in treating chronic pelvic pain without operation indication. According to his clinical experience of more than sixty years, famous gynecological professor XU Run-san suggested that deficient syndrome of chronic pelvic pain possesses a definite proportion in clinic; most of chronic repeated pelvic pain of long course has the pathogenesis of qi, yang deficiency, stagnation of blood circulation and deficiency complicated with blood stasis. The etiology of chronic pelvic pain is complicated, according to the TCM theory of ＂treating different diseases with the same method＂, tonifying method such as nourishing qi and raising .rang, warming spleen and stomach, nourishing qi and activating blood, warming meridian and resolving stasis can be used for syndrome of qi, yang deficiency. Treatment with tonifying decoctions such as buzhongyiqi decoction, huangqijianzhong decoction based on syndrome differentiation is the key to improve the curative effect.