产后须辨证使用生化汤

Using Shenghua decoction though syndrome differentiation following childbirth

生化汤是著名医家傅青主针对产后血虚寒凝、瘀血阻滞这一病证特点而创制的一张名方,它有明确的病机针对性。但今人却背离了中医辨证论治的要求,将生化汤做为产后常规必服的药物来使用,尤其是不经辨证地运用生化汤的一些中成药制剂,这是重方轻理现象的一种反映,是有害无益的,应引起高度重视。使用生化汤要在中医基础理论的指导下,经准确辨证,按照"不忘产后,也不拘于产后"的原则,不可一味盲从"产后宜温"、"产后首必通瘀",被产后的普遍生理特点和治法所困。要正确把握生化汤的适用病证,辨证使用生化汤。若药不对证,必然变证丛生,当令今人引以为鉴。

Shenghua decoction made by FU Qing-zhu is a famous formula aimed at syndrome of coagulation cold due to blood deficiency ,static blood obstruction. The mechanism of disease is definite when this formula is applied. But the extensive use of Shenghua decoction ,especially some potent preparation of it following childbirth without according to TCM principle based on differentiation of syndromes is a manifestation of highlighting formula and underestimating theory,which is useless and harmful. It should be emphasized. So the Shenghua decoction should be used under the direction of basic theory of TCM, through precise syndrome differentiation, according to the principle of ＂looking to and not being besieged by postpartum ＂. We should not follow blindly the method of treatment of ＂warming and resolving stasis＂ on the postpartum disease. It is important that Shenghua decoction should be used on the basis of syndrome differentiation.