葛根汤辨证治疗原发性痛经

Experience in the Application of Radix Puerariae Decoction in Pattern/Syndrome Differentiation and Treatment of Primary Dysmenorrhea

葛根汤是主治风寒表证的经典方,其治疗原发性痛经疗效确切,患者符合以下特征:(1)符合原发性痛经诊断标准;(2)体质壮实,肌肉坚紧,唇舌色淡暗,肤色暗缺乏光泽,经期体重增加明显;具有过食寒凉冰冷之品,着装暴露等不良生活习惯,或行经期间感受寒邪;(3)经期恶寒,腰腹冷痛,得温热痛减。运用葛根汤加减治疗原发性痛经既符合中医辨证施治的原则,也体现了"异病同治"的优势特色。该方新用途的发现将丰富原发性痛经的治疗手段,也为发掘经典名方的优势病种、形成具有广泛临床需求的疑难重证治疗药物提供了可借鉴的思路。

Radix puerariae decoction is the classical formula for the treatment of wind-cold exterior pattern/syndrome.It has the definite efficacy on primary dysmenorrhea.The patient should be in accordance with the following characteristics：（1）coincident with the diagnostic standards of primary dysmenorrhea;（2）strong constitution,hard muscle,pale lips and tongue,dark complexion and no luster,apparently body weight gaining in menstruation;negative life habits such as overeating cold food and drink and less dressing,or invasion by cold in menstruation;（3）chills in menstruation,cold pain in the lumbar and abdominal region,relieved on warmth.The application of modified radix puerariae decoction in the treatment of primary dysmenorrhea not only accords with the principle of traditional Chinese medicine based on pattern/syndrome differentiation,but also displays the superiority of ＂same treatment for different disorders＂.The discovery of the new application of the formula enriches the therapeutic approach to primary dysmenorrhea,moreover it provides the new idea for exploring the superiority in the indications of classical formula and the treatments of intractable severe disorders,which is extensively required in clinic.