陈自明治疗月水不通的用药特点探析

Discussion of the Medication Characteristics for Amenorrhea Treated by Chen Zi-ming

文章通过研究《妇人大全良方》中有关妇人月水不通的方剂,总结陈氏治疗月水不通的特点。病因方面,陈氏认为妇人常由"劳伤血气致令体虚""受风冷邪气客于胞内"内外两方面因素损伤冲任,使胞络内血绝不通而经闭,病因重视气血亏虚、风冷乘袭。治疗方面,陈氏重视"补通"以调经。通过统计分析陈氏治疗月水不通的34首方剂,发现其用药方面具有重视养血活血,药性偏温平,药味多苦辛甘,善用虫类药攻坚通络,服药方法灵活多样等特点,均体现了"补通"以调经的治疗原则。

The treatment characteristics of amenorrhea by Master Chen was summarized in the paper by studying relevant herbal formulas in Fu Ren Da Quan Liang Fang. Concerning to etiology, Master Chen thought that＂ injury of blood and qi results in weakness of body＂ and＂ wind and cold pathogens invade the ute- rus＂. Those internal and external factors damage the Thoroughfare Vessel and the Conception Vessel,leading to obstruction of blood flow in the uterus, thus amenorrhea happens. This disease focuses on deficiency of qi and blood and invasion of wind and cold in etiology. Regarding with treatment, Master Chen emphasized on ＂tonifying and promoting treatment＂ to regulate menstruation. Thirty - four formulas for the treatment of amen- orrhea were analyzed statistically. It was discovered that those formulas emphasized on nourishing blood and activating blood circulation. The ingredients were warm and neutral in nature and bitter, pungent and sweet in flavor. Most ingredients were in the insect category with strong action on promoting circulation. Additionally the medication usage was flexible and various. All of those reflect the treating principles of＂ tonifying and pro- moting＂ in menstrual regulation.