哈孝贤“通以治之”辨治痛经

Professor Ha Xiaoxian's experience in differentiating and treating dysmenorrhea based on“treatment according to obstruction-removing”theory

探讨哈孝贤教授辨治痛经经验。认为肝气郁滞、血瘀内阻、寒湿凝滞、湿热下注、肝肾虚损、气血不足等为其病因,主要由冲任二脉气血运行不畅、经血滞于胞中所致;治疗以"寒者温而通之,热者清而通之,虚者补而通之,实者攻而通之"为法。

This paper discusses Professor Ha Xiaoxian＇ s experience in differentiating and treating dysmenorrhea. It is believed that stagnation of liver qi, interior retentinn of blood stasis, stagnation of cold dampness, downward flow of damp-heat, deficiency-impairment of liver and kidney, deficiency of qi and blood are its pathogenesis, which mainly caused by unsmooth of qi-blood eireulation in Ren and Du meridians and menstruation stagnated in uterus. Therapeutic principle should be based on ＂wanning for cold syndrome, clearing for heal, supplementing for deficiency, purging for excess＂, and corresponding prescriptions should be applied.