陈莹治疗原发性痛经经验

Professor CHEN Ying's Experience in Treatment of Primary Dysmenorrhea

原发性痛经是临床上妇科常见病之一,以青少年女性多见。西医治疗主要是以止痛为主的对症治疗,不能从根本上解决问题,而中医强调整体观念,辨证施治加以全身调理取得了显著的疗效。陈莹教授认为原发性痛经病机本虚标实证居多,本虚以脾肾阳虚多见,标实以瘀血阻滞冲任为主。故治疗上主张非经期温补脾肾以治其本,经前期及经期活血化瘀以治其标,标本兼治,并自拟经痛宁1号,根据临床症状特点,辨证加减,疗效颇佳。

Primary dysmenorrhea is one of the clinical gynecological diseases, more common in adolescent females. Western medicine treatment of pain is mainly symptomatic treatment and can not fundamentally solve the problem while Chinese medicine stressed that the overall concept of dialectical therapy to body conditioning achieved remarkable results. Professor CHEN Ying thinks pathogenesis of primary dysmenorrhea is Ben deficiency and Biao excess. Ben deficiency is more common in Yang deficiency of spleen and kidney while Biao excess in blood stasis of Chong and Ren meridians. Therefore, she advocates warming spleen and kidney in non - menstrual period, circulating blood in premenstrual and menstrual period to treat Biao, treating both the incidental and fundamental aspects,and she has drafted Jingtongning I formula.