王翠霞疏肝理气-行气活血-化瘀止痛治疗气滞血瘀型痛经

WANG Cuixia's Experience on Treating Qi Stagnancy and Blood Stasis Type of Dysmenorrhea by soothing the liver and promoting the circulation of Qi-invigorating the circulation of qi and blood–dispersing blood to reduce the pain

王翠霞教授认为痛经与冲任、胞宫周期性生理变化密切相关,主要病机在于精血素亏或邪气内伏,更值经期前后冲任二脉气血的生理变化急骤,导致冲任胞宫失于濡养"虚证"或胞宫气血运行不畅的"实证",实证多虚证少,实证痛经又以气滞血瘀型多见,情志抑郁或动怒伤肝而致的气滞血瘀日益成为痛经的主要病因病机;提出经前疏肝理气,经期行气活血、化瘀止痛为治则。使用膈下逐瘀汤对气滞血瘀病因病机实者泻之,尖者削之,使气机通畅,瘀去痛止,则痛经证得愈。

Professor WANG Cuixia think that the occurrence of Dysmenorrhea is related with the periodic and physiological change of conception vessel, thoroughfare vessel and uterus, and its pathogenesis is deficiency of essence and blood or inside pathogenic factor, beside the suddenly physiological change of blood and qi of conception and thoroughfare vessel, leading to the deficiency syndrome resulting from deficiency of essence and blood or excess syndrome caused by qi and blood stagnancy of uterus. Excess of dysmenorrhea is more common than the deficiency of Dysmenorrhea, besides the type of qi stagnancy and blood stasis dysmenorrhe is most common in the excess.So the basic treatment is soothing the liver and promoting the circulation of qi before menstruation and invigorating the circulation of qi and blood to reduce the pain during menstruation by using Gexia Zhuyu tang with a significant clinical effect.