近现代医家对《内经》石瘕的研究

Clinical research on modern physicians for Shijia of Canon of Medicine

石瘕最早出自《灵枢·水胀篇》,为子宫肌瘤、子宫颈癌、盆腔炎性包块、卵巢囊肿、陈旧性宫外孕、胚胎钙化症等一类妇科疾病,因寒凝、气滞、血瘀、湿滞、气虚、饮食不节、冲任亏损、脏腑虚损等致气血留滞胞宫,渐生包块,以病痛崩带四证为主,腹部日以益大,状如怀子,月事不以时下。治疗原则为可导而下之,以活血化瘀、软坚消瘤、顾护胃气、调理冲任、温阳散寒、清热燥湿等方法治疗。

Shijia was first recorded in Canon of Medicine as a gynecological disease. According to TCM theory,Shijia is of great relation to the blood stasis and phlegmatic hygrosis which prevent the qi from circulating freely,which eventually lead to the dysfunction of uterus and onset of Shijia. Gradually increasing abdominal mobilizable mass is the most common clinical symptom. The principle of treatment for Shijia is ＂dredging the obstruction＂. The internal therapy for Shijia includes softening and resolving hard masses,promoting blood circulation for removing blood stasis,soothing liver regulating qi and warming yang and activating meridian,clearing heat and wet etc. methods.