郭为汀治疗功能性子宫出血的临床经验

Guo Weiting's Experiences in the Clinical Treatment of Functional Uterine Bleeding

功能性子宫出血,是一种妇科临床的常见病、疑难病,是指由神经内分泌功能紊乱引起的子宫异常出血且没有全身和内外生殖器官的器质性病变,常表现为月经无规律、经期过长、经量过多甚至不规则阴道流血等。本病属中医"崩漏"的范畴,其病因多端,病机复杂。郭为汀主任认为功能性子宫出血的病机多以虚、瘀、热三者致冲任损伤、不能制约经血而致经血非时而下,根据临床症状,将崩漏分为血瘀型、血热型、血虚型及暴崩,治疗时针对各型分别以活血化瘀、凉血止血、健脾益气、益气止崩塞流应急为主要原则,运用临床经验方活血固经汤、凉血固经汤、养血固经汤、益气止崩汤分别治之,取得良效。

Functional uterine bleeding is the common and intractable disease in gynecology depart-ment. It is defined as the abnormal uterine bleeding caused by neuroendocrinal disturbance,without general and internal and external reproductive organic disorders,commonly manifested as irregular menstruation,pro-longed menstrual period,excessive menstrual flow even irregular vaginal bleeding. This disease is in the cate-gory of metrorrhagia and metrostaxis in TCM,with complicated etiology and pathogenesis involved. Prof. Guo Weiting believed that deficiency,stasis and heat induce the damages in the Thoroughfare Vessel and Concep-tion Vessel,resulting in failure to control the regular menstruation. According to the clinical symptoms,func-tional uterine bleeding is differentiated as blood stagnation,blood heat,blood deficiency and metrorrhagia. Hence,the main principles should be activating blood circulation and removing stasis,cooling blood and stop-ping bleeding,strengthening spleen qi and benefiting qi to stop violent bleeding accordingly. The empirical formulas such as huoxue gujing decoction,liangxue gujing decoction,yangxue gujing decoction and yiqi zhi-beng decoction were applied correspondingly and the good efficacy had been achieved.