蔡氏妇科流派治疗崩漏历代学术特色探析

Exploration to the Generations of Academic Features in Cai's Gynecological School Treating Uterine Bleeding

[目的]初步探析上海蔡氏妇科流派历代治疗崩漏的学术特色。[方法]通过前辈有关记载如《江湾蔡氏妇科述要》《通治验方》等及临床跟师随诊,对蔡氏妇科流派历代治疗崩漏的临证经验进行研究,并归纳整理其特色。[结果]蔡氏妇科流派治疗崩漏不仅具有重视气血、治病求本、调理冲任、用药轻灵等整体学术特色,历代传人更是在传承的过程中融汇贯通,吸纳新知,不断演绎发展,各具特色。如四代砚香公治疗崩漏初起清热,日久温补;五代小香公治疗崩漏以益气养营,调摄止血为要;七代蔡小荪教授诊治崩漏首辨阴阳,求因为主、止血为辅,血止之后运用蔡氏周期疗法调理冲任,重建月经周期;八代传人之一黄素英主任对血瘀崩漏,重用通法。[结论]蔡氏妇科流派治疗崩漏特色鲜明,疗效显著,值得研究和学习。

[Objective] To primarily explore the academic features of generations of Shanghai Cai ’s gynecological school treating uterine bleeding. [Method]Through related records of 'Jiangwan Cai’s Gynecology Summary', 'Proved Recipes of General Treatment', and following-up teachers’ clinic, make study on Cai’s gynecological school’s clinical experience in treating uterine bleeding in generations and summarize the features. [Result] Cai ’s gynecological school not only paid attention to Qi and blood, searching for the primary cause of disease in treatment, regulating Chong and Ren channels,with brisk drugs, and other whole academic features, but the successors of generations also integrated and made cutthrough in inheritance, absorbed new knowledge, continually made development with respective features. Such as :4th generation Yanxianggong cleared heat at first then made warm nourishment longer; 5th generation Xiaoxianggong mostly tonified Qi and Ying and regulated and stopped bleeding; the 7th Pro. Cai Xiaosun firstly differentiated Yin and Yang, mainly sought cause, then hemostasis, afterwards applied Cai ’s periodical therapy for regulating Chong and Ren,reestablishing menstrual circle; one of the 8th successors Huang Suying director mainly uses obstruction-removing therapy in treating blood-stasis uterine.[Conclusion] Cai’s gynecological school treating uterine has obvious features, with marked cure effect, worth research and study.