《傅青主女科》痛经病辨证论治规律探析

Syndrome Differentiation and Treatment of Dysmenorrhea in Fu QingZhu's Obstetrics and Gynecology

傅青主根据痛经症状及月经先后关系,将痛经分为经水忽来忽断时疼时止、经水未来腹先疼、行经后少腹疼痛、经前腹痛吐血、经水将来脐下先疼痛。治疗上注重肝在月经调节中的作用,兼顾脾肾,其用药平和,多入肝、脾、肾经,不主张峻补峻泻。

Fu Qingzhu classified dysmenorrheal into the types： irregular menstruation and the pain came on and off, abdominal pain before the menstruation came, abdominal pain after the menstruation came, abdominal painand spiting blood before the menstruation came, pain under the navel when the menstruation came according to the symptoms of dysmenorrhea and the relationship between the menstruation and dysmenorrhea. He emphasized the roles of the liver played in regulating menstruation, and gave consideration to spleen and kidney; he believed that the therapy should not be reinforce and reduce suddenly, the properties of the herbs used in the therapies were mild, of liver, spleen and kidney meridians.