子宫内膜异位症“伏寒伤肾、致瘀损络”思维探讨

Endometriosis with theory of “hidden pathogen hurt kidney,causes blood stasis and damages collaterals

中医药治疗子宫内膜异位症目前普遍接受"瘀血"为其发病原因,但结合患者临床症状发现伏邪致病"动态时空""隐匿性""自我积聚性""休作有时"等特征与内异症发病特点高度相符。伏邪藏于肾,伤于肾,寒邪能恰当描述其痛经的症状特点;同时子宫内膜异位症病情缠绵难愈、易于复发的特点与病入络脉易滞易瘀、易入难出的病理特点甚为符合。故提出"伏寒伤肾,致瘀损络"为子宫内膜异位症的病因病机,为探讨子宫内膜异位症发生发展及发病特点提供了新的角度和认识。临床结合中医"治未病"思想,可以为子宫内膜异位症的治疗及转归拓宽思路。

Chinese medicine treatment of endometriosis,generally accepted ＂blood stasis＂for its etiology,but combined with the clinical symptoms,found that cause disease ＂dynamic space-time＂＂hidden＂＂self accumulation＂＂regular rest and work＂highly consistent with the characteristics of different disease,hidden pathogen in kidney,renal injury,cold evil can properly describe the symptoms of dysmenorrhea characteristics; It is a stubborn disease in clinic,the characteristics of easy to relapse and disease easily stagnant blood stasis in collaterals,easily into the difficulty is conform to the pathological characteristics,put forward ＂hidden pathogen injury kidney,blood stasis caused by damage of collaterals＂theory of etiology pathogenesis of endometriosis and to explore endometriosis clinical characteristic and development provides a new perspective and understanding,clinical combination of traditional Chinese medicine ＂prevent disease＂,broaden the thoughts and provide treatments of endometriosis.