崩漏证治琐议

Discussion on the Treatment of Metrorrhagia

崩漏是妇科常见病,是以经血淋漓不尽或非时暴下不止为主要症状的疾病。《诸病源候论》曰:"非时而下淋漓不断,谓之漏下""忽然暴下,谓之崩中"。崩漏,崩即崩中或经崩,漏即漏下或经漏;崩漏多见于青春期的少女和中年妇女。《丹溪心法附余》中提出了治疗崩漏的三法:"初用止血以塞其流,中用清热凉血以澄其源,末用补血以还其旧"。后世医家在继承和发展的基础上,推陈出新,成为治疗崩漏的"塞流""澄源""复旧"三法。这些学术理论和经验,价值深远。

Uterine bleeding is a common gynecological disease, with blood dripping as the main symptoms. The General Treatise on Causes and Manifestations of All Diseases says dripping continuously and suddenly is the feature. Metrorrhagia is uterine bleeding,and is more common in adolescent girls and middle-aged women. The Danxi Xinfa Fuyu proposes three methods as follows： ＂ in the early hemostatic stage, plug the flow, with heat and cooling in order to clarify its source, finally, nourishing blood.＂ On the basis of inheritance and development, Physicians made innovation, and formed the three treatment methods for uterine bleeding as ＂ plugging flow＂, ＂ clearing source＂ and ＂ involution＂. These academic theory and experience has far-reaching value.