《傅青主女科》产后缺乳浅析及感悟

Analysis of the Deficiency of Postnatal Lack of Lactation of <FU Qingzhu's Obstetrics and Gynecology>

[目的]探析《傅青主女科》辨证诊治产后缺乳的学术经验和组方用药特点,提出自己的领会。[方法]通过对《傅青主女科》缺乳篇的仔细研读思考,结合自己的感悟,对缺乳的主要证候、病因病机、辨证治疗和方药组成进行分析、阐释,并附验案举隅。[结果]傅青主根据病因病机将缺乳分为气血两虚和肝气郁结两种类型,指出辨证中易出现乳管闭塞、火热之邪耗灼阴液的误区,认为其发病主要与气血不足和肝郁气滞有关,治法主要是补益气血、疏肝解郁、通络下乳,给予通乳丹、通肝生乳汤治疗,并加以方药分析,临床应用收效良好。[结论]傅青主在治疗产后缺乳方面见解独到、用药灵活,力求标本同治,治疗效果明显,其观点值得后世医家借鉴学习和推广应用。

[Objective] The artical summarizes 〈Dysmenorrhea of FU Qingzhu＇s Obstetrics and Gynecology 〉in diagnosis and treatment of postnatal lack of lactation academic thoughts and characteristics of drug use,and own thoughts. [Method] Summary by reading〈Dysmenorrhea of FU Qingzhu＇s Obstetrics and Gynecology 〉 text and access to my perception ,combined with the actual clinical,summarized his main syndrome differentiation and treatment of postnatal lack of lactation thought,medication,and explain orally .[Results] FU Qingzhu according to the cause of postnatal lack of lactation divided into two types, deficiency of Qi and blood,blockage of liver. Pointed out that the error appeared in the dialectical and put forward the correct opinions;and that the disease is mainly related to the lack of blood and liver qi stagnation; the main therapy is tonifying qi and blood, smoothing liver qi, dredging collateral for promoting lactation;the corresponding therapeutic prescriptions were given and analyzed;clinical application of good results.[Conclusion] FU Qingzhu ＇s idea put forward the original opinion and treatment of medicine, in order to inherit traditional Chinese medicine academic, improve the curative effect of postpartum hypogalactia,and give my opinion, may be the hope of the authority.