胡国华运用“通”“养”法治疗产后身痛经验

Hu Guohua's Experience in Treating Postpartum Body Pain by "Unblocking" and "Nourishing"

胡国华教授秉承海派中医朱氏妇科的学术观点,认为产后身痛的根本病机是产后多虚,邪气入里所致,常运用朱氏妇科"通、涩、清、养"四法中的"通""养"二法论治本病。患者产后气血亏虚,百脉空虚,筋脉失养即本虚,此时又因外邪入侵,产褥期风寒湿邪乘虚而入即标实,针对产褥期特殊的生理病理以及气血亏虚、外邪内侵的发病机制,胡国华教授提出益气养血,通络止痛法。胡国华教授用药灵活,精而不杂,善用药对,丝丝入扣,强调疾病有其共性,但亦须重视个体的动态变化,还非常重视患者心理调摄,除言语劝导外可根据临床症状酌加疏肝宁心之品,临床往往取得良好的治疗效果。

Professor Hu Guohua inherits the academic idea of gynecology from Zhu’ s. He believes the mechanism of postpartum body pain is mainly postpartum deficiency and pathogenic qi enters. He often applies ＂ unblocking＂ and ＂ nourishing＂ of Zhu’ s four methods of ＂ unblocking,astringing,clearing and nourishing＂. Qi and blood become deficient and vessels become empty,tendons and vessels fail to get nourished after delivery. At this time,the external pathogens attack. The wind,cold and damp pathogens attacking inside during puerperium pertains to excess manifestations. Based on the special physiopathology,pathogenesis of deficiency of qi and blood and external pathogen attacking inside,Professor Hu proposes the methods of benefiting qi and nourishing blood,unblocking he meridians and checking pain. He applies drugs flexibly,experts in using medical pairs,stresses the similarity of diseases and dynamic changes of the individuals. He also pays great attention to the mental regulation,and besides verbal persuation,drugs with effects of dispersing the liver and tranquilizing the heart can be added,which is of good therapeutic effects clinically.