时燕萍教授治疗子宫腺肌病经验

Professor SHI Yanping's Experience of the Treatment of Adenomyosis

[目的]介绍时燕萍教授运用中医药治疗子宫腺肌病的经验。[方法]通过系统阅读与子宫腺肌病相关的文献及临床跟师学习,从病因病机、辨证治疗特点等方面总结时燕萍教授治疗本病的学术观点和临床经验,并附验案举隅一例。[结果]时教授认为本病的基本病机是肾虚血瘀,兼有痰浊内阻,证属本虚标实,治疗宜分期而论:非经期以消为主—重视消癥化瘀,不忘扶助正气,自拟"内异停方",经期以通为要—通则不痛,温通以达气血和畅,自拟"辛桂止痛方";分期论治的同时,应注重摄身养生。所举案例,疗效显著。[结论]时教授对子宫腺肌病的治疗有独到的临床经验,能明显改善患者不适,提高患者生活质量,值得借鉴和学习。

[Objective] To introduce the Professor SHI Yanping＇s experience in treating adenomyosis with traditional Chinese medicine. [Methods]Through clinical learning with the teacher and systematic reading literatures about adenomyosis, the author summarized the teacher＇s academic thoughts and clinical treating experience of the disease from the etiology and pathogenesis,fundamental law of treatment ,and medication characteristics,and one proven case was presented respectively.[Resuh] Professor SHI thinks the basic pathogenesis of adenomyosis is deficiency of kidney and blood stasis, accompanied by phlegm dampness, the proof is vacuity, treatment should be staged in terms of different periods：non menses-paying attention to eliminating mass and strengthening the body resistance, creating ＂Nei Yi Ting Fang＂; menses-paying attention to regulating qi and blood by wanning drugs, making ＂Xin Gui Zhi Tong Fang＂; and at the same time,we have to pay attention to the adjustment of life style.All those lead to a good clinical effect. [Conclusion] The rich experience of Professor SHI in treating this disease might be worthy of promotion and learning,which has a good effect on relieving the discomforts and improving the quality of life in patients.