从寒瘀致痛探讨敦煌疗风虚瘦弱方治疗子宫内膜异位症痛经及验案举隅

Discussion on Dunhuang Liao Fengxu Shouruo Formula for Treatment of Endometriosisdysmenorrhea Based on Theory of Pain Caused by Cold-coagulation and Blood-stasis and Medical Cases

子宫内膜异位症痛经发生机制之一是与盆腔解剖学和血液循环动力学改变密切相关。中医认为,寒瘀交阻胞宫是痛经发生的主要病机之一。敦煌医学卷子(P.3930)疗风虚瘦弱方组方精当,以活血、袪寒、益气、养血四法合用,共奏温经散寒、养血祛瘀之功,临床治疗寒瘀交阻型痛经疗效显著,且此方以羊肉汤纳药煎煮,体现了敦煌医学古医方食疗与药疗兼用的地域特色。

One of the mechanisms of endometriosis-dysmenorrhea is closely related to the changes of pelvic anatomy and hemodynamics. TCM holds that cold-coagulation and blood-stasis that alternate and resist the cell palace is one of the main pathogenesis of dysmenorrheas. Dunhuang Liao Fengxu Shouruo Formula（P.3930）, a precise and appropriate formulating prescription, plays an important role in activating blood, dispelling cold, tonifying qi and nourishing blood, which can warm the maridians and disperse cold, nourish blood and dissolve stasis and it achieves significant results. And in this prescription, the method of decocting herbs in mutton soup embodies the local characteristic of foodtherapy combined with medication of ancient Dunhuang medical prescriptions.