“病证结合”辨治经前烦躁症

Clinical experience in treating premenstrual dysphoric disorder according to 'combination of disease and syndrome'

介绍"病证结合"辨治经前烦躁症(PMDD)的临床体会。"病证结合"是指西医"辨病论治"和中医"辨证论治"相结合的诊治方式。现代医学对PMDD发病机制仍然缺乏统一认识,药物治疗多以5-羟色胺再摄取抑制剂为主。经前烦躁症基本病机与肝、心、肾等相关,大量临床研究证实本病与肝失疏泄关系最为密切,主要证型为肝气郁证、肝气逆证;治疗原则分别为疏肝解郁及平肝降逆。

Tointroduce the experience in treating premenstrual dysphoric disorder according to ＇combination of disease and syndrome＇. ＇Combination of disease and syndrome＇ referred to the combination of western medicine ＇treating disease＇ and ＇syndrome differentiation and treatment＇ in traditional Chinese medicine. Modem medicine still lacked a unified understanding of the pathogenesis of premenstrual dysphoric disorder （PMDD）. Drug therapy was mainly based on 5-serotonin reuptake inhibitors. The basic pathogenesis of PMDD was related to liver, heart, kidney, and so on. The main syndromes were liver qi stagnation and liver qi invasion. The principle of treatment were dispersing stagnated liver qi for relieving qi stagnation and suppressing hyperactive liver for descending adverse qi.