摘要
滋补肾阴是经间期出血的基本治法,但单纯地滋补肾阴不见得收获疗效,若再过用清降虚火之药物,会进一步损伤阳气,阻碍经间期重阴转阳的变化而加重出血。经间期重阴转阳的阴阳变化失调是其出血的根本原因,阳虚型经间期出血,因阳气的温煦、推动、兴奋、升发、气化等作用均减弱,治疗时应顺应月经周期的阴阳变化趋势,在滋补肾阴的基本大法上重视助阳法的应用,既能促使精血津液生成代谢,保证血循脉道而行,还可刺激卵泡正常发育及顺利排出,改善黄体功能,达到阴阳平衡,正所谓"阴平阳秘,精神乃和"。
Nourishing kidney yin is the basic treatment of intermenstrual bleeding,but simply nourishing the kidney Yin is not effective,and if we use the drugs of clearing and reducing the deficiency fire,itwill further damage the yang qi and impede the change of the Inter-period heavy yin transforming to the yang,and aggravate the bleeding. So based on this basic treatment,yang-boosting method should be paid attention to in order to adjust the balance of yin and yang to achieve the purpose of treatment. From the perspective of modern medicine,it can promote and maintain the level of estrogen before ovulation,induce the peak of LH to ovulation smoothly,strengthen the function of corpus luteum,make the secretion of progestin sufficient to support the endometrium,and play a role in the treatment of intermenstrual bleeding. The imbalance of yin and yang is the root cause of bleeding. Traditional Chinese medicine has good clinical effect on this disease. According to the actual situation of the patients,the whole concept of traditional Chinese medicine and the basic principles of syndrome differentiation and treatment should be followed. The patients with yang deficiency of intermenstrual bleeding are weakened because of their warm,stimulating,exciting,ascending qi and gasification,complying with the changing trend of the yin and yang of the menstrual cycle,and nourishing the patients. The basic law of nourishing kidney yin attaches great importance to the application of the method of helping yang,which can not only promote the metabolism of the blood and body fluid,guarantee the blood circulation,but also stimulate the normal development and smooth discharge of the follicles,strengthen the function of the corpus luteum,and gain a better effect by adjusting the balance of yin and Yang,which is the so-called " balance between yin and yang leads to a harmonious body".
作者
刘睿嬴
王建玲
LIU Rui-ying;WANG Jian-ling(The Second Hospital Attached to Tianjin University of TCM, Tianjin, China, 30000)
出处
《河南中医》
2018年第5期774-777,共4页
Henan Traditional Chinese Medicine
关键词
经间期出血
阳气
助阳法
“重阴转阳”
intermenstrual bleeding
yang qi
yang-boosting method
"heavy yin transforming yang"