卢苏教授辨治绝经过渡期崩漏经验

A Brief Discussion on Professor LU Su in Treatment of Metrorrhagia and Metrostaxis in Menopausal Transitional Period

卢苏教授认为肾阴亏虚、心肾失济是绝经过渡期崩漏的主要病因病机,其标在于瘀热交阻。肾水亏虚不能上济于心,心肾失济,阴阳失衡,心肾子宫轴失调,又有瘀热交阻于内,故见崩漏。治疗上,出血期以清热凉血,化瘀止血为主;血止后主张心肾同治,恢复阴阳平衡,并重视调畅情志、顾护脾胃。

Professor LU Su believed that the deficiency of kidney Yin, and the imbalance between heart and kidney were the basic pathogenesis of metrorrhagia and metrostaxis in menopausal transitional period, and the blood stasis and heat were the main reasons for this disease. Because the deficiency of kidney Yin could not support the heart, which leaded to the imbalance of the heart and kidney, the imbalance of Yin-Yang, and the imbalance of the Heart-kidney-uterus Axis, and the blood stasis and heat were accumulated in the body. Finally, metrorrhagia and metrostaxis were caused. During hemorrhage period, Qingre Liangxue （clearing heat and cooling blood） and Huayu Zhixue （removing stasis to stop bleeding） were the main treatment methods. After hemostasis, the therapy of Xinshen Tongzhi （simultaneous treatment of heart and kidney） and recovering the balance of Yin-Yang was adopted. And pay attention to adjust the mood, and care for the spleen and stomach .