张锡纯治崩漏学术思想浅探

Zhang Xichun academic thought in treating uterine bleeding

张锡纯认为妇人崩漏的病因病机虽错综复杂,但总与肾气不固,冲任滑脱,肝郁气冲,大气下陷三者密切相关。在其多年的临床实践中抓住肾气不固、冲任滑脱、肝郁气冲、大气下陷之根本,采取补肾气及胸中大气以固冲任,调肝以使其正常疏泄,使肝肾开合有度;再据临床实际辅以收敛止血之药以治其标。如此冲任得固,经血得调,则崩漏自止。

Zhang Xichun held that although the etiology and pathogenesis of women uterine bleeding were complex, they wereclosely related to the facts that the kidney qi was not solid, Chong and Ren were slippery, the liver qi was stagnant and there wasatmospheric subsidence. During his many years of clinical practice, he followed this theoretical basis and repaired atmospheric kidney andchest to solid Chong and Ren, regulated the liver to ensure their normal dispersion, finally, the liver and kidney cooperated harmoniously.Besides, he prescribed convergence hemostatic medicine in clinical practice to ensure that Chongren was solid, blood would increase andthe uterine bleeding would naturally stop.