桂枝新加汤加减治疗产后身痛临床运用举隅

Treating postpartum body pain with the Guizhi Xinjia decoction

产后身痛是妇女在产褥期内,正气虚弱之时,感受外邪出现以肢体关节、肌肉疼痛、麻木、酸沉、怕凉、怕风等为主要表现的风湿病。西医多用解热镇痛药盲目止痛,治标不治本,同时也会给哺乳期的婴儿带来不可预知的危害。中医认为气血亏虚是其根源,风寒湿邪是其诱因,笔者认为本病多为妇人产后营血亏虚,气随血伤,气血不足则肌腠、筋脉、关节、骨骼等失于濡养,气虚则卫气不固,外邪乘虚而入,留着营卫,营卫失和,气血痹阻不通而致,治疗上运用桂枝新加汤加减调和营卫以调理脾胃化生气血,寓补于无形之中,取得了明显的临床疗效。总体治疗用时短,能较快缓解病情,无副作用,不影响母乳喂养,值得临床推广应用。

Postpartum body pain is the feeling of the external evil appearing in the body joint,the muscle pain,numbness,the acid sink,the cold,being afraid of the wind and so on of a woman in the puerperal period,when the positive qi is weak and the main manifestation is the performance of rheumatism.Western medicine is used to relieve the pain of analgesic and relieve the symptoms,and it can also bring unpredictable harm to the infants.Traditional Chinese medicine holds that deficiency of qi and blood is the root cause,and cold and dampness are the inducing factors.The author thinks that the disease is due to women postpartum anaemia,qi and blood deficiency in muscle Cou,channels,joints,bones,and the external evil invades and makes Yingqi and Weiqi weak.Yingwei is out of balance,qi and blood is blocked.Therefore,the treatment of applying the Guizhi Xinjia decoction to adjust the spleen and stomach to activate the blood could achieve significant clinical curative effect by combining the intangibles.The overall treatment time is short,and can relieve the condition quickly.There is no side effect and it does not affect the breast feeding,which is worthy of clinical promotion and application.