岭南名中医李丽芸调周辨治经期延长经验

Experience of Regulation Period and Syndrome Differentiation in The Treatment of Prolonged Menstruation by Professor LI Li-yun—A Famous Chinese Medicine Professor in South of The Five Ridges

经期延长又名"经事延长""月水淋漓""月水不断"等,为经行时间超过7 d甚至淋漓2周方净者。经期延长乃脏腑经脉气血失调、冲任受损以致不固、经血制约失能所致,以气虚、血瘀、血热等证型常见。本文总结了李丽芸教授治疗经期延长的临证经验,认为经期延长的病机为肾虚阴阳失调为本、血热血瘀为标并与脏腑相关。治疗上运用补肾调周法辨证论治,提倡月经后期补肾精、黄体期补肾健脾养肝调和阴阳、经前期及行经初期行气活血、化瘀通经,行经后期止血补虚,临床疗效显著。

Menstrual prolongation, also known as "prolonged menstruation""moonlight dripping""mensostaxis" and so on, the menstrual period of more than one week, or even more lasted for 2 weeks. Prolongation of menstruation is caused by imbalance of Qi and blood disorders in organs and meridians, Chong and Ren damaged so that they are not solid, and the blood circulation restricts the disability, common syndromes such as deficiency of Qi, blood stasis and blood heat. This article summarizes professor LI Li-yun’s clinical experience in the treatment of prolonged menstruation. Professor Li believes that the pathogenesis of prolonged menstruation is the kidney deficiency, Yin Yang imbalance and blood heat and blood stasis, which is related to viscera. The regulation period and syndrome differentiation is used in treatment, advocating tonifying kidney during late period of menstruation, tonifying the kidney, strengthening the spleen, nourishing the liver, regulating Yin and Yang during luteal phase, promoting Qi circulation, removing blood stasis and promoting menstruation during premenstrum and menarche, hemostasis and deficiency during late period of menstruation, which is effective.