清湿化瘀法在疼痛性妇科疾病诊疗中的应用

Application of expelling dampness and dissipating blood stasis in the diagnosis and treatment of chronic pelvic pain

疼痛性妇科疾病常常是困扰许多女性的临床症状之一,其病因主要包括盆腔炎性疾病、子宫内膜异位症、子宫腺肌病、盆腔瘀血综合征等等。在治疗上,西医一般给予抗炎、手术或对症治疗,但疗效并不确切。肖承悰教授认为,本病的病机与湿热瘀结相关,她针对不同妇科疼痛性疾病,如子宫肌瘤、盆腔炎性疾病后遗症等,分别在清湿化瘀法的基础上联合散结消癥、和血止痛、益气活血等方法进行治疗,取得了满意的疗效。

Objective Chronic pelvic pain is a clinical symptom that afflicts many women. The causes include pelvic inflammatory diseases, endometriosis, adenomyosis and pelvic congestion syndrome. In terms of treatment, western medicine generally gives anti-inflammatory, surgical or symptomatic treatment, but the curative effect is not exact. Professor Xiao Chengcong believes that the pathogenesis of the disease is related to the accumulation of dampness heat and blood stasis. Using the methods of expelling dampness and dissipating blood stasis, regulating blood to alleviate pain and enriching qi and activating blood, she has achieved satisfactory effects in the treatment of chronic pelvic pain.