柴桂姜汤治疗绝经前后诸证病案举隅

Cases of Chai Gui Jiang Decoction in the Treatment of Postmenopausal Syndrome

绝经前后诸证临床日益多见,临床上常见绝经期前后伴随月经紊乱或出现烘热汗出、烦躁易怒、失眠健忘、情志抑郁等症状,属于“年老血崩”“脏躁”“百合病”“郁证”等范畴,严重影响患者生活质量,面对此类症状西医往往束手无策,而中医药治疗便能显示其明显的优越性。该文认为脏腑功能紊乱,肾阴阳失和是此病的主要病机,在临证上须谨守该病病机,方证对应,方能取得良好的临床疗效。通过介绍导师杨正望教授运用《伤寒论》中柴胡桂枝干姜汤治疗绝经前后诸证的临床经验,为中医药治疗绝经前后诸证提供思路。导师杨正望教授是全国第四批名老中医学术继承人,跟诊尤昭玲教授多年,临床善用经方。作者跟诊杨师多年,总结杨师临床经验,以飨同道。

The clinical postmenopausal syndrome clinical evidence is becoming more and more common,and the treatment of Chinese medicine shows obvious advantages.This paper introduces the experience of the tutor Professor Yang Zhengwang in the treatment of postmenopausal syndrome evidence by Chaihu Guizhi Gangiang Tang in Typhoid Theory.Professor Yang Zhengwang is the fourth batch of the country's old Chinese medicine academic heirs,followed Professor You Zhaoling for many years,clinical use of the side.This paper summarizes Yang Shi's clinical experience in order to share the same path.