调周联合调心法治疗湿热瘀阻型子宫腺肌病

Treatment of Adenomyosis with Stagnation Pattern of Heat-dampness Obstruction by Adjusting the Cycle and Adjusting Heart

子宫腺肌病病理实质为瘀,其病位在胞宫,根据月经周期气血盈亏、冲任虚实的变化,当采用周期序贯分期而治。且根据血瘀的轻重,应当灵活选用活血化瘀、破血消癥、软坚散结之品以祛除瘀毒。该病以疼痛为主症,结合心主胞宫,并依据“诸痛疮痒皆属于心”的理论,当从心论治该病,采用清心、宁心、重镇安神等调心之法以止痛。故将调周与调心及化瘀消癥相结合,在治疗上取得了良好的疗效。

Pathological essence of adenomyosis is stagnation of blood.The disease is located in the uterus.According to the menstrual cycle of Qi and blood profit and loss,Chong Ren deficiency and excess of the change,we should use the treatment of periodic sequential staging.And according to the severity of blood stasis,we should flexibly select the products of promoting blood circulation and removing blood stasis,breaking blood stasis and eliminating mass in the abdomen,and softening and resolving hard mass to remove stagnation and toxin.The primary symptom of this disease is pain,combined with the heart governing uterus,and according to the theory that“all pain,sore and itch are related to the heart”,we should treat the disease by regulating heart,through use the methods by clearing the heart,calming the heart and tranquilizing the mind to relieve pain.Therefore,the combination of adjusting the cycle and adjusting heart and removing blood stasis and eliminating mass in the abdomen has achieved good therapeutic effect.