痛经验案3则

Three Proved Cases of Dysmenorrhea

痛经的症状及方证记载,最早见于《金匮要略》,并总结了痛经病因病机:妇人之病,因虚、积冷、结气。即妇科疾病,不离虚、实两个方面。虚即气虚或气血俱虚,实即气机郁结、气滞血瘀、寒凝血瘀,甚至虚中夹实,如脾虚生湿生痰,痰湿凝滞或者湿热蕴结、阳虚生内寒,阳虚血滞而成虚寒兼夹瘀等。这基本与现代中医对于痛经的认识一致。临床据《金匮要略》所载之“审脉阴阳、虚实紧弦,行其针药”,辨证论治,方能治危得安。

Dysmenorrhea symptoms and prescription records were firstly seen in Jingui Yaolue.The etiology and pathogenesis was summed up as follows:women disease because of deficiency,accumulation of cold and qi.That is,gynecological diseases,not from the virtual,real two aspects.deficiency of qi is qi deficiency or qi and blood deficiency,and excess of qi is qi stagnation,qi stagnation and blood stasis,cold and blood stasis,and even excess in deficiency,such as spleen deficiency producing damp and phlegm,phlegm stagnation or dampness and heat accumulation,yang deficiency producing internal cold,yang deficiency and blood stagnation resulting in deficiency of cold and blood stasis,etc.This is basically consistent with the modern understanding of Chinese medicine for dysmenorrhea.According to the theory of yin and yang,deficiency and consolidation of the yin and yang in Jingui Yaolue,acupuncture and medicine should be administered according to syndrome differentiation.