沈氏女科临证思辨及诊治技巧

Clinical thinking and treatment characteristics of academic school of SHENs’gynecology

沈氏女科始于明代,传承650余年,绵延至今已21代。沈氏女科的优势特色是整体观、恒动观、开放观、综合观;临证的指导思想是中西医要配合、传统和现代要链接、线性和非线性相结合、实体本体论和关系本体论并重、混沌无序与清晰有序要区分;临床强调脏腑辨证,但要根据病情、病证灵活结合三焦辨证、六经辨证综合应用。临证处方要掌握几大原则:勿用有毒之品、固护脾胃之气、巧用引经药物、注意寒热反佐、给邪出路排毒,提高临床疗效。

The academic school of SHENs’gynecology has been inherited more than 650 years since the Ming dynasty.The advantages and characteristics of academic school of SHENs’gynecology are holism concept,dynamics concept,open concept and comprehensive view.Its guiding concepts in clinical practice are cooperation of traditional Chinese medicine and western medicine,traditional and modern links,linear and nonlinear combination,paying attention to both substantial ontology and relationship ontology,separating orderliness from disorder.The syndrome differentiation of zang-fu viscera play an important role in the diagnosis and treatment of academic school of SHENs’gynecology.At the same time,differentiation of sanjiao,syndrome-differentiation of the six channels are also flexibility used according to the disease syndromes of the patients in order to improve therapeutic effects.The prescription principles of academic school of SHENs’gynecology include follow aspects:not using toxic products,protecting spleen and stomach functions from injuries,opportunely using guiding drugs,using hot and cold contrary drugs,and driving away pathogenic factors through different paths.