从理法方药浅议《傅青主女科》论治血崩特色

Discussion about the characteristics of metrorrhagia treatment in FU Qing-zhu Nvke

文章立足《傅青主女科·血崩》原文,从理法方药角度分析傅青主治疗血崩的特色。傅青主从火盛、气虚、肝郁、血瘀等不同角度认识本病的发病机制,采取滋阴清热、补气摄血、平肝开郁、活血化瘀等治法,且提出"于补阴之中行止崩之法",制方用药在紧扣病机的同时重视滋阴清热药物的使用,在用药剂量上也颇有独到之处。其治疗血崩的经验值得后人研究、学习。

The paper analyzed the characteristics of FU Qing-zhu Nvke·Metrorrhagia thoughts about metrorrhagia from the perspective of pathogenic principles, treating methods, recipes and medicines, based on the original text of FU Qing-zhu Nvke. The pathogenesis of metrorrhagia mainly included exuberant heat, qi deficiency, liver depression, blood stasis, etc.. And FU Qing-zhu treated this disease with the methods of nourishing yin and clearing heat, supplementing qi and blood, pacifying liver and dispersing stagnation, activating and removing blood stasis, etc.. FU Qing-zhu emphasized stopping bleeding by nourishing yin. So when prescribing, he not only chose herbs according to syndrome differentiation, but paid attention to yin-nourishing and heat-clearing herbs. What’s more, he had special idea in herb dosage. FU’s experience in treating metrorrhagia is worthy of research and study in today.