庞玉琴运用理气法治疗痛经经验

Pang Yu-qin′s Experience of Treating Dysmenorrheal with Qi-Regulating Method

庞玉琴教授认为,气滞血滞是痛经的病因之一,气之失和是导致血虚、血瘀、痰饮、寒凝等病理变化的主要原因,气血失和导致子宫腠理拘急挛缩是痛经的主要发作机理。庞教授认为,痛经的治疗既要辨病辨证相结合,又要辨明寒热虚实,还要顺应月经周期的消长规律及胞宫的藏泻节律,分期而治,提出理气法是贯穿痛经治疗始终的基本法则。理气法总原则是:寒者,温而通之;热者,清而通之;气滞血瘀者,行而通之;虚者,补而通之;痰饮停聚者,温化而通之。

Professor Pang Yu-qin thinks that qi stagnation and blood stagnation is one of the causes of dysmenorrhea,the disharmony of qi is the main cause of blood deficiency,blood stasis,phlegm retention,congealing cold and other pathological changes,and the disharmony of qi and blood leading to acute uterine contraction is the main seizure mechanism of dysmenorrhea.Professor Pang believes that the treatment of dysmenorrhea should not only combine the differentiation of disease and syndrome,but also distinguish the deficiency and excess of cold and heat,as well as conform to the growth and decline of menstrual cycle and the rhythm of accumulation and diarrhea in the uterus,and treat by stages.She puts forward that qi-regulating method is the basic rule throughout the treatment of dysmenorrhea.The general principles of qi-regulating method are:as follows:For cold syndrome,warming and dredging method is used.For heat syndrome,clearing and dredging method is used.For qi stagnation and blood stasis,moving and dredging qi method is used.For deficiency syndrome,nourishing and dredging method is used.For phlegm retention,warming and resolving and dredging method is used.