杨悦娅从气血辨治子宫肌瘤经验

Experience by Professor YANG Yueya on Treating Hysteromyoma by Syndrome Differentiation of Qi and Blood

杨悦娅主任医师认为子宫肌瘤病机总以“气血津液失调,痰瘀积结胞宫”为关键。立足于“气血辨证”来分析证候,提出“肌瘤论治之要诀,在明气血”,明辨证候偏于气分还是已入血分,分清痰湿与瘀血之主次轻重。气分证者,以痰气交阻,血瘀不甚为特征,治以理气行滞,化痰散结;血分证者,以瘀血阻滞,内蕴伏毒为特征,治以破血消癥,清消伏毒。伴经量多者,还应经期与非经期分期调治,治法各有侧重。

Professor YANG Yueya holds that the primary disease mechanism of hysteromyoma is disharmony of qi,blood and body fluid which causes intermingled phlegm and blood stasis congealing in uterus.Based on the syndrome differentiation of qi and blood,the guideline for differentiating and treating hysteromyoma is to find out whether the syndrome pertains to the qi phase or the blood phase,and to find out whether phlegm or blood stasis is predominant.At the qi phase,the disease is characterized by intermingled qi and phlegm with mild blood stasis,and should be treated by regulating qi and relieving stagnation,and resolving phlegm and mass.At the blood phase,the disease is characterized by blood stasis blocking,intermingled with latent toxin,and should be treated by breaking stasis and resolving mass,and clearing and removing latent toxin.For profuse menstruation,the menstruation period and non-menstruation period should be differentiated,for the treatment varies in different period.