王孟英诊治月经病特色

Characteristics of Wang Meng-ying′s Diagnosis and Treatment of Menstrual Diseases

王孟英认为,月经病为气血不调之证,治疗当以祛邪为先,因有形之实邪最易阻滞气机,影响血运,气机不通则升降失常,血液运行失常,月经不能按时来潮。王孟英重视痰邪阻遏气机,或变生痰热、痰火之病机,治疗以祛痰为主,采用理气化痰法,气顺则痰消,痰化则气血自和,津液宣通,月经得以按时而下。《王孟英医案》中有不少他医误治案,大多为妄投温补所致,王孟英认为,无论外感病还是内伤病,不应随意温补,需察病机所在,针对病机采用相应治法,重病有轻取之法,对证之药才是良药。其认为倒经衄血病机为血脉不通,采用通经活血的治法,使月经下,衄血止。王孟英擅长清上温下,顾护营阴,且用药轻柔精准,急缓得当,理法方药自成一体。

Wang Meng-ying thinks that menstrual diseases are the syndrome of irregular blood,so the treatment is based on the elimination of pathogens,because the tangible excess pathogens are most easy to block qi movement and affect the blood circulation.If the qi movement is blocked,disturbance in ascending and descending,abnormal blood circulation will occur,and the menstruation cannot come on time.He pays attention to the pathogenesis of phlegm blocking qi movement,or he pathogenesis of changing into phlegm heat and phlegm fire,and his treatment principle is to eliminate phlegm by regulating qi and resolving phlegm.Because when qi is smooth,phlegm will disappear,and when phlegm is resolved,qi and blood will harmonize each other,and body fluid will be released,then menstruation will arrive on time.In Wang Meng-ying’s Case Records,.there are many cases of mistreatments by other doctors,most of which are caused by excessive warming and nourishing.Wang Mengying believes that no matter external diseases or internal injury diseases,warming and nourishing should not be used at will.It is necessary to observe the pathogenesis and adopt corresponding treatment methods.There is a method to treat serious diseases with a light formula,and the medicine according to symptoms is the good medicine.He believes that the pathogenesis of reverted menstruation and menstrual bleeding is due to blood vessel blockage.The treatment of dredging menstruation and activating blood circulation is adopted to stop bleeding and promote menstruation arrive on time.Wang Meng-ying is good at clearing the upper and warming the lower,protecting nutrient yin,and the medication is light,gentle and accurate,with appropriate quick-acting formula and slow-acting formula.His principles,methods,formulas and medicines have formed a style of his own.