中医治疗子宫腺肌症痛经的研究进展

Research progress on TCM treatment of dysmenorrhea caused by adenomyosis

子宫腺肌症是女性常见的一种疾病,临床表现主要以进行性加重的痛经为主,严重时可影响患者的生活及工作质量。西医以药物保守治疗居多,但存在药物性肝肾损伤及停药后易复发等安全隐患。中医在治疗子宫腺肌症痛经方面有其独特的优势,主要治疗方法包括中医辨证论治、中药周期性疗法、经方验方治疗、中医外治法及中西医结合疗法等,其副作用少、价格低廉、方便快捷。本文研读近二十年来的相关文献,就中医治疗子宫腺肌症痛经的进展做一综述。

Adenomyosis is a common disease in women,with clinical manifestations mainly including progressively aggravated dysmenorrhea to the extent of affecting the quality of life and work of patients in severe cases.In terms of Western medicine,conservative therapy with drugs is common,but there are hidden safety risks such as drug-induced liver and kidney injury and recurrence after discontinuing the drug.However,traditional Chinese medicine(TCM)shows unique advantages in the treatment of dysmenorrhea caused by adenomyosis.The main treatment methods include TCM syndrome differentiation and treatment,TCM periodic therapy,treatment with classic prescriptions,external treatment of TCM and integrated TCM and Western medicine,etc.,with few side effects,low drug prices and convenient application.This paper has studied the literatures in the past two decades and summarized the progress on TCM treatment of dysmenorrhea caused by adenomyosis.