王维昌运用温法治疗妇科病经验述要

Experience summary of Wang Weichang in the treatment of gynecologic disease by warming method

龙江名医王维昌临床经验丰富,尤其善用温法治疗妇科疾病,疗效突出。王维昌认为子宫内膜异位症不离痛、寒、瘀、痰,治疗应温经散寒、化瘀通脉贯彻始终,经前多数运用温经散寒、水血同治之品,促进痰瘀外排,经后注意峻逐沉寒痼冷,并与活血化瘀药同用;多囊卵巢综合征并非皆属痰瘀闭经,多因天癸不足所致,治疗应温润填精,峻补先天,方用二仙汤、五子衍宗丸;从寒凝、气滞、血瘀立论治疗原发性不孕症,以少腹逐瘀汤温经散寒,逐瘀通经;气血不足,血脉枯涸,因虚生滞,瘀阻乳络,亦可导致乳腺增生病,治疗应温润补血,不可妄用攻伐之品;主张温补带脉治疗阴吹病,常用补中益气汤、水陆二仙丹加减。上述王维昌教授临床认识别具特色,临床疗效确切,可为妇科临床治疗提供助力。

Wang Weichang,a famous doctor of Longjiang medical faction,has rich clinical experience.He is good at using warming method to treat gynecologic disease especially,and the clinical efficacy is obvious.Wang Weichang believes that endometriosis is inseparable from pain,cold,blood stasis and phlegm.Warming channel for dispelling cold,removing blood stasis and dredging meridians should be carried out throughout the treatment.He uses prepared drug in pieces with the effect of warming channel for dispelling cold and simultaneous treatment of water and blood in most of premenstrual treatment,so as to promote the excretion of phlegm and blood stasis.He pays attention to drastically expel obstinate cold in postmenstrual treatment,and simultaneously applies with activating blood and resolving stasis drugs.Not all polycystic ovarian syndromes belong to amenorrhea with syndrome of phlegm stasis,most of them are caused by deficiency of tian gui.Treatment should warm and nourish essence,and benefit innate,Erxian Decoction and Wuzi Yanzong Pills are usually used.Wang Weichang uses the theory of cold coagulation,qi stagnation and blood stasis to treat primary infertility,and he uses Shaofu Zhuyu Decoction to warm channel for dispelling cold,disperse blood stasis and dredge meridian.Deficiency of qi and blood leads to the drying up of blood vessels,resulting in stagnation due to deficiency,thus blocking the breast collaterals,which can also lead to hyperplasia of mammary glands.Treatment should use warm moisturizing replenishing blood drugs,not use aggressive drugs.He advocates warming and replenishing belt channel for the treatment of flatus vaginalis,and uses modified Buzhong Yiqi Decoction and Shuilu Erxian Dan commonly.The above-mentioned clinical understanding of Professor Wang Weichang is unique and his practice has definite clinical efficacy,which can provide help for gynecological clinical treatment.