基于“治未病”理论探讨寒湿凝滞型原发性痛经防治的几点思考

Some thoughts on the prevention and treatment of primary dysmenorrhea of cold dampness and stagnation type based on the theory of“preventive treatment of diseases”

“治未病”是中医学防治疾病的重要指导原则。中国传统医学将“原发性痛经”归属于“经行腹痛”范畴,其病机涉及肝、脾、肾三脏,主要由胞宫、冲任病变所致。当代的年轻女性常在本该“养阳”的夏季贪恋空调、喜食冷饮,在“冬藏”的季节衣着单薄、致寒从下起,常于熬夜等不良生活习惯的影响,使阳浮于外而内生寒湿,导致寒湿凝滞型原发性痛经的发生在临床中的发病率逐年上升。从发病机理出发,运用“治未病”理论指导原发性痛经的防治,针对易感人群制定其合理的调慎之道,防范于未然,既病则防变,先期用药,善用经方,防止疾病的进一步发展,重视瘥后调理,以防复发。结合中医理论对寒湿凝滞型原发性痛经的防治提出有价值的意见。

“Preventive treatment of diseases”is an important guiding principle of disease prevention and treatment in TCM.In TCM,“primary dysmenorrhea”belongs to the category of“painful menstruation”.The pathogenesis of primary dysmenorrhea involves liver,spleen and kidney,which is mainly caused by pathological changes of the uterus and conception channels.Contemporary young women often indulge in air-conditioning and cold beverage in the summer when they are supposed to“nourishing Yang(阳)”.In the“winter storage”season,they often wear thin clothes,get cold beneath and often stay up late in addition to other bad lifestyle habits,which makes Yang float outside and endogenous dampness linger inside,leading to the increasing clinical incidence of primary dysmenorrhea of cold-dampness congelation and stagnation type year by year.Starting from the pathogenesis and applying the theory of“preventive treatment of diseases”to guide the prevention and treatment of primary dysmenorrhea,it is proposed to formulate reasonable conditioning method for susceptible people,prevent diseases from happening and developing,take medication timely,and make good use of classic prescriptions,pay attention to the conditioning after the disease,so as to prevent recurrence.Combined with the theory of TCM,this paper puts forward valuable suggestions on the prevention and treatment of primary dysmenorrhea of cold-dampness congelation and stagnation type.