康志媛运用当归芍药散从湿瘀论治盆腔炎性包块

Kang Zhiyuan Treating Pelvic Inflammatory Mass from Perspetive of"Dampness"and"Stasis"with Danggui Shaoyao Powder

盆腔炎性包块是典型的虚实结合、本虚标实之证,气血亏虚,肝郁脾虚,为虚为本,“湿”“瘀”互结,下聚形成癥瘕,为实为标。“湿”“瘀”贯穿疾病发生发展的始终。故治病过程中要分清虚实,辨别标本,补虚泻实,疏肝健脾、化瘀除湿是治疗的关键。从调和肝脾入手,恢复脏腑功能,使气血中和,百病自去。当归芍药散方证之病理即血瘀兼水饮,与盆腔炎性包块的病因病机相契合,临证灵活运用以健脾疏肝,活血利水。

Pelvic inflammatory mass is a typical syndrome of the combination of deficiency in root and the excessiveness in phenomena.The former includes Qi and blood deficiency as well as Liver Qi stagnation and Spleen dysfunction,while the latter includes the combination of"Dampness"and"stasis"and leading to the mass."Dampness"and"stasis"run through the occurrence and development of the disease.Therefore,in the process of treatment,it is necessary to distinguish between deficiency and excessiveness,to identify the root and the symptoms,to replenish deficiency and reduce excessiveness,and sootheing the Liver Qi,strengthening the Spleen as well as removing blood stasis and dehumidification are the keys of the treatment.Starting from the reconciliation of the Liver and Spleen,by restoring the function of the viscera and neutralizeing the Qi and Blood,all diseases would be eliminated.The pathology of Danggui Shaoyao Powder is blood stasis and Water evil factor,which is consistent with the etiology and pathogenesis of pelvic inflammatory mass.Therefore,it can be used flexibly in clinical to invigorate the Spleen and soothe the Liver,to promote blood circulation and reduce Water.