以逍遥散为基础方治疗经前乳房胀痛的临床研究

Clinical experience of treating premenstrual breast distension pain based on Xiaoyao Powder

经前期综合征是25岁~45岁育龄期妇女较常见的症候群,而其中尤以乳房胀痛多见,多由于肝失调达或肝肾失养所致。逍遥散有疏肝解郁、养血健脾的功效,主治肝郁血虚脾弱证,亦为妇科常用药。文章以阐析经前乳房胀痛的中医病因病机为切入点,总结其治疗原则,并通过对逍遥散的组方原则与药理作用以及临床验案的分析,为临床.上运用逍遥散治疗经前期综合征提供借鉴。

Premenstrual syndrome(PMS)is a common syndrome in women of childbearing age from 25 to 45 years old,especially in breast distension and pain mostly caused by liver dysfunction or liver and kidney dystrophy.Xiaoyao powder is used to soothe the liver and relieve depression,nourish blood and strengthen the spleen.It is mainly used to treat liver depression,blood deficiency and spleen weakness.It is also a commonly used medicine in gynecology.This article takes the elucidation of the TCM etiology and pathogenesis of premenstrual breast distension pain as the starting point,summarizes its treatment principles,and provides reference for the clinical use of Xiaoyao powder in the treatment of premenstrual syndrome through the analysis of its formulation principles,pharmacological effects and clinical cases.