陈修园《女科要旨》产后病学术创新及用药经验

Analysis of academic innovation and medication experience in the treatment of postpartum diseases in Chen Xiuyuan's Essentials of Obstetrics and Gynecology

梳理《女科要旨》产后病内容,挖掘陈修园治疗产后病的辨治思路。产后虚损病本在阴阳,陈修园将脾胃与阴阳相联系,治疗重视调补脾胃,但不拘泥于补虚,敢用重剂。产后热证当分经论治,产后腹痛应辨虚实,产后阴阳不和所致郁冒、大便难,予小柴胡汤。其用药精简,谙熟药性,配伍灵活,为产后病治疗提供了宝贵的经验。

This study means to sort out the discussions on postpartum diseases in the Essentials of Obstetrics and Gynecology,and explore Chen Xiuyuan's ideas in their differentiation and treatment.He argues that the yinyang disharmony is the root cause of puerperal diseases and associates the spleen and stomach with the deficiency of both yin and yang.Accordingly,he attaches importance to regulating and tonifying the spleen and stomach instead of resorting to tonifying methods only,and he dares to use heavy formula.He treats postpartum heat syndromes by first recognizing the specific meridian in which a syndrome occurs,treats postpartum abdominal pains by distinguishing whether they are caused by a deficiency or an excess,and treats postpartum depression syncope and constipation caused by the yin-yang disharmony with Xiaochaihu Decoction.Chen Xiuyuan's treatment of puerperal diseases features precise and fewer drugs,and he is familiar with their natures and flexible in their compatibility,which provides valuable experiences for the treatment of postpartum diseases.