基于“枢轴运动”探析“脾-肝-冲任-胞宫月经轴”

Analysis of“spleen-liver-Chongren-uterus menstrual axis”based on the“pivot movement”

月经轴理论溯源于《内经》,成熟于现代。前辈罗元凯、杨家林教授系统提出“肾-天癸-冲任-胞宫”是产生月经的主轴,已得到业界充分的学术认证。“枢轴运动”是清代名医黄元御的核心学术思想,强调中土斡旋气机升降对人体生理病理的重要影响。该文基于黄元御“枢轴运动”理论及其对月经理法方药的阐述,探索性提出“脾-肝-冲任-胞宫月经轴”是育龄期女子月经产生和调节的关键轴心,并以现代医家从脾、脾肝论治月经病经验,为月经病的防治提供理论依据。

The theory of menstrual axis can be traced back to Neijing and matured in modern times.Predecessors,such as professor Luo Yuankai and professor Yang Jialin systematically proposed that"kidney-Tiangui-Chongren-uterus"is the main axis of menstruation,which has been fully recognized by the experts in this field."Pivot movement"is the core academic thought of Huang Yuanyu,a famous doctor in Qing dynasty,emphasizing the important influence of Qi ascending and descending movement in Zhongtu on human physiology and pathology.Based on the theory of"pivot movement"proposed by Huang Yuanyu and the elaboration of traditional Chinese medicine for menstruation,the authors tentatively proposed that the"spleen-liver-Chongren-uterus menstrual axis"is the key axis of the generation and regulation of menstruation in women of childbearing age.They also shared the experience of treating menstrual diseases based upon the spleen and spleen-liver theories,aiming to provide theorectical basis for the prevention and treatment of menstrual diseases.