田代华从不同年龄阶段论治月经病

TIAN Daihua’s Treatment of Menstrual Diseases from Different Age Stages

田代华教授认为年龄与月经关系密切,不同年龄阶段月经病的病因、病机、病证及患者体质各有不同,治疗方法应各有侧重。青春期月经病多由肾气虚及脾胃功能失常导致,体质以气虚质、血虚质多见,治疗重在补肾健脾、益气养血;生育期月经病多由肝郁气滞及血虚肾虚导致,体质以血虚质、气滞质、血瘀质多见,治疗重在疏肝理气、补肾养血;围绝经期月经病多由肾脏功能衰退及肝郁脾虚导致,体质以气虚质、阴虚质、气滞质、血瘀质多见,治疗重在补肾活血、疏肝健脾。总结田老师临床治疗各年龄阶段月经病常用处方,并随症加减,临床收效甚佳。附验案3则。

Professor TIAN Daihua believes that age is closely related to menstruation.The etiology,pathogenesis,syndromes and physical constitution of menorrhagia are different at different ages,therefore,the treatments vary in focus.Adolescent menstrual disease is mostly caused by kidney qi deficiency and spleen and stomach dysfunction,the constitution of qi and blood deficiency is more common,the treatment focuses on tonifying the kidney and spleen,nourishing qi and blood.Menstrual diseases in child-bearing period are mainly caused by liver depression,qi stagnation and deficiency of blood and kidney,the constitution of blood deficiency,qi stagnation and blood stasis is more common,the treatment focuses on soothing the liver and regulating qi,tonifying the kidney and nourishing blood.Perimenopausal menstrual diseases are mainly caused by kidney function decline,liver depression and spleen deficiency,and the constitution of qi deficiency,yin deficiency,qi stagnation and blood stasis is more common,the treatment focuses on tonifying the kidney and promoting blood circulation,soothing the liver and strengthening the spleen This paper summarizes Professor TIAN’s frequently used prescriptions in the clinical treatment of menstrual diseases of all ages,which are modified based on the diseases,and the clinical effect is very significant.Three tested cases are attached.