温补派薛己以补制火治疗月经病思想探析

Analysis of warm-recuperation school XUE Ji’s thought of treating menstrual diseases by restricting fire by supplementary method

明代医家薛己为温补派先驱,对妇科月经病的诊疗独具特色。其认为月经病多因虚火、肝火、胃火和肾火而生,诸火导致机体阴阳失衡,脏腑失和及气血津液失调,故当制火以调经。在治疗上,其主要基于补法,通过滋化本源、健脾养血、燮理七情和滋养肾阴等方法达到以补制火的目的,且在遣方用药中讲求方证相合和朝夕用药,并强调要慎用寒凉、清化、攻伐和固涩诸药对抗火证。薛己临证治疗月经病效果显著,对后世医家具有重要的影响和借鉴意义。

XUE Ji,a physician in the Ming Dynasty,was a pioneer of the warm-recuperation school,who had unique characteristics in the diagnosis and treatment of gynecological menstrual diseases.XUE Ji believes that menstrual diseases are mostly caused by deficiency fire,liver fire,stomach fire and kidney fire,which lead to the imbalance of yin and yang,the disharmony of viscera and the disorder of qi,blood and body fluid,so the fire should be restricted to regulate menstruation.In the treatment,it is mainly based on tonifying method,through nourishing origin,invigorating spleen and nourishing blood,regulating seven emotions and nourishing kidney yin to achieve the purpose of restricting fire by supplementary method.In terms of medication,he pays more attention to the combination of prescriptions and syndromes,and the difference between day and night medication.Moreover,he also emphasizes the cautious use of cold,clearing,attacking and astringing drugs against fire syndrome.XUE Ji’s clinical treatment of menstrual diseases has a significant effect,which has an important impact and reference significance for future doctors.