基于“血不利则为水”理论探讨子宫内膜异位症的病机及治疗经验

Discussion on the pathogenesis and treatment experience of endometriosis based on the theory of“unsmooth blood circulation results in water retention”

子宫内膜异位症常被视为妇科疑难杂症,但其诊治应从整体出发。中医理论对子宫内膜异位症的诊疗具有指导意义。子宫内膜异位症瘀阻胞宫的基本病机与血不利密切相关,基于中医“血不利则为水”理论对子宫内膜异位症辨证论治,病证结合,着重从“血与水”的角度探讨子宫内膜异位症的致病特点,同时围绕“血水同治”之大法,剖析张仲景血水同治的经典方药在子宫内膜异位症应用中的理论依据,为中医药治疗子宫内膜异位症扩展新的思路。

Endometriosis is often regarded as a difficult gynecological disease,but its diagnosis and treatment should be based on the whole.Traditional Chinese medicine theory has guiding significance for the diagnosis and treatment of endometriosis.The basic pathogenesis of endometriosis with stasis blocking uterus is closely related to unsmooth blood circulation.Based on the theory of“unsmooth blood circulation results in water retention”in traditional Chinese medicine,the treatment of endometriosis is based on syndrome differentiation and the combination of disease and syndrome,and the pathogenic characteristics of endometriosis are discussed from the perspective of“blood and water”.At the same time,around the principle of“blood and water treatment together”,analyze the theoretical basis of Zhongjing’s classical prescriptions of blood and water treatment together in the application of endometriosis,and expand new ideas for traditional Chinese medicine to treat endometriosis.