陈霞波育阴和阳、肝肾同调治疗围绝经期综合征经验介绍

Experience of CHEN Xiabo in Treating Perimenopausal Syndrome by Supplementing Yin and Harmonizing Yang and Simultaneously Regulating Liver and Kidney

介绍陈霞波教授运用育阴和阳、肝肾同调法治疗围绝经期综合征的临床经验。陈霞波教授认为,围绝经期综合征的基本病机为元真不足,促发病机为肝气郁滞,序贯病机为五脏失和、阴阳失调。临床主要有肝气郁结、肝郁化火、心肝血虚、肝肾阴虚、阴虚阳亢、阴阳两虚六种证型。治疗上主张以育阴和阳、肝肾同调为法,兼顾他脏,配以心理治疗。且以“壶火”比喻围绝经期之生理、病理现象,创二至二仙基本药对贯以始终,意在“增壶水”即补益肝肾、滋养阴血,“点炉火”即温肾健脾。

This paper introduces Prof.CHEN Xiabo's clinical experience in treating perimenopausal syndrome by supplementing yin and harmonizing yang and simultaneously regulating liver and kidney.Prof.CHEN believes that the basic pathogenesis of perimenopausal syndrome is the deficiency of original qi;the triggered pathogenesis of it is the constraint and stagnation of liver qi,and the sequential pathogenesis is the disharmony of five zang organs and the disharmony of yin and yang.Clinically,there are six types of syndromes:binding constraint of liver qi,liver constraint transforming into fire,heart-liver blood deficiency,liver-kidney yin deficiency,yin deficiency with yang hyperactivity and deficiency of both yin and yang.For its treatment,Prof.CHEN advocates to supplement yin and harmonize yang and simultaneously regulate the liver and kidney,taking into account other zang organs,with psychological treatment.And Prof.CHEN uses"pot fire"to compare the physiological and pathological phenomena of perimenopausal period,and creates basic herbs like Erzhi Erxian Formula and medicates them throughout the treatment,aiming to“add water to the pot”(supplementing and boosting liver and kidney,enriching and nourishing yin-blood)and“light the fire”(warming kidney and fortifying the spleen).