基于“少阳为枢”探讨国医大师王庆国治疗妇科病的学术思想

Exploration on the academic thoughts of National TCM Master Prof.Wang Qingguo in the treatment of gynecological diseases based on theory of“shaoyang as the pivot”

少阳为气血之枢,调节气血运行分布;少阳为经络之枢,调节阳气生发出入;少阳为脏腑之枢,调节气机升降运动。枢机不利致气虚血少、营卫失和,枢机不利致阳虚阴结、胞脉不通,枢机不利致脏腑失调、气机不畅,均为虚、积冷、结气等导致妇科疾病的重要原因。王庆国教授认为妇人之病究其根本为少阳枢机不利所致,治疗当以调少阳之枢为要,调少阳之枢,首当调和营卫、重视生发阳气、强调肝脾同调,在此基础上,灵活运用柴胡剂治疗妇科月经病、带下病、杂病等疗效显著。

Shaoyang is the pivot of qi and blood,regulating their movement and distribution.Shaoyang is also the pivot of meridians and collaterals,regulating the generation,entering and exiting of yang qi.Moreover,shaoyang is the pivot of the zang-fu organs,regulating the ascending and descending of qi.Therefore,disturbance at the pivot may lead to triple consequences:first,qi and blood deficiency and disharmony between ying and wei qi;second,yang deficiency,yin stagnation and blockage in uterus vessels;third,disharmony among the zang-fu organs and disturbance of qi movement.Deficiency,cold accumulation and qi stagnation are the primary causes of gynecological diseases.Professor Wang Qingguo proposes that the root cause of gynaecopathia is disturbance of shaoyang,and the treatment should be based on its regulation.The first step to do so should be harmonizing ying and wei qi,with great importance attached to generating yang qi and the simultaneous regulation of the liver and spleen.The flexible use of the bupleurum-based formulas in the treatment of menstrual diseases,leukorrheal diseases and other gynecological diseases has been proven to be remarkably effective.