论《傅青主女科》治疗先兆流产的学术思维及经验总结

Academic Thinking and Experience in the Treatment of Threatened abortion in Fuqingzhu medicine for women:a theoretical study

目的:对《傅青主女科》治疗先兆流产的学术思维进行探究,并作出经验总结。方法:查阅《傅青主女科》原著和近现代相关文献。结果:研究并整理出10种常用安胎方剂,其中人参、白术、白芍、当归、甘草等药物使用频次较高,偏温性药物占47.67%,归脾药物占56.98%,药物功效以补益为主,补益药占58.14%。结论:傅山先生自前人成果上灵活辨证,认为先兆流产为虚实夹杂之证,气血亏虚为本,痰浊瘀阻为标,重视气血培补及肾脾肝三脏调治,组方精简,重主药轻辅药,善温补慎寒凉,用药巧妙且重炮制之法。

Objective To explore the academic thinking of the treatment of threatened abortion in Fuqingzhu medicine for women,and summarize the experience.Methods The original work of Fuqingzhu medicine for women and related literatures in modern times were reviewed.Results A total of 1Ocommonly used miscarriage-prevention prescriptions were sorted out.Renshen,Baizhu,Baishao,Danggui,Gancao were used more frequently.47.67%of the drugs were warm,and 56.98%were spleen-cor-rection drugs.Most of the drugs were reinforcing,accounting for 58.14%.Conclusion Through flexible dialectical differentiation based on previous research achievements,Mr.Fu Shan believes that threatened abortion is a syndrome of intermingled deficiency and excess,with deficiency of qi and blood as the root cause,and phlegm turbidity and blood stasis as the manifestation.Empha-sis should be put on tonifying blood gas,regulating and treating kidney,spleen and liver three viscera.The prescription should be simple,wemphasized the main drugs and neglected the auxiliary drugs,was good at warming and tonifying,cautious about cold and cool,and used drugs skillfully and carefully.