刘绍武从“心”论治紊脉型月经过少的经验探析

LIU Shaowu Analyzed the Experience of Treating Disordered Pulse Low Menstrual Flow From the“Heart”

[目的]总结刘绍武先生从“心”论治紊脉型月经过少的经验。[方法]通过跟师学习,分析紊脉的形成机制及紊脉型月经过少的病因病机,基于临床实践总结刘绍武先生的临证思路及经验,并附医案加以验证。[结果]刘绍武先生认为,月经过少的患者以紊脉多见,心气虚衰,则心搏失常,血运失常,形成紊脉,情志所伤,首伤及“心”,情志不畅为其主要病因。心气虚则运血无力,生血乏源,进而导致冲任亏虚,心气不足、冲任亏虚为本病核心病机。治疗上首畅情志,次用“整体与局部双关疗法”进行治疗,运用协调疗法协调整体,提高机体的自我调节功能;局部以强“心”为重点。所举医案中,患者月经量少1年余,其脉象为紊脉,辨为气血亏虚证,治宜强心壮阳、益气养血,处以刘老自创的调心汤,用药准确,疗效显著。[结论]刘绍武先生强调了月经过少从“心”论治的重要性,突破了传统的治疗思路,以脉定证,依证定方,为月经过少的治疗提供了新的诊断依据及治疗思路,临床效果显著,值得推广。

[Objective]To summarize Professor LIU Shaowu’s experience in the treatment of disordered pulse low menstrual flow from the“heart”.[Methods]Through learning from the teacher,analyze the formation mechanism of disordered pulse and the etiology of disordered pulse low menstrual flow,summarize Professor LIU Shaowu’s clinical thinking and experience based on clinical practice,and attach a medical case for verification.[Results]Professor LIU Shaowu believes that patients with low menstrual flow have more common disordered pulse,and if the heart is weak,the heart beats are abnormal and the blood supply is abnormal,forming disordered pulse.Emotional injury leads to the injury of the“heart”first,emotional disorder is the main cause.Deficiency of heart Qi leads to weak blood transportation,and lack of source for blood production in turn leads to the deficiency of Chong and Ren,deficiency of heart Qi and deficiency of Chong and Ren are the main pathogenesis of the disease.The treatment is carried out with“holistic and local therapy”,which uses coordination therapy to coordinate the whole,improves the body’s self-regulation function,and focuses on strengthening the“heart”.In the medical case cited,the patient’s low menstrual flow was more than one year,and the pulse was disordered,which was identified as deficiency of Qi and blood,and the treatment should involve strengthening the heart and Yang,invigorating Qi and nourishing blood,and the prescription was made with Professor LIU Shaowu’s self-created Tiaoxin Decoction,which was accurate in medication and had significant curative effects.[Conclusion]Professor LIU Shaowu’s academic experience emphasizes the importance of treating low menstrual flow from the“heart”,breaks through the traditional treatment,and provides a new diagnostic basis and treatment ideas for the treatment of low menstrual flow by pulse and prescription,and the clinical effect is obvious,it is worth promoting.