《妇人大全良方》从“风”论治妇人血证

Treatment of Women's Blood Syndrome from the Perspective of"Wind" in Fu Ren Da Quan Liang Fang

妇人血证种类繁杂、症状多样,是妇产科常见病、疑难病。《妇人大全良方》是我国现存最早的妇产科专著,主要观点在于陈自明强调妇人血证的常见致病因素为风、寒、热三者,且与现代普遍认可的寒、热、湿邪致病有所不同。本文以风邪致病理论为切入点,分析、探讨陈自明辨治妇人血证特点。研究发现,外风致病,或直接损伤,或兼夹他邪,皆可导致妇人血证的发生;日久常伴血虚不濡以生风,即内风致病表现。在治疗时,根据内外风邪的不同,多应用荆芥散、独圣散、加减四物汤为基础方,配合辛散祛风或息风止痉之品以疗内、外风邪,达到抗炎、增免,治疗妇人血证的作用。

Women's Blood Syndrome is diverse and has diverse symptoms,which is a common and difficult disease in obstetrics and gynecology.Fu Ren Da Quan Liang Fang is the earliest existing monograph on obstetrics and gynecology in China.The main point is that Chen Ziming emphasized that the common pathogenic factors of women's blood syndrome are wind,cold and heat,which are different from the modern generally recognized pathogenic factors of cold,heat and dampness.This paper takes the theory of wind evil as the starting point,analyzes and discusses the characteristics of Chen Ziming's identification and treatment of women's blood syndrome.The study has found that external wind causes disease,or direct injury,or also pampers other evils,which can lead to the occurrence of women's blood syndrome;Over time,it is often accompanied by blood deficiency to produce wind,that is,internal wind pathogenic manifestations.In the treatment,according to the difference between the internal and external wind evil,more use of Jingjie powder,Dusheng powder,modified Siwu decoction as the basic formula,with the scatter the wind or the calm endogenous wind and relieve spasm to treat the internal and external wind evil,to achieve anti-inflammatory,increases immunity to treat women's blood syndrome.