基于《黄帝内经》探讨从肝主疏泄论治女性围绝经期潮热盗汗

Based on"Huangdi Neijing"to Explore the Treatment of Hot Flashes and Night Sweats from the Liver Controlling Dispersion

潮热盗汗是女性围绝经期综合征的典型临床症状,严重干扰围绝经期女性的健康生活。女性在进入围绝经期后,出现潮热盗汗、情志不舒、月经不调、头晕目眩、眼目干涩等多种症状,而其中潮热盗汗因其多发于夜间,使人难以入眠,对女性造成严重困扰,故该文针对潮热盗汗进行分析探讨。目前西医对于其治疗多采用激素疗法,表现出明显的不良反应,且疗效有限。而从中医角度进行辨证论治,可减少产生不良反应,提高临床疗效。现中医临床多认为女性围绝经期潮热盗汗的发生与阴虚津亏密切相关,却易忽视肝失疏泄也是女性围绝经期发病的重要因素。该文基于《黄帝内经》及其他经典著作从生理、病理方面分析“肝主疏泄”理论,进一步探讨女性围绝经期的生理特点及潮热盗汗产生的病因病机,发现女性围绝经期产生潮热盗汗的重要原因在于肝失疏泄所导致的肝气郁结,气血瘀积化热,引起血热妄行、迫津外泄,以及肝失疏泄所引起的津液输布失常。故以此为依据,从恢复肝之疏泄功能进行论治,以疏肝理气为主要方法,柔肝滋阴、补肝养肾等为辅助手段,致力于为临床治疗女性围绝经期潮热盗汗提供学习和借鉴。

Hot flashes and night sweats are typical clinical symptoms of perimenopausal syndrome in women,which seriously interfere with the healthy life of perimenopausal women.After women enter perimenopause,they may experience hot flashes and night sweats,emotional discomfort,irregular menstruation,dizziness,dry eyes and other symptoms.Among them,hot flashes and night sweats often occur at night and make it difficult to sleep,which is very harmful to women.Causes serious trouble,so this article analyzes and discusses hot flashes and night sweats.At present,Western medicine mostly uses hormone therapy for its treatment,which shows obvious adverse reactions and has limited efficacy.Syndrome differentiation and treatment from the perspective of traditional Chinese medicine can reduce adverse reactions and improve clinical efficacy.Traditional Chinese medicine currently believes that the occurrence of hot flashes and night sweats in perimenopausal women is closely related to yin deficiency and body fluid deficiency,but it is easy to ignore that liver failure is also an important factor in the onset of perimenopausal women.Based on the“Huangdi Neijing”and other classic works,this article analyzes the theory of“liver governs dispersion”from the physiological and pathological aspects,further explores the physiological characteristics of women’s perimenopause and the etiol-ogy and pathogenesis of hot flashes and night sweats,and finds that women’s perimenopausal symptoms occur The important causes of hot flashes and night sweats are the stagnation of liver qi caused by liver failure.Qi and blood stasis accumulates and turns into heat,causing blood heat to flow freely,forcing body fluids to leak out,and the abnormal distribution of body fluids caused by liver failure.Therefore,based on this,we conduct treatment from the perspective of restoring the liver’s dredging function,taking soothing the liver and regulating qi as the main method,softening the liver and nourishing yin,nourishing the liver and kidneys as auxiliary means,and is committed to the clinical treatment of perimenopausal hot flashes in women.Night sweats provide learning and reference.