清瘀温通法治疗子宫腺肌病探析

Analysis of Treatment of Adenomyosis with Method of Clearing Blood Stasis,Warming and Dredging

瘀血是子宫腺肌病的重要致病因素,女性体内瘀血的产生多与寒邪相关,而瘀久又易化热,故寒凝血瘀、瘀久化热是子宫腺肌病的主要病机。临床治疗本病应从寒热错杂、瘀血内阻角度出发,采用寒温并用、清瘀温通的治法。清瘀温通方由赤芍、桃仁、生蒲黄、五灵脂、乌药、小茴香、当归、生地黄、黄芪组成,具有活血化瘀、消癥止痛之效,可供临床治疗子宫腺肌病选用。

Blood stasis is an important pathogenic factor of adenomyosis,and the generation of blood stasis in women’s body is often related to cold pathogens.Prolonged blood stasis can easily transform into heat.Therefore,the main pathological mechanism of adenomyosis is the combination of cold congealing and blood stasis transforming into heat.Clinical treatment for this disease should start from the perspective of mixed cold and heat and internal obstruction of blood stasis,and adopt the treatment method of clearing blood stasis,warming and dredging,using both cold and warm medicinals.The Qingyu Wentong Formula(清瘀温通方)is composed of Chishao(Paeoniae Radix Rubra),Taoren(Persicae Semen),Shengpuhuang(Typhae Pollen),Wulingzhi(Faeces Togopteri),Wuyao(Linderae Radix),Xiaohuixiang(Foeniculi Fructus),Danggui(Angelicae Sinensis Radix),Shengdihuang(Rehmanniae Radix),and Huangqi(Astragali Radix),with the effect of activating blood circulation to remove blood stasis and eliminating mass to relieve pain.This formula can be used for clinical treatment of adenomyosis.