国医大师夏桂成论中医女性生殖节律理论的“节”和“律”

The"rhythm"and"regulation"in the female reproductive rhythm theory by National Traditional Chinese Medicine Master Xia Guicheng

分述女性生命中五种节律(昼夜节律、周节律、月节律、年节律、生命节律)特征以及夏桂成教授基于生殖节律理论治疗妇科临床疾病的经验。昼夜节律是生命节律的基本单位,白天活动振奋阳气,夜间安睡静养阴血是最基本的养生准则。七为少阳数,女性的经期常持续7天,阴分充足“锦丝带”(像锦缎一样的阴道分泌物)也可达7天,更有助成孕。月经周期节律上应月下应潮,夏教授提出了经典的四期月经周期节律学说,后为了更好地描述阴阳变化,又将经典的四期分为七期,以更好地指导临床。并附验案1则。

This paper details the characteristics of five rhythms in a woman's life(circadian rhythm,weekly rhythm,monthly rhythm,annual rhythm and life cycle rhythm),and discusses Professor Xia Guicheng's clinical experiences in treating gynecological diseases based on the female reproductive rhythm theory.The circadian rhythm serves as the basic unit of life rhythms,where daytime activity invigorates yang qi and nighttime rest nourishes yin blood,adhering to fundamental health preservation principles.The number seven is considered the Shaoyan number in traditional Chinese medicine(TCM),with a typical menstrual period lasting around seven days.When yin is sufficiently abundant,"Jinsi Dai"(brocade-like vaginal discharge)can last up to seven days,which further aids in conception.Menstrual cycles align with lunar rhythms and tide,and Professor Xia's classical four-phase menstrual cycle theory has been expanded to a seven-phase model to more accurately reflect the changes in yin and yang,thereby providing better clinical guidance.A proven case is included for illustration.