从疏肝解郁通络论治产后风湿症

Treatment of Postpartum Rheumatism from the Viewpoint of Soothing the Liver,Relieving Depression and Dredging Collaterals

产后风湿症是妇女常见的一类疾病,与肝关系密切。情志因素与本病的产生有密切联系。文章从“肝郁”角度分析、探讨肝主情志、主疏泄、主藏血、主筋的功能及肝郁乘脾对产后风湿症的影响。作者认为随着社会发展,女性在生活、工作中压力日益增大,其产后受各种因素影响更易出现焦虑、抑郁情绪,导致肝气郁滞,加重产后风湿症的病情;提出采取疏肝解郁通络之法治疗产后风湿症,并且可采取认知行为疗法、人际心理疗法、正念干预、五音疗法及运动疗法等辅助调节患者情绪,达到事半功倍的效果。

Postpartum rheumatism is a common postpartum disease of women,which is closely related to the liver.Emotional factors are closely related to the occurrence of this disease.From the perspective of“liver depression”,this paper discussed the influence of liver’s functions of controlling emotions,relieving,storing blood,regulating tendons and taking advantage of spleen on postpartum rheumatism.The author believes that with the development of society,women are under increasing pressure in life and work,and women are more likely to suffer from anxiety and depression after childbirth due to various factors,which will lead to stagnation of liver qi and aggravate the disease.The method of soothing the liver,relieving depression and dredging collaterals is proposed to treat post⁃partum rheumatism,and cognitive behavior therapy,interpersonal psychotherapy,mindfulness intervention,five-tone therapy and ex⁃ercise therapy can be used to help regulate patients’emotions,so as to achieve twice the result with half the effort.