康永教授运用四物汤治疗月经后期临床体会

Clinical Experience of Professor Kang Yong in Treating the Delayed Menorrhea with the Application Siwu Decoction

月经病主要是以月经的经量、周期、经期发生异常为主要症状,或伴随月经周期出现,或于经断前后出现一系列明显症状为特征的疾病。月经周期延后7日以上,连续两个周期,甚至3～5个月一行者,称为"月经后期",亦称为"经期错后""经迟"。康永教授根据女性的特殊生理从"妇人以血为用为本"出发,指出了女子月经亦是以血为用,认为月经后期的发病大多有虚实之分,虚者多为精血不足,冲任不充,血海匮乏不能按时满溢,实者多为邪气阻滞或情志不遂,导致冲任不畅所致。因此在治疗月经后期常常以血为物质基础,顾护精血,用药常以血药为基础,注重治本调经。余有幸跟师学习,受益颇深,兹举康教授治疗月经后期的辨证用药思路,以启后学。

Menstrual disease is primarily by the amount of menstruation, menstrual cycle, an exception occurs as the main symptoms,or associated with the menstrual cycle, or in the break of diseases characterized by a series of obvious symptoms before and after. The menstrual cycle is delayed 7 days or more, two consecutive cycles, or even 3 to 5 months, which is referred to as 'late period of menstruation', also known as 'postmenstrual error' and 'late'. Professor Kang Yong used according to the female ’s special physiology from 'the woman with the blood for use for this', pointed out the woman menstruation also is in the blood, that most of the onset of menstruation late with the actual situation, virtual is insufficient, rushed as inadequate and lack of blood cannot on time is full, the doer of evil block or found in modern, causing the impact of poorly. Therefore, in the treatment of menstruation, blood is often used as the basis of blood, and the medication is often based on blood medicine. Fortunately, the authors had the good fortune to learn from the teacher, and were able to learn from professor kang’s treatment of syndrome differentiation in the later period of menstruation.