从“肝主疏泄”探讨子宫内膜异位症疼痛伴焦虑的因机证治

Objective to Investigate the Pathogenesis and Treatment of Pain and Anxiety in Endometriosis from “Liver Governs Free Coursing”

“肝主疏泄”一词首见于清陈梦雷对《素问》的注释,可概括为肝主疏调气血、调节情志、调理生殖、通利水道等,其生理病理表现与EMS疼痛伴焦虑状态患者的临床表现相一致。现临床上治疗EMS疼痛伴焦虑状态的治疗方案包括运动、中医药、心理调节等,都与肝主疏泄理论息息相关,从“肝主疏泄”理论论治EMS疗效良好且能同时治疗躯体及精神疾患,值得进一步深入探究。“Liver governs free coursing” was first mentioned in the commentary of Chen Menglei on the Plain Questions in the Qing Dynasty, which can be summarized as harmonize qi and blood, reproduction, regulate the waterways, its physiopathological characteristics is consistent with the clinical mani-festations of patients with Endometriosis pain with anxiety. Clinical treatment options for Endome-triosis pain with anxiety include exercise, Chinese medicine, and psychological adjustment, all of which are closely related to the theory of “liver governs free coursing”, treating EMS with good effi-cacy and treating both somatic and psychiatric disorders, and deserves further in-depth investiga-tion.