罗志娟教授治疗原发性痛经经验浅析

Analysis of Professor Luo Zhijuan’s Experience in Treating Primary Dysmenorrhea

此文章介绍广西名中医罗志娟教授治疗原发性痛经。痛经是妇科的常见病和多发病,周期性的下腹部疼痛很大程度上降低了女性的生活质量。罗教授认为原发性痛经临床上多见于本虚标实之证,肝脾肾亏虚为本,瘀血阻滞为标。认为主要病因在于血瘀,同时重视肝、脾、肾三脏的调理,强调经前期及行经期以疏肝理气、活血化瘀为主,经后期以滋补肝肾、调和气血为主。罗教授治疗原发性痛经常予自拟方桂罗氏调4号方为主方随证加减,同时配合中医外治特色疗法协助调理脏腑功能,进而达到活血化瘀,调经止痛的作用。

This article introduces the treatment of primary dysmenorrhea by Luo Zhijuan, a famous TCM pro-fessor in Guangxi. Dysmenorrhea is a common and frequently-occurring disease in gynecology, pe-riodic lower abdominal pain significantly reduces a woman’s quality of life. Professor Luo believes that primary dysmenorrhea is more common clinically in the syndrome of primary deficiency and deficiency, liver, spleen and kidney deficiency is the foundation, stasis block as a sign. The main cause is qi blood stasis, and at the same time pay attention to the kidney, liver, spleen three viscera conditioning, it is emphasized that in the early menstrual period and the behavior period, the main purpose is to relax the liver and regulate the qi, promote blood circulation and remove blood stasis. In the later period of menstruation, it is mainly to nourish liver and kidney and harmonize qi and blood. In the treatment of primary pain, Professor Luo Zhijuan often gives the self-prepared pre-scription Gui Luo Tiao 4 as the main prescription, at the same time with traditional Chinese medi-cine external treatment characteristic therapy to help regulate the function of viscera, then it can achieve the function of promoting blood circulation and removing blood stasis, regulating menstru-ation and relieving pain.