摘要
由于女性生殖道生理解剖结构特殊,因此子宫颈是人乳头瘤病毒(human papilloma virus,HPV)易感部位,同时也是其他妇科病原菌的寄生之处^([1])。HPV感染与子宫颈癌的发生密切相关,高危型HPV持续感染是子宫颈鳞癌发生的主要因素。现代医学常用干扰素于病毒感染的宫颈局部,通过NK细胞降低HPV活性,并且可以使单核巨噬细胞的吞噬功能增强,进而使病毒得到清除^([2])。韩凤娟教授认为肝失疏泄是其重要病机,高危型HPV感染给患者带来的心理负担影响了脏腑的气机功能及气血的运行,导致肝疏泄失调从而加重了疾病的发展。因此应充分发挥中医药治疗疾病的优势,把从"肝"论治的思想贯穿于治疗子宫颈HPV感染的始终,并适当运用中医疏肝泻心,调和肝脾,滋肾养肝的方法。该文选取3则典型医案进行分析,具体阐述了韩凤娟教授对于子宫颈HPV感染的见解及治疗上从整体出发,恪守病机,辨证论治,随证治之,收获良好疗效,为预防和治疗子宫颈HPV感染提供行之有效的思路。
Due to the special physiological and anatomical structure of female reproductive tract,HPV(human papilloma virus)is a susceptible site and also a parasitic place for other gynecological pathogens^([1]).HPV infection of the cervix is closely related to the occurrence of cervical cancer.Persistent HPV infection is the main cause of cervical squamous cell carcinoma.Interferon is commonly used in modern medicine in the local cervix of viral infection,which reduces HPV activity through NK cells,and can enhance the phagocytic function of mononuclear macrophages,so as to eliminate the virus^([2]).Professor HAN Fengjuan believes that liver failure and drainage is an important pathogenesis.The psychological burden brought by high-risk HPV infection to patients affects the Qi function of Zang-Fu organs and the operation of Qi and blood,leading to the disorder of liver drainage and thereby exacerbating the development of the disease.Therefore,the advantages of traditional Chinese medicine in the treatment of diseases should be given full play,and the idea of“liver”treatment should be applied throughout the treatment of cervical HPV infection,and the appropriate use of traditional Chinese medicine to soothe the liver and purge the heart,harmonize the liver and spleen and nourish kidney and liver.In this paper,three typical medical cases were selected for analysis,and professor HAN Fengjuan′s views on cervical HPV infection and treatment were elaborated from the perspective of the whole,adhering to the pathogenesis,syndrome differentiation and treatment,treating with syndrome,and achieving good curative effect,so as to provide effective ideas for the prevention and treatment of cervical HPV infection.
作者
韩凤娟
李世颖
HAN Fengjuan;LI Shiying(The First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine,Harbin 150040,Heilongjiang,China;Heilongjiang University of Traditional Chinese Medicine,Harbin 150040,Heilongjiang,China)
出处
《辽宁中医杂志》
CAS
2021年第12期62-65,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
国家中医药管理局国家中医临床研究基地二期业务建设科研专项课题项目(JDZX2015052)
关键词
肝
女子以肝为先天
子宫颈HPV感染
医案
liver
women with liver as congenital
cervical HPV infection
medical record
