摘要
崩漏重症,在临床工作中,是一个难以取得良好治疗效果的病,本例病案,通过辨证分析,准确把握病因病机,即长期肝气郁滞,疏泄功能失调,气机瘀滞不行,以致脏腑胞宫,脉络瘀血凝滞。内经云:"见肝之病,知肝传脾",肝郁犯脾,脾气亏虚,"脾为后天之本,气血生化之源"脾气不足,则气血化源不足,假以时日,则脾气,宗气渐虚,最后累及元气亏虚。肝主藏血,调血,脾主摄血统血,肝气郁结,瘀血贼乱,故藏血调血功能失制,脾气亏虚,元气受损,摄血统血之用失调,另有胞宫瘀血作祟,瘀血不除,新血难安,营血失荣,故胞宫出血不止。针对此病理机制,采取补气固本,化瘀治标,本标同治,不止血而血自止。将两级医院用现代医学无法治愈的重症崩漏患者,运用摄血清源安宫法,仅服用中药10剂,就挽救患者于生命垂危之中,并且转危为安,在临症治疗中,取得了很好的疗效,值得总结借鉴。
Severe uterine bleeding is difficult to achieve good treatment effect in clinical work. In this case, we should accurately grasp the etiology and pathogenesis. Because of the long-term stagnation of liver qi lead to Qi dysfunction and Qi stasis, vein congestion stagnation of the uterus organs happen. In Neijing, we know that "seeing the liver disease, knowing the liver will pass to the spleen". Liver depression invading the spleen leads to spleen qi deficiency. "Spleen is the foundation of acquired constitution, the source of Qi and blood production". If the spleen Qi was deficient, the Qi and blood could be insufficient. In a few days, spleen Qi and Zong Qi gradually become empty, and finally involved Yuan-Qi deficiency. Liver stores and monitors blood. Spleen controls and regulate blood. So liver qi stagnation with blood stasis lead to the dysfunction of storing blood. Spleen qi deficiency with Yuan-Qi deficiency lead to dysfunction of controlling blood. The new blood could not produce without removing the blood stasis of uterus. Thus Ying blood loses support and uterus bleeds. So we treated the bleeding with invigorating qi to consolidate the root and removing stasis to alleviate the symptoms through the syndrome differentiation analysis. This method could treat the severe uterine bleeding from both the incidental and fundamental aspects, so that the bleeding could be stopped without anastaltic herbs. We only used 10 doses of the Shexue Qingyuan Angong medicine to help the patient surviving from severe uterine bleeding which wasn't cured even with modern medicine in high rank hospital. In the treatment of clinical disease, we achieved good curative effect on this disease which is worthy of summarizing.
出处
《中医临床研究》
2017年第36期26-27,共2页
Clinical Journal Of Chinese Medicine
关键词
重症崩漏
摄血化瘀
本标同治
Severe uterine bleeding
Controlling bleeding and removing stasis
Treating both the incidental and fundamental aspects
