摘要
月经周期节律正常的关键为阴阳消长顺利转化,月经病的调治需根据月经周期的不同阶段而选用不同方药,经后期阴精渐长,重用滋阴养血之品,佐以温肾助阳药,充养阴精以达经间期的重阴状态;经间期重阴转阳,重补肾活血,方能顺利转化,产生氤氲时机;经前期为阳长时期,当补肾助阳,佐以滋阴之品,使阳气有所依附;行经期肾气充沛,为重阳必阴之时,重用活血调经之药,加少量补肾益气药,顾护肾中阳气,使瘀祛而正不伤,阳气随瘀浊下泄让位于阴,进入下一个月经周期。调整机体病态的阴阳变化,保持与人体所属的生物节律同步消长转化,使每一个时期顺承衔接,从而恢复人体正常的月经周期节律,但月经周期节律存在个体差异,临床应注意鉴别。
The key to the normal rhythm of menstrual cycle is the smooth transformation of the waning and waxing of yin and Yang.The regulation and treatment of menstrual diseases need to choose different formulas according to different stages of menstrual cycle.The yin essence gradually grows in postmenstrual period,so the products of tonifying yin and nourishing blood can be heavily used,supplemented by the drugs of warming the kidney and helping yang,to replenish yin essence to achieve the heavy yin state in the menstrual interval.In the menstrual interval,it is necessary to turn yin into yang,so it is necessary to replenish the kidney and activate blood circulation in order to transform smoothly and produce dense opportunities.The premenstrual period is period when yang grows.At this time,it is necessary to tonify the kidney and support yang,supplemented by nourishing yin to make yang qi attach.During menstruation,the kidney qi is abundant,and yang is being transformed to yin,so the drugs for promoting blood circulation and regulating menstruation can be heavily used,a small amount of drugs for tonifying the kidney and supplementing qi can be added to protect yang qi in the kidney,so that the blood stasis can be removed without injuring healthy qi,and the yang qi will drain down with the blood stasis,give way to yin and enter the next menstrual cycle.We should adjust the pathological changes of yin and yang of the body,maintain the synchronous waning and waxing of transformation with the biological rhythm of the human body,and make each period connect smoothly,so as to restore the normal menstrual cycle rhythm of the human body.However,there are individual differences in the menstrual cycle rhythm,which should be distinguished clinically.
作者
陈治梅
杨新鸣
折珍霞
李敏
苗怡
曲秀芬
CHEN Zhi-mei;YANG Xin-ming;SHE Zhen-xia;LI Min;MIAO Yi;QU Xiu-fen(First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin,Heilongjiang,China,150040)
出处
《河南中医》
2022年第2期181-185,共5页
Henan Traditional Chinese Medicine
基金
黑龙江省自然科学基金项目(H2018501)。
关键词
月经病
肾
阴阳消长
经后期
经间期
经前期
行经期
menstrual diseases
kidney
waning and waxing of yin and yang
postmenstrual period
menstrual interval
premenstrual period
menstrual period
