摘要
从肝肾的生理功能、特性及脏腑关联角度分析,认为原发性痛经的根本病机为肝肾功能失常,导致气血阴阳失衡,影响冲任二脉及胞宫的气血运行,表现为“不通而痛”和“不荣而痛”。临床治疗从肾、肝、肝肾同源出发,将原发性痛经辨证为肾虚血瘀,肝郁气滞、肝郁血虚、肝郁化火,肝肾精血不充、肝肾阳虚、肝郁肾虚等证型。对开拓原发性痛经治疗的临床思路,提高治疗效果具有重要的意义。
Through analysis from physiological function,characteristics and visceral correlation of liver and kidney,it is believed that the fundamental pathogenesis of primary dysmenorrhea is dysfunction of liver and kidney,so as to lead to yin-yang imbalance of qi and blood and affect Chong and Ren two meridians and qi-blood circulation of uterus.Primary dysmenorrhea manifests as pain due to qi-blood stagnation and pain due to nutrient qi deficiency.The clinical treatment should start from liver,kidney and liver-kidney homology.Primary dysmenorrhea can be differentiated into following syndrome types:kidney deficiency with blood stasis,liver depression with qi stagnation,liver depression with blood deficiency,liver depression transforming into fire,essence and blood deficiency of liver and kidney,yang deficiency of liver and kidney,liver depression with kidney deficiency and so on.It is of important significance for developing the clinical idea of treating primary dysmenorrhea and improving the curative effect.
作者
李思彤
王昕
LI Si-tong;WANG Xin(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China;不详)
出处
《山西中医》
2022年第4期1-3,共3页
Shanxi Journal of Traditional Chinese Medicine
基金
国家科技部重点研究计划项目(编号:2018YFC1707407)。
关键词
原发性痛经
肝肾同源
气血
冲任
primary dysmenorrhea
liver-kidney homology
qi and blood
Chong an Ren two meridians
