摘要
总结蔡连香教授运用自拟芪莪抑癥汤预防子宫内膜息肉切除术后复发的临证经验。认为子宫内膜息肉切除术后复发的原因多为瘀阻胞宫,且常与气虚血瘀、湿热瘀阻、肝郁脾虚、痰湿瘀阻有关,以气虚血瘀兼湿热多见。提出益气活血、清热散结为预防法则,并分经期、非经期进行预防性治疗,经期用药着重活血调经,以四物汤为基础方加减;非经期用药着重益气活血、清热散结,以自拟芪莪抑癥汤随证加减。
This paper introduced the clinical experience of CAI Lianxiang in preventing recurrence after endome-trial polypectomy with self-made Qi'e Yizheng Decoction(芪莪抑癥汤).It is believed that stasis obstructing the uterus with appendages,correlated with qi deficiency and blood stasis,damp-heat stasis obstruction,liver constraint and spleen deficiency,and phlegm-damp stasis obstruction,mainly caused the recurrence;and the type of qi deficiency,blood stasis and damp heat is commonly seen.Following the principle of boosting qi and invigorating blood,clearing heat and dissipating masses,self-made Qi'e Yizheng Decoction is used to prevent recurrence after endometrial polypec-tomy.Different method is used during the menstrual and intermenstrual peirods.During the menstrual periods,it is suggested to put focus on invigorating blood and regulating meridians,and take modified prescription based on Si Wu Decoction(四物汤).During the intermenstrual periods,it is advised to mainly use qi-boosting and blood-activating,heat-clearing and masses-dissipating herbs,and self-made Qi'e Yizheng Decoction with modifcations in accordance with clinical syndromes can be taken.
作者
高山凤
陈燕霞
朱馥丽
黄欲晓
谢京红
GAO Shanfeng;Chen Yanxia;ZHU Fuli;HUANG Yuxiao;XIE Jinghong(Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing,100091)
出处
《中医杂志》
CSCD
北大核心
2022年第21期2019-2022,共4页
Journal of Traditional Chinese Medicine
基金
北京市中医管理局北京中医药“薪火传承3+3工程”项目。
关键词
子宫内膜息肉
复发
芪莪抑癥汤
名医经验
蔡连香
endometrial polyp
recurrence
Qi'e Yizheng Decoction(芪莪抑癥汤)
famous doctors'experience
CAI Lianxiang
