加味四物汤治疗痛经的临床观察.doc

加味四物汤治疗痛经的临床观察.doc加味四物汤治疗痛经的临床观察作者:李品金李科瑾刘海涛皮莉芳【摘要】《索问上古天真论》曰:女子二七而天癸至,任脉通,太冲脉盛月事以时下,若有虚实则冲任气血运行不畅。“不通则痛、不荣则痛”,凡在经期和行经前后,出现周期性小腹疼痛或痛引腰紙,甚至剧痛晕厥者,称为“痛经”,故用妇科总方“四物汤”辨证论治收获颇多。现整理于下,以飨同道。【关键词】痛经:屮医药疗法:加味四物汤:临床应用【Abstract】"ElementAskedthatAntiquityDiscussesNaively"said:Female27,butmensesto,nomatterwhatthearteriespass,tooflushesthearteriesabundantmenstruationbypresent,ifhastheemptyregulationstoflushnomatterwhatthevitalitymovementisimpeded・“notgeneralrulepain,notRongZetong”,everyaroundthemenstrualperiodandpassesby,hastheperiodic1owerabdomenacheorthepaindirectsthewaistshinbone,evenseverepainfainting,iscalled“thepainfulmenstruation,therefore"foursoup”thediagnosisandtreatmentharvestswiththegynecologydepartmenttotalsidequitealot・anizesunder,showsappreciationthepersonofsamebelief.【Keywords】Painfulmenstruation:Chinesemedicinepharmacotherapy:Addsthetastefoursoup:Clinicalpractice《索问上古天真论》曰:女子二七而天癸至,任脉通,太冲脉盛月事以时下,若有虚实则冲任气血运行不畅。“不通则痛、不荣则痛”,凡在经期和行经前后,出现周期性小腹疼痛或痛引腰紙,甚至剧痛晕厥者,称为“痛经”,故用妇科总方“四物汤”辨证论治收获颇多。现整理于下,以飨同道。1病因病机月经不调,痛经皆由内有七情之伤,外有六***之感或气血不足,阴阳失调,冲任不畅所致。、饮食不节或疲劳过度导致脏腑虚寒,则冲任不充,血海不能按时满溢,[1]故见月经周期错后、量少、色淡、质稀,阳虚胞宫,胞脉失于温煦濡养,故经行腰膝酸软、心悸、气短、懒言、小腹隐痛,得热即轻,色淡、苔薄、脉沉迟无力。治疗方法:养血调经,温经扶阳。四物汤加味:熟地、当归、川茸、白芍、吴茱萸、肉桂、干姜、玄胡、香附方中熟地、当归养血补血,川茸调和血气,白芍、香附调经缓急止痛,吴茱萸、肉桂、干姜、玄胡散寒止痛共奏调经之效。,迫血提前而行,郁阻不畅,经量或多或少,色紫红,偶有小块,腹痛拒按,以少腹二侧为重,尿黄赤或大便结、舌红、苔黄、脉弦。治疗方法:清热调经。四物汤加味:生地、白芍、川茸、当归、黄连、黄柏、山枝子、知母、大黄,方中重用生地清热凉血,当归、白芍养血柔肝,