摘要
崩漏之治,明代方约之在《丹溪心法·附余》中说:"治崩次第:初用止血以塞其流;中用清热凉血以澄其源;末用补血以还其旧"。经后世医家总结成为"治崩三法",时至今日,此法已被奉为治崩漏第一大法。曾倩主任医师临证运用此法时,据崩漏下血之缓急、病程时间之长短、患者年龄之差异,分清主次缓急,谨守病机,结合"治崩三法"辨证施治:暴崩之际,固冲塞流;崩漏交替,澄源以塞流;血止后肝、脾、肾三脏同调以澄其源,其中又以补肾为主;复旧者脾肾同补,调养气血。临证之际,遣方用药之时,又权衡补通清涩,标本兼顾,灵活配伍,取效较佳。
The treatments for metrorrhagia and metrostaxis in Danxi Xinfa·Fuyu were recorded as to stop bleeding at the beginning in order to block origin, to remove heat and cool blood in the meddle stage in order to clarify the origin, and to replenish blood at the later stage in order to consolidate the foundation, which were summarized as three methods for arresting massive uterine hemorrhage by modern physicians. Chief-physician ZENG Qian treats metrorrhagia and metrostaxis with this therapy according to the degree of urgency of blood, illness course, and ages. She treats this disease by using three methods for arresting massive uterine hemorrhage based on syndrome differentiation, for example, consolidating Chong meridian and blocking origin when bleeding, clarifying origin to plug the flow when metrorrhagia and metrostaxis in turn, regulating liver, spleen and kidney after stopping bleeding to clarify the origin and giving priority to tonifying kidney, tonifying spleen and kidney and replenishing both qi and blood when consolidating the foundation. She weighs the methods of tonifying, dredging, clearing and restraining and pays attention to the both primary and secondary symptoms in clinic. It can obtain a better curative effect based on flexible compatibility.
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2016年第8期3144-3146,共3页
China Journal of Traditional Chinese Medicine and Pharmacy
关键词
曾倩
治崩三法
崩漏
临证治验
ZENG Qian
Three methods for arresting massive uterine hemorrhage
Metrorrhagia and metrostaxis
Clinical experience
