秦国政从肾肝心脾论治围绝经期综合征
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摘要
秦国政认为围绝经期综合征与肾、肝、心、脾四脏相互协调功能失常密切相关,其发病责之于肾、肝、心、脾,以肝肾虚损为本,心失濡养、脾虚失运致气机郁滞,痰瘀内生,扰乱心神,蒙蔽心窍为标,虚实夹杂,标本并存,认为围绝经期综合征多由肾精渐竭、肝血渐亏、心失濡养、脾失健运使气机郁滞,痰瘀内结扰乱神明,蒙蔽心窍所致,予补肾养肝以扶正治其本,益心健脾以祛邪治其标,同时根据更年期心理、生理特点给予心理调护,达到恢复正常身体机能的作用。
Professor Qin Guo-zheng thinks that menopausal syndrome( MPS) is closely related to the dysfunction of coordination of kidney,liver,heart and spleen. Its pathogenesis was due to kidney,liver,heart and spleen deficiency,and the primary cause is the deficiency of liver and kidney. The gradual exhaustion of kidney essence,deficiency of liver blood,dysfunction of spleen,and loss of nourishment of heart resulted in stagnation of qi,endogenous phlegm and blood stasis,disturbance of heart and mind. For the above reasons,MPS appears. Therefore,Professor Qin advocates that doctors should invigorate the kidney and nourish the liver to cure its root,nourish the heart and invigorate the spleen to dispel pathogenic factors,and give psychological care according to the psychological and physiological characteristics of menopause,so as to restore normal physical function.
Professor Qin Guo-zheng thinks that menopausal syndrome( MPS) is closely related to the dysfunction of coordination of kidney,liver,heart and spleen. Its pathogenesis was due to kidney,liver,heart and spleen deficiency,and the primary cause is the deficiency of liver and kidney. The gradual exhaustion of kidney essence,deficiency of liver blood,dysfunction of spleen,and loss of nourishment of heart resulted in stagnation of qi,endogenous phlegm and blood stasis,disturbance of heart and mind. For the above reasons,MPS appears. Therefore,Professor Qin advocates that doctors should invigorate the kidney and nourish the liver to cure its root,nourish the heart and invigorate the spleen to dispel pathogenic factors,and give psychological care according to the psychological and physiological characteristics of menopause,so as to restore normal physical function.
引文
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[12]鲍蔓蔓,吴丽敏,韩辉,等.韩明向教授一贯煎合逍遥散加减治疗围绝经期综合征[J].长春中医药大学学报,2016,32(3):475-477.
[13]李薇薇,夏征,姬卫国,等.《金匮要略》甘麦大枣汤现代临床配伍应用[J].河南中医,2017,37(6):943-945.
[14]谭迎春.大补阴丸合黄连温胆汤治疗围绝经期综合征的临床观察[J].中医药导报,2017,23(17):84-86.
[15]祝建材,宋丽华,于兴娟.补肾活血法治疗围绝经期综合征的疗效观察[J].湖北中医杂志,2017,39(2):15-17.
[16]潘莲香.朱巧霞从肺肾论治更年期抑郁症的经验[J].江苏中医药,2016,48(8):22-23.
[17]郭利红,姚华强,董辉.清心解郁汤治疗围绝经期抑郁症30例[J].河南中医,2016,36(8):1443-1445.
[18]陈容,张建华,欧荣.麦芽对去势小鼠激素水平的影响[J].中国中医药信息杂志,2006,13(3):35-36.
[2]刘小玉.更年期相关性疾病与中医优势[J].中医药导报,2017,23(2):1-16.
[3] WEE J H,JUNG H J,JUNG K O,et al. Pomegranate extract im-proves menopausal syndrome in ovariectomized rats[J]. J KoreanSoc Food Sci Nutr,2015,44(4):506-515.
[4]叶喜阳,蔡如玉.淫羊藿黄酮对药物卵巢去势引起的更年期综合征的临床疗效及安全性[J].中国临床药理学杂志,2015,31(22):2217-2219.
[5]林滢,张立德.基于“脾藏象”理论针对更年期综合征从脾论治探讨[J].辽宁中医药大学学报,2017,19(11):147-149.
[6]陈醒,周应芳,白文佩.绝经期激素替代治疗的相关肿瘤风险研究进展[J].国际妇产科学杂志,2016,43(5):489-492,496.
[7]邹艳芬.滋肾益精汤联合耳穴压豆治疗围绝经期综合征临床研究[J].河南中医,2017,37(2):294-296.
[8]王晓慧.中西医结合治疗围绝经期抑郁症60例[J].河南中医,2016,36(7):1213-1215.
[9]李霞,张俊,方晏平.知柏地黄汤加味联合西药治疗围绝经期失眠肾阴虚证42例[J].河南中医,2016,36(8):1422-1424.
[10]高珊珊,郑颖,刘玮,等.滋阴平肝汤治疗围绝经期综合征的疗效观察[J].中华中医药学刊,2017,35(10):2640-2642.
[11]王浩,程玲,朱旭华,等.自拟“二至更年汤”治疗肝肾阴虚型围绝经期综合征临床研究[J].天津中医药,2018,35(3):170-174.
[12]鲍蔓蔓,吴丽敏,韩辉,等.韩明向教授一贯煎合逍遥散加减治疗围绝经期综合征[J].长春中医药大学学报,2016,32(3):475-477.
[13]李薇薇,夏征,姬卫国,等.《金匮要略》甘麦大枣汤现代临床配伍应用[J].河南中医,2017,37(6):943-945.
[14]谭迎春.大补阴丸合黄连温胆汤治疗围绝经期综合征的临床观察[J].中医药导报,2017,23(17):84-86.
[15]祝建材,宋丽华,于兴娟.补肾活血法治疗围绝经期综合征的疗效观察[J].湖北中医杂志,2017,39(2):15-17.
[16]潘莲香.朱巧霞从肺肾论治更年期抑郁症的经验[J].江苏中医药,2016,48(8):22-23.
[17]郭利红,姚华强,董辉.清心解郁汤治疗围绝经期抑郁症30例[J].河南中医,2016,36(8):1443-1445.
[18]陈容,张建华,欧荣.麦芽对去势小鼠激素水平的影响[J].中国中医药信息杂志,2006,13(3):35-36.
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