1.北京中医药大学东直门医院 北京 100700
2.安徽中医药大学
金凡惠,女,在读硕士生
#刘雁峰,女,博士,教授、主任医师,博士生导师,E-mail:liuyaf8888@sina.com
纸质出版日期:2023-03-30,
收稿日期:2022-01-11,
移动端阅览
金凡惠, 刘雁峰, 郑涵予, 等. 《傅青主女科》肝脾同治法在妇科病中的应用[J]. 现代中医临床, 2023,30(2):74-77.
JIN Fanhui, LIU Yanfeng, ZHENG Hanyu, et al. Method of treating the liver and spleen simultaneously for gynecological diseases from
金凡惠, 刘雁峰, 郑涵予, 等. 《傅青主女科》肝脾同治法在妇科病中的应用[J]. 现代中医临床, 2023,30(2):74-77. DOI: 10.3969/j.issn.2095-6606.2023.02.016.
JIN Fanhui, LIU Yanfeng, ZHENG Hanyu, et al. Method of treating the liver and spleen simultaneously for gynecological diseases from
傅青主是明末清初著名医家,其代表作《傅青主女科》被后世医家视为中医妇科学的奠基之作。傅青主重视脏腑辨证,重肝而多从肝脾肾立论,调理先天肝肾的同时,又始终固护后天脾胃。其肝脾同治之法基于脏腑辨证及五行理论,肝脾同治法的使用贯穿在对女性经、带、胎、产各个阶段疾病的治疗中。对傅青主应用肝脾同治法治疗妇科疾病的经验进行分析:脾病及肝、土壅木郁,治宜健脾疏肝;肝病及脾、肝郁克脾,治宜抑木扶土;肝病及脾、木不疏土,治宜补虚降逆;肝脾同病、藏统失司,治宜大补肝脾。结合临床病案对肝脾同治法在妇科病中的应用进行介绍。
Fu Qingzhu was a famous doctor in the end of the Ming Dynasty and the beginning of the Qing Dynasty. His masterpiece
Fu Qingzhu’s Gynecology
has been regarded as the foundation work of gynecology in traditional Chinese medicine. Fu Qingzhu attached great importance to the viscera syndrome differentiation and focused on the liver
spleen and kidney for syndrome diagnosis and treatment. While regulating the liver and kidney
he also focused on the maintainence of the acquired spleen and stomach. The simultaneous treatment of the liver and spleen is based on differentiation of syndromes according to the pathological changes of
zang
-
fu
organs and the theory of five elements theory. The simultaneous treatment of the liver and spleen is used throughout the treatment of women’s diseases at various stages of menstruation
leukorrhea
pregnancy and childbirth. Fu Qingzhu’s experience in treating gynecological diseases with the simultaneous treatment of the liver and spleen is analyzed as follows. If spleen disease affects the liver as earth rebels against wood
accordingly
treatment should be invigorating the spleen and soothing the liver. If liver disease affects the spleen as liver deppression affects the spleen
accordingly
treatment should be inhibiting wood and reinforcing earth. If liver disease leads to spleen disease as wood overacts on the earth
the treatment should be restoring Qi to bring adversely risen Qi downward. For simultaneous liver and spleen diseases in which the liver fails to store and the spleen fails to contain
treatment should be tonifying the liver and spleen. Combined with clinical cases
this paper introduces the clinical application of simultaneous treatment of the liver and spleen in gynecology.
傅青主女科妇科疾病学术思想肝脾同治
Fu Qingzhu’s Gynecologygynecological diseasesacademic thoughtssimultaneous treatment of the liver and spleen
傅山.傅青主女科[M].欧阳兵,整理.北京:人民卫生出版社,2006.
刘春援.《傅青主女科》之脾胃理论及其临床意义[J].江西中医药,2017,48(11): 13-16.
余思邈,李萍,李园,等.从“见肝之病,知肝传脾,当先实脾”探讨肝硬化的防治[J].北京中医药大学学报,2022,45(1): 29-33.
闫清雅,王春梅,张彩霞,等. 肖承悰“补化源而兼通利”治疗产后缺乳经验[J].中医杂志,2021,62(12): 1024-1026.
左茜茜,孙莹,杜惠兰.《傅青主女科》种子篇的学术思想及用药特点浅析[J].中华中医药杂志,2021,36(6): 3225-3228.
杨琳,许小凤.《傅青主女科》治疗不孕症学术思想探析[J].北京中医药大学学报,2019,42(8): 643-646.
贾天柱.中药炮制药性变化论[J].中成药,2019,41(2): 470-471.
马继兴.神农本草经辑注[M].北京:人民卫生出版社,2013: 143.
肖承悰.中医古籍临床名著评注系列:傅青主女科[M].北京:人民卫生出版社,2015: 62.
胥丽霞,朱馥丽,黄欲晓.蔡连香主任医师治疗妊娠失眠症临证经验[J].现代中医临床,2020,27(2): 20-23.
闫清雅,潘雪,汤玲.《金匮要略》与《傅青主女科》论恶阻之异同[J].环球中医药,2021,14(12): 2170-2173.
李冰冰,刘雁峰,马小娜,等.论《傅青主女科》调肝之法及特色[J].现代中医临床,2018,25(1): 35-37,41.
孙紫薇,张越,孔慧,等.炭类中药临床应用的历史沿革[J].北京中医药大学学报,2020,43(9): 729-734.
李影,刘雁峰,闫菲,等.《傅青主女科》治疗血崩角药探析[J].江苏中医药,2023,55(1): 64-66.
张玉珍.中医妇科学[M].北京:中国中医药出版社,2007: 109.
范欢欢,任青玲,夏桂成,等.夏桂成经间排卵期临床用药经验探析[J].中医药导报,2020,26(12): 181-183.
陈敏,肖璐.刍议易学思想对《傅青主女科》的影响[J].湖南中医药大学学报,2020,40(1): 46-49.
0
浏览量
279
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构