张锡纯治疗女子癥瘕的经验

Experience of ZHANG Xi-chun in treating women abdominal mass

关键词:  癥瘕  治疗经验  《医学衷中参西录》  张锡纯

Key words:  abdominal mass  experience  Yixue Zhongzhong Canxi Lu ZHANG Xi-chun

摘要:

张锡纯先生治疗女子癥瘕经验丰富且独特,主要体现在病因上主张:女子癥瘕,血瘀、冷积;治疗上以“补破并用”为原则,用黄芪、党参等与三棱、莪术或牵牛组成益气活血,扶正祛邪之剂,以理冲汤(丸)为代表方,采取“久服”之策略,以达到“徐徐消之”之目的;在治疗过程中,根据正邪力量对比之不同,不失时机地加用水蛭“专药消之”,促进癥瘕的消退。

Abstract:

Experience of ZHANG Xi-chun in treating abdominal mass of women is abundant and unique.His experience shows: women abdominal mass is related to blood stagnation and condensation in pathogenesis.The principle of treatment of women abdominal mass is"combination of invigorating qi and breaking stagnation".The effect of prescription of Radix Astragali,Radix Codonopsis and Rhizoma Sparganii,Rhizoma Curcumace or Semen Pharbitidis is strengthening healthy qi to eliminate pathogenic factors and replenishing qi to activate blood.The representative prescription is "Li-Chong decoction or pill with regulating thoroughfare vessel and conception vessel.His tactics is taking medicine for a long time,in order to "resolve abdominal mass slowly".In the treatment,according to the struggle between healthy qi and pathogenic factors,he will add Hirudo to his representative prescription timely,to promote the elimination of abdominal mass.It’s called "special medicine to resolve abdominal mass slowly".