中药周期疗法治疗子宫内膜异位症临床思路与应用

Clinical thinking and application of cycle therapy in TCM for treating endometriosis

关键词:  子宫内膜异位症  周期疗法  临床思路

Key words:  endometriosis  cycle treatment of Chinese medicine  clinical thinking

摘要:

子宫内膜异位症是具有活性的子宫内膜组织出现在子宫腔被覆黏膜以外的部位而引起的一组临床症状, 发病率逐年上升, 临床诊治较为棘手。王建玲主任根据多年临床经验, 认为本病病机关键为血瘀痰阻, 治疗当分行经期与非经期不同而有所侧重。临床治疗子宫内膜异位症, 可运用中药周期疗法。同时, 需兼顾患者气滞、寒凝、肾虚致瘀之不同, 审证求因, 用药随证加减。临床配合中药灌肠, 内外合治, 疗效显着。

Abstract:

Endometriosis has a group of clinical symptoms, caused by endometrial tissue with activity laid on the part outside the mucous membrane of uterine cavity. The incidence is increasing annually and the clinical diagnosis and treatment are difficult. Based on the clinical experience of many years, the director WANG Jian-ling has considered that the key pathogenesis of the disease is blood stasis and phlegm obstruction. The treatment should be different between menstrual period and non-menstrual period. We can use cycle therapy of traditional Chinese medicine to treat it. At the same time, we need to pay attention to the different situation of Qi stagnation, cold coagulation and stasis caused by kidney deficiency, exam the syndrome and look for the cause and give medicine as syndrome modified. In the clinic, combined treatment with enema of TCM, integrated internal and external therapy simultaneously will obtain obvious effect.