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柴胡桂枝汤妇科治验撷菁
李寒宇1,2, 熊婷1,2, 赵瑞华1
1.中国中医科学院广安门医院妇科, 北京 100053;2.北京中医药大学, 北京 100029
摘要:
柴胡桂枝汤最早见于《伤寒论》,该方是小柴胡汤与桂枝汤各半之合方,具有和解少阳,调和营卫之功效。方中以小柴胡汤和解少阳,畅达枢机,治少阳半表半里,以桂枝汤调和营卫,解肌祛风,治太阳之表,适用于太阳少阳并病。导师赵瑞华教授对柴胡桂枝汤临证具有独到的思路及见解,随证加减用于治疗多种妇科杂病见枢机不利,营卫不和者,文中例举经断前后诸证、经行发热、不孕症医案并详加阐述。
关键词:  柴胡桂枝汤  妇科病  赵瑞华  验案举隅
DOI:10.11656/j.issn.1672-1519.2021.01.19
分类号:R271.1
基金项目:首都卫生发展科研专项项目-子宫内膜异位症中医慢病管理研究(首发2018-1-4151)。
Experience in gynecological treatment of Chaihu Guizhi Decoction
LI Hanyu1,2, XIONG Ting1,2, ZHAO Ruihua1
1.Department of Gynecology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China;2.Beijing University of Chinese Medicine, Beijing 100029, China
Abstract:
Chaihu Guizhi Decoction was first seen in Treatise on Febrile Diseases,which is a combination of Xiaochaihu Decoction and Guizhi Decoction,and has the effects of reconciling shaoyang and yingwei. In the prescription,Xiaochaihu Decoction can relieve shaoyang,regulate qi,treat shaoyang for half the exterior and half the interior,and Guizhi Decoction can reconcile yingwei and defend the health,relieve muscles and expel wind,and treat the exterior of taiyang which is suitable for combined syndrome of taiyang with shaoyang. Professor ZHAO Ruihua has unique thoughts and opinions on clinical symptoms of Chaihu Guizhi Decoction. It is used to treat a variety of gynecological diseases,such as disharmony between ying and wei. This paper enumerates various symptoms before and after menstruation,fever during menstruation and infertility medical cases and expounds them in detail.
Key words:  Chaihu Guizhi Decoction  dynecological disease  ZHAO Ruihua  proven case
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