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国医大师郭诚杰教授从肝论治月经过少临证经验探析
李佳1, 李彬锋2, 曹星2, 曹晟晟1, 赵文龙1, 王斌2
1.陕西中医药大学针灸推拿学院, 咸阳 712046;2.陕西中医药大学附属医院, 咸阳 712000
摘要:
郭诚杰教授认为肝失疏泄是导致月经过少的核心病机,其进一步引发气滞、血瘀、痰湿及血亏等病理因素,故临证时,主张从肝论治,并以“疏通调补”为核心治则,旨在疏泄气机、祛邪补虚。治疗注重针药结合,以达到气血畅旺、源流充盈之效。临床实践表明,该法疗效显著。
关键词:  月经过少  疏通调补  名医经验  郭诚杰
DOI:10.11656/j.issn.1672-1519.2026.03.02
分类号:R271.11
基金项目:全国名老中医药专家传承工作室建设项目[国中医药人教函(2022)75号];陕西省教育厅一般专项科研计划项目(22JK0351);陕西中医药大学校级科研课题(2023GP40)。
Clinical experience of national traditional Chinese medicine Master GUO Chengjie in treating hypomenorrhea from the liver theory
LI Jia1, LI Binfeng2, CAO Xing2, CAO Shengsheng1, ZHAO Wenlong1, WANG Bin2
1.College of Acupuncture and Massage, Shaanxi University of Traditional Chinese Medicine, Xianyang 712046, China;2.Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine, Xianyang 712000, China
Abstract:
Professor GUO Chengjie posits that hepatic dysfunction in coursing and discharge constitutes the core pathogenesis of hypomenorrhea,which subsequently induces pathological factors such as qi stagnation,blood stasis,phlegm-dampness,and blood deficiency. Consequently,in clinical practice,he advocates for a liver-focused therapeutic approach,employing “dredging,regulating,and tonifying” as the central treatment principle to facilitate qi movement,eliminate pathogenic factors,and reinforce deficiency. The treatment emphasizes the integration of acupuncture and herbal medicine to achieve the therapeutic effect of promoting robust qi and blood circulation as well as replenishing their source. Clinical evidence demonstrates the remarkable efficacy of this methodology.
Key words:  hypomenorrhea  dredging,regulating and tonifying  famous doctor’s experience  GU Chengjie
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