从玄府-络脉郁闭探讨盆腔炎性疾病后遗症的病因、病机及治法OA北大核心CSTPCD
Discussion on the etiology,pathogenesis,and treatment of sequelae of pelvic inflammatory disease based on xuanfu-collaterals obstruction
盆腔炎性疾病后遗症是严重影响育龄女性生殖健康与生活质量的妇科疾病,具有缠绵难愈的临床特点,可归属于中医学"妇人腹痛""癥瘕""不孕"等范畴.胞宫玄府-络脉可宣通气液以维持女性生理功能的有序进行,亦在盆腔炎性疾病后遗症的病变过程中发挥重要作用.胞宫玄府-络脉开阖有度,气液畅通,盆腔微循环维持稳态平衡;若胞宫玄府-络脉郁闭,气液宣通受阻,盆腔微循环障碍,则盆腔炎性疾病后遗症发生.因此,本文从玄府-络脉郁闭的病机角度出发,探讨以开玄通络为治法,通过疏通气机、解除郁滞、通补兼施改善盆腔微循环,以期为中医药治疗盆腔炎性疾病后遗症提供新的思路和方法.
The sequelae of pelvic inflammatory disease (SPID) is a gynecological disease that seriously affects the reproductive health and quality of life of women of childbearing age,which is repeated and intractable. In traditional Chinese medicine (TCM),it belongs to the categories of women's abdominal pain,zhengjia,infertility,etc. The uterus xuanfu-collaterals can maintain the orderly progress of female physiological function by adjusting the circulation of qi and liquids,and also play an important role in the pathological process of SPID. If the opening and closing of the uterus xuanfu-collaterals are orderly,and the qi and liquids are circulating smoothly,the pelvic microcirculation will maintain a balance of homeostasis. If the uterus xuanfu-collaterals are stagnated,the qi and liquids do not circulate smoothly,the pelvic microcirculation will be disordered,leading to the occurrence of SPID. Therefore,from the perspective of the pathogenesis of xuanfu-collaterals stasis,taking opening xuanfu and dredging collaterals as the treatment method,it can be used to smooth qi,relieve stagnation,supplement deficiency,and remove blockage in order to restore the microcirculation in the pelvic region,which can provide new ideas and methods for the treatment of SPID with TCM.
程文秀;魏绍斌
成都中医药大学附属医院妇科 成都 610075
中医学
盆腔炎性疾病后遗症胞宫玄府-络脉盆腔微循环障碍开玄通络
sequelae of pelvic inflammatory diseaseuterusxuanfu-collateralspelvic microcirculation disorderopening xuanfu and dredging collaterals
《北京中医药大学学报》 2024 (008)
1055-1059 / 5
国家自然科学基金项目(No.82174431);魏绍斌全国名老中医药专家传承工作室National Natural Science Foundation of China(No.82174431)
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