北京中医药大学学报2024，Vol.47Issue(9)：1185-1190,6.DOI:10.3969/j.issn.1006-2157.2024.09.001
基于"寒气生浊"理论的子宫内膜异位症相关纤维化辨治思路探析
Diagnosing and treating endometriosis-related fibrosis based on the perspective of the traditional Chinese medicine theory of "coldness produces turbid yin"
摘要
Abstract
Endometriosis is a prevalent disease in gynecology. The symptoms of endometriosis are challenging to treat,affect various organs,and persist in the body,adversely impacting patients' quality of life. Endometriosis-related fibrosis is a primary cause of dysmenorrhea,infertility,and chronic pelvic pain,which represents the main pathological feature of endometriosis. Traditional Chinese medicine identifies blood stasis as the primary pathological basis of endometriosis,emphasizing the use of treatments to promote blood circulation and resolve stasis. The traditional Chinese medicine theory,"coldness produces turbid yin",suggests that coldness plays a crucial role in the formation of blood stasis and damp phlegm. Coldness is harmful to yang qi,leading to the accumulation of blood stasis and damp phlegm in the body,which can cause endometriosis. Based on this theory,the etiology and pathogenesis of endometriosis were discussed in stages. "Strong coldness coagulation is blood stasis,turbidity generating abdominal masses" is the first etiological factor. The progress stage is "yang qi deficiency is difficult to resolve cold blood stasis,and fibrosis is formed over a long period". According to the pathogenesis characteristics at different stages,the treatment concept for endometriosis is warming yang to resolve turbidity and blood stasis. During the initial stage of disease treatment,the treatment principle is primarily based on dispersing cold,activating blood circulation,and removing damp phlegm and blood stasis. The primary treatment is to improve yang qi to dissipate turbidity and circulate blood,and eliminate stasis to reduce abdominal masses if endometriosis is challenging to treat over a long period. In conclusion,endometriosis can be treated when blood stasis and damp phlegm are dissipated,and endometriosis-related fibrosis can be treated to clear abdominal masses when yang qi is filling the body.关键词
子宫内膜异位症/纤维化/寒气生浊/阳虚/寒凝Key words
endometriosis/fibrosis/coldness produces turbid yin/yang deficiency/cold coagulation分类
医药卫生引用本文复制引用
强若男,刘雁峰..基于"寒气生浊"理论的子宫内膜异位症相关纤维化辨治思路探析[J].北京中医药大学学报,2024,47(9):1185-1190,6.基金项目
国家自然科学基金项目(No.82274567,No.82074480)National Natural Science Foundation of China(Nos.82274567 and 82074480) （No.82274567,No.82074480）
