| 引用本文: |
唐诗,尤昭玲,邢艺璇,刘文娥,熊桀,刘未艾.全国名中医尤昭玲基于补脾养宫辨治薄型子宫内膜的经验[J].湖南中医药大学学报,2023,43(11):1992-1996[点击复制] |
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| 全国名中医尤昭玲基于补脾养宫辨治薄型子宫内膜的经验 |
| 唐诗,尤昭玲,邢艺璇,刘文娥,熊桀,刘未艾 |
| (湖南中医药大学第一附属医院, 湖南 长沙 410007;澳门科技大学, 澳门 999078;澳门科技大学, 澳门 999078;湖南中医药大学第二附属医院, 湖南 长沙 410005;湖南中医药大学, 湖南 长沙 410208) |
| 摘要: |
| 全国名中医尤昭玲根据胞宫功能与特性,提出"胞宫生殖双环",明确胞宫与五脏、奇经八脉的关系,并基于脏腑经络联系,探讨薄型子宫内膜的中医病机与治则。薄型子宫内膜归属于"痿病",可称"胞痿",病机为胞宫精血亏虚,络脉瘀滞,胞膜痿而不长。治疗上,遵循治痿独取阳明;先天为体,后天为用;火土交互,心脾同治,重在健脾益气生血,宣络调膜。临证常用养膜方为基础方,以"肉"补脾,芳香走窜,理脾宣络,以通为补。为薄型子宫内膜等胞宫痿病的诊治提供思路与借鉴。 |
| 关键词: 尤昭玲 薄型子宫内膜 胞痿 胞宫 胞宫生殖双环 补脾养宫 养膜方 |
| DOI：10.3969/j.issn.1674-070X.2023.11.009 |
| 投稿时间：2023-09-02 |
| 基金项目:国家中医药管理局“尤昭玲全国名中医传承工作室”建设项目（国中医药办人教函〔2022〕5号）；湖南省科学技术厅重点领域研发计划项目（2023SK2050）；国家中医药管理局中医药古籍文献和特色技术传承专项项目（GZY-KJS-2021-035）；湖南省中医药管理局项目（C2022012）。 |
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| National famous TCM practitioner YOU Zhaoling's experience of differentiating and treating thin endometrium by tonifying spleen to nourish uterus |
| TANG Shi,YOU Zhaoling,XING Yixuan,LIU Wen'e,XIONG Jie,LIU Wei'ai |
| (The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;Macau University of Science and Technology, Macau 999078, China;Macau University of Science and Technology, Macau 999078, China;The Second Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410005, China;Hunan University of Chinese Medicine, Changsha, Hunan 410208, China) |
| Abstract: |
| National famous TCM practitioner YOU Zhaoling has proposed the "uterus-centered reproductive dual-loop"according to the functions and characteristics of the uterus. It has clarified the correlation between the uterus and the five zang organs; in addition, it has also identified the relationship between the uterus and the eight extraordinary meridians. Based on the relation between zang-fu and meridians, she has also discussed the TCM pathogenesis and treatment of thin endometrium. Professor YOU believes that thin endometrium is one type of "Wei-flaccidity disorders" in TCM, which can be entitled "uterus flaccidity". The pathogenesis is that insufficient essence and blood in the uterus as well as blood stasis of the collaterals result in slow endometrial growth. In terms of treatment, the principle, including treatment for flaccidity aiming at Yangming meridian, tonifying the spleen (postnatal foundation) predominately with nourishing the kidney (prenatal foundation) auxiliary, interacting of the heart (fire) and spleen (earth), and treating both the heart and spleen, is followed by the emphasis on strengthening the spleen, invigorating qi, generating blood, dredging collaterals, and regulating the endometrium. Clinically, taking Yangmo Formula as the basis, Chinese medicines with plump appearance have been used to tonify the spleen and aromatic Chinese medicines have also been administered to regulate the spleen, unblock collaterals, performing supplementation by unblocking. To sum up, this paper aims to provide some ideas for the diagnosis and treatment of "uterus flaccidity" including thin endometrium and other uterine diseases. |
| Key words: YOU Zhaoling thin endometrium uterus flaccidity uterus uterus-centered reproductive dual-loop tonifying spleen to nourish uterus Yangmo Formula |
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