| 引用本文: |
张磊, 苏丽娜, 王春艳, 贾杨.名老中医黄素英论治子宫内膜异位症用药经验及经验撷菁[J].湖南中医药大学学报,2025,45(8):1490-1494[点击复制] |
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| 名老中医黄素英论治子宫内膜异位症用药经验及经验撷菁 |
| 张磊,苏丽娜,王春艳,贾杨 |
| (上海中医药大学, 上海 201203;上海市中医文献馆, 上海 200020) |
| 摘要: |
| 子宫内膜异位症为妇科常见病、多发病，尤以育龄女性为多。上海市名中医、海派蔡氏妇科第八代代表性传承人黄素英教授，依据多年临床实践，认为本病之病机核心为瘀血阻滞冲任胞宫，瘀阻不去则胞脉不通，气血运行失调，导致包块与结节、痛经、不孕等症状。黄素英教授临证施治以“化瘀散结周期调治法”为核心，结合患者生育需求和月经周期特点实施分期辨治：经期以“化瘀止痛”和“化瘀止崩”为主要治法；非经期则重在“化瘀散结”。治疗过程中秉承“调周调冲任，治瘀兼固本”的基本思路，贯通中医周期辨治理论与现代生殖医学认识，形成了个体化生育调护体系，临床疗效确切，为中医药治疗子宫内膜异位症提供了宝贵的临床经验和理论指导，具有重要的学术价值和临床推广意义。 |
| 关键词: 黄素英 子宫内膜异位症 周期治疗 瘀血阻滞 名医经验 |
| DOI：10.3969/j.issn.1674-070X.2025.08.013 |
| 投稿时间：2025-06-12 |
| 基金项目:国家中医药管理局“黄素英全国名老中医药专家传承工作室”(国中医药人教函[2022]75号);国家中医药管理局全国中医学术流派传承工作室第二轮建设项目“上海蔡氏妇科流派传承工作室”(国中医药人教函[2019]62号);上海市卫生健康委员会“黄素英上海市名老中医学术经验研究工作室”(SHGZS-202247) |
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| Key insights of HUANG Suying's clinical experience in treating endometriosis |
| ZHANG Lei, SU Li'na, WANG Chunyan, JIA Yang |
| (Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China;Shanghai Literature Institute of Traditional Chinese Medicine, Shanghai 200020, China) |
| Abstract: |
| Endometriosis is a common and frequently-occurring gynecological disease, especially among women of childbearing age. According to clinical practice for many years, Professor HUANG Suying, a renowned Chinese physician in Shanghai and the representative eighth-generation inheritor of Cai’s gynecology of Shanghai School, believes that the key pathogenesis of the disease lies in that static blood is stagnated in the Chong and Ren meridians and the uterus, causing the blockage of them and dysfunction of qi and blood circulation, thus leading to lumps and nodules, dysmenorrhea and even infertility. In clinical treatment by Professor HUANG, she centers her treatment approach on the "cycle-based therapy of transforming stasis and resolving masses." She implements stage-specific pattern differentiation and treatment by integrating the patient’s fertility demand and the characteristics of the menstrual cycle: during the menstrual period, the main treatment methods include transforming blood stasis to stop pain, and transforming blood stasis to relieve metrorrhagia; during non-menstrual phase, the focus shifts to transforming stasis and resolving masses. Throughout the treatment process, Professor HUANG adheres to the fundamental principle of "regulating the menstrual cycle and harmonizing the Chong and Ren meridians, resolving stasis while strengthening the body". By integrating Chinese medicine（CM） theory of cycle-based pattern differentiation and treatment with modern reproductive medicine, she has developed a personalized system for fertility regulation and supportive care. This approach demonstrates definite clinical efficacy and provides valuable clinical experience and theoretical guidance for the CM management of endometriosis, holding significant academic value and potential for clinical application and promotion. |
| Key words: HUANG Suying endometriosis cycle-based therapy blood stasis obstruction famous physician’s experience |
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