邓高丕教授基于络病理论辨证论治子宫腺肌病经验

doi:10.20047/j.issn1673-7210.2023.31.27

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摘要子宫腺肌病常见于育龄期女性，具有侵袭性、激素依赖性，症状多样且进行性加重，病情沉疴缠绵。中医认为其乃离经之血蓄积成癥，治疗多以活血化瘀立法。邓高丕教授结合多年临证经验发现，络病证治体系相较瘀血理论更体现子宫腺肌病的病位、病机、病程等，从络病论治此病，在常规活血化瘀基础上更强调络病成因的辨治和入络药物的使用，临证以通络为法，选用辛味通络药、虫类药、藤类药、利水排脓通络药、补虚养络药等，同时结合患者生理特点、主要诉求个体化施治，以卫护脉络、舒畅脉络，使血不离经，癥块缓消。

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	林欣仪1　　黄艳茜2　　邓高丕2

关键词 ：子宫腺肌病, 络病学说, 中医药, 邓高丕, 临证验案

Abstract：Adenomyosis is common in women of childbearing age and is invasive, hormone-dependent, with a variety of symptoms and progressive exacerbation and a long course of disease. According to traditional Chinese medicine, it is the stagnation of blood away from the meridian, and treatments are based on activating blood circulation to dissipate blood stasis. With years of clinical experience, Professor Deng Gaopi has found that the collaterals disease theory may better reflect the location, pathogenesis, and course of adenomyosis than the theory of blood stasis. To treat this disease from collaterals disease, on the basis of routine of activating blood circulation to dissipate blood stasis, more emphasis is put on the cause of collaterals disease and the use of collaterals entering drugs. The clinical method is to removing obstruction in collaterals as the method, and the selection of pungent removing obstruction in collaterals drugs, insect drugs, rattan drugs, inducing diuresis and expelling pus removing obstruction in collaterals drugs, tonifying deficiency and nourishing collaterals drugs. At the same time, combined with the physiological characteristics of patients, the main demands of individual treatment, in order to protect the venation, ease the venation, so that the blood does not leave the meridian, the disease blocks slow down.

Key words： Adenomyosis Collaterals disease theory Traditional Chinese medicine Deng Gaopi Clinical medical records

基金资助:国家自然科学基金资助项目（82174417）；
邓高丕广东省名中医传承工作室建设项目（粤中医办函〔2019〕5号）；
广州中医药大学第一附属医院国家中医药传承创新中心科研专项青年项目（2022QN12）。

通讯作者: 邓高丕（1960-），男，教授，主任中医师，研究方向：中西医结合治疗输卵管妊娠及妇科疑难杂症。

作者简介: 林欣仪（1998-），女，广州中医药大学第一临床医学院2021级中医专业中西医结合临床方向在读硕士研究生；研究方向：中西医结合防治异位妊娠、流产等妇科疾病。

引用本文:

林欣仪1　　黄艳茜2　　邓高丕2. 邓高丕教授基于络病理论辨证论治子宫腺肌病经验[J]. 中国医药导报, 2023, 20(31): 129-132,141.
LIN Xinyi1　HUANG Yanxi2　DENG Gaopi2. Professor Deng Gaopi’s experience in treating adenomyosis based on collaterals disease theory. 中国医药导报, 2023, 20(31): 129-132,141.

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