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Li Dongyuan’s experience in treating perimenopausal syndrome based on Yin fire theory |
KONG Lingyuan HAN Xinyuan WU Yue SONG Xiaobin |
College of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Shandong Province, Jinan 250355, China
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Abstract The Yin fire theory put forward by Li Dongyuan, a famous physician in the Jin Dynasty
, takes “damage to the qi of the spleen and stomach, malfunction of the rising of qi; deficiency of primordial qi, and internal flourishing of yin fire” as the fundamental pathogenesis, which can explain the pathogenesis of perimenopausal syndrome more completely. Based on the analysis of yin fire theory, the basic pathogenesis of perimenopausal syndrome includes “deficiency of primordial qi, yin fire flaming upward”, “malfunction of the rising of qi, stagnation of fire and internal knot”, and “internal flourishing of yin fire, depletion of kidney water”. Li Dongyuan creates the removing heat with sweet-warm natured medicine method for treating yin and fire syndrome, which uses pungent-warm natured medicine for dispersing and penetrating, sweet-warm and sweet-calm natured medicine to benefit qi for tranquillization, and sweet-cold natured medicine to nourish yin for clearing fire, which is important for the treatment of perimenopausal syndrome, and can be used flexibly in the clinical treatment of perimenopausal syndrome according to this method.
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[1] Li RX,Ma M,Xiao XR,et al. Perimenopausal syndrome and mood disorders in perimenopause: prevalence, severity,relationships,and risk factors [J]. Medicine(Baltimore),2016, 95(32):e4466.
[2] 吴敏,林雪娟,李灿东,等.中医药治疗围绝经期综合征疗效评价方法述评[J].中华中医药杂志,2017,32(8):3354-3357.
[3] 范海霞.围绝经期综合征的中西医研究进展[J].中医研究,2018,31(9):77-80.
[4] 罗俊芳.激素替代治疗法治疗妇女更年期综合征的临床意义[J].中国医学创新,2011,8(21):191-192.
[5] 董雪婷,吕盼军,王丽,等.女性围绝经期综合征的中西医治疗研究进展[J].湖北中医杂志,2018,40(7):58-60.
[6] 张承坤,崔为.“阴火”的概念史研究[J].中医学报,2022, 37(1):78-81.
[7] 张彦忠.李东垣“阴火论”探析[J].四川中医,2021,39(9):30-33.
[8] 黄帝内经素问[M].北京:人民卫生出版社,2015.
[9] 孔令源,吴越,李昕泽,等.燕赵医家李东垣《脾胃论》治疗发热无名方组方配伍及现代临床应用探析[J].河北中医药学报,2022,37(5):52-55.
[10] 张莉,苏颖.《内外伤辨惑论》外感内伤辨证及方药特色探赜[J].江苏中医药,2019,51(11):70-71.
[11] 李东垣.脾胃论[M].北京:中国中医药出版社,2005.
[12] 马媛媛,李光荣,王宁,等.李光荣治疗围绝经期综合征经验[J].中华中医药杂志,2021,36(9):5345-5347.
[13] 刘玉楠,陈萍,李久现,等.国医大师夏桂成从“心-肾-子宫轴学说”论治黄体功能不全[J].天津中医药,2022, 39(10):1225-1228.
[14] 孔令源,吴越.抑郁症病因及危险因素浅析[J].现代养生,2022,22(13):1029-1031.
[15] 倪恬,李秋艳,王妙然,等.从肝郁脾壅论治更年期综合征[J].环球中医药,2022,15(3):462-465.
[16] 王艳姝.浅谈以脾肾双补治疗妇女更年期综合征[J].辽宁中医药大学学报,2009,11(5):22-23.
[17] 薛静燕,洪庆祥,赵立宇.益脾宁更汤治疗围绝经期综合征60例疗效观察[J].河南中医,2004(8):28-29.
[18] 赵贝.补脾胃泻阴火升阳汤加减治疗围绝经期综合征疗效观察[D].太原:山西医科大学,2017.
[19] 徐婵媛,潘大铭.探讨补中益气汤治疗围绝经期便溏[J].陕西中医,2011,32(3):324-325.
[20] 李春日,张志星,白增华,等.补中益气汤加温针治疗围绝经期气虚型盆腔器官脱垂临床观察[J].中国中医药现代远程教育,2021,19(23):81-84.
[21] 徐月芳,华诏召,尧小云,等.补中益气汤合二仙汤加减治疗围绝经期妇女压力性尿失禁的临床疗效[J].中国实验方剂学杂志,2021,27(23):125-130.
[22] Kong LY,Wu Y. Discussion on the application of Ginseng efficacy from “Treatise on Spleen and Stomach” [J]. Med Theor Hypothesis,2022,5(1):4.
[23] 丁德正.部分辛味药在精神疾病治疗上的特殊功效[J].中华中医药杂志,2016,31(10):4094-4096.
[24] 胡诗宛,卫若楠,张湘苑,等.当归治疗围绝经期综合征的现代临床应用及量效规律[J].中医药学报,2022,50(12):47-53.
[25] 刘田园,白明,刘保松,等.中药治疗围绝经期综合征临床用药规律分析[J].时珍国医国药,2019,30(8):2018- 2021.
[26] 张玉昆,牛雯颖,姜广坤,等.淫羊藿对雌性大鼠双侧卵巢摘除模型的影响[J].中医药学报,2016,44(3):24-26.
[27] 王洪雪,王杰琼,高杰.围绝经期综合征的中医药研究进展[J].西部中医药,2022,35(7):144-147.
[28] 陈凌燕,胡丽莎.滋肾安年汤治疗肾阴虚证围绝经期综合征的临床效果[J].中国当代医药,2021,28(32):14-18.
[29] 王天琳,胡诗宛,赵林华,等.基于CiteSpace的中医药治疗围绝经期综合征的可视化分析[J].中国医药导报,2023, 20(3):20-23,28.
[30] 郑丽丽,张玲,黄荳,等.茯苓对去卵巢大鼠认知行为的影响[J].江西医药,2020,55(10):1408-1409,1427.
[31] 任秋萍,吴忧,沈建英,等.柴胡疏肝散对围绝经期综合征肝郁证大鼠行为学及血清T、PROG含量的影响[J].云南中医中药杂志,2022,43(5):62-65.
[32] 李丛珊,李哲元.柴胡加龙骨牡蛎汤加减治疗雌激素受体阳性乳腺癌他莫昔芬相关类围绝经期综合征临床观察[J].河北中医,2021,43(10):1620-1623.
[33] 凌桂梅,彭子圆,唐柳英,等.柴胡桂枝汤联合戊酸雌二醇片治疗更年期综合征对患者中医症状积分、激素的影响[J].中国医药科学,2023,13(3):111-114,118.
[34] 孙启泉,左爱侠,张婷婷.升麻属植物化学成分、生物活性及临床应用研究进展[J].中草药,2017,48(14):3005- 3016. |
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