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仝小林"独藏"辨识治疗痛经OA

Treatment of dysmenorrhea through identification of the only core symptom hidden in many symptoms by Tong Xiaolin

中文摘要英文摘要

痛经以经行前后或月经期出现下腹部疼痛、坠胀为主要表现,症状严重者影响生活和工作.西医多采用止痛等对症治疗痛经,可暂时缓解症状,停药后易反复发作.基于仝小林提出的"独藏"辨识理论,从寒湿停聚、瘀血内阻型痛经的复杂诸症中,抓住独藏症"腰腹冷,舌暗苔淡黄厚腻",予桂枝茯苓丸加减,治以温经散寒、化湿通滞、活血化瘀,临床疗效满意.

Dysmenorrhea is a common gynecological disorder in clinical practice,primarily characterized by lower abdominal pain and distension before,during,or after menstruation,with severe symptoms affecting patients'daily life and work.Western medicine often adopts symptomatic treatments such as pain relief,which can temporarily alleviate symptoms but may lead to recurrence after discontinuation.Based on Professor Tong Xiaolin's theory of identifying"Du Cang"(the only core symptom hidden among many symptoms),the treatment targetes the distinctive symptom complex of"coldness in the waist and abdomen,a dark tongue,and a pale-yellow,thick,greasy tongue coating"among the multifaceted manifestations of dysmenorrhea due to cold-dampness stagnation and internal blood stasis obstruction.Modified Guizhi Fuling Pill is prescribed to warm the meridians and dispel cold,resolve dampness and unblock stagnation,and promote blood circulation and remove blood stasis,achieving satisfactory clinical efficacy.

李佳妮;李菁之;刘源鸿;陈科宇;吉红玉;郑仲华

北京中医药大学北京中医药研究院,北京 100029北京中医药大学第三临床医学院,北京 100029北京中医药大学研究生院,北京 100029||中国中医科学院广安门医院代谢病研究所,北京 100053中国中医科学院广安门医院代谢病研究所,北京 100053河南中医药大学附属郑州中医院内分泌科,郑州 450007河南中医药大学附属郑州中医院内分泌科,郑州 450007

医药卫生

痛经桂枝茯苓丸独藏仝小林

dysmenorrheaGuizhi Fuling Pillthe only core symptom hidden in many symptomsTong Xiaolin

《长春中医药大学学报》 2026 (6)

631-633,3

国家资助博士后研究人员计划(GZB20250909)河南省代谢病中医药防治工程研究中心(豫发改高技[2024]260号)郑州市第二层次名医培养项目(郑卫科教[2023]10号)

10.13463/j.cnki.cczyy.2026.06.001

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