首页|期刊导航|中医药临床杂志|基于"天人相应""阴阳消长"理论治疗盆腔炎性疾病后遗症

基于"天人相应""阴阳消长"理论治疗盆腔炎性疾病后遗症OA

Treatment of Sequelae of Pelvic Inflammatory Disease Guided by the Theories of"Correspondence between Human and Nature"and"Waxing and Waning of Yin and Yang"

中文摘要英文摘要

荆楚刘氏妇科源于湖北荆州,传承数代,擅长以"虚、湿、瘀"立论辨治妇科疑难杂症.盆腔炎性疾病后遗症(sequelae of pelvic inflammatory disease,SPID)以反复下腹疼痛、腰骶坠胀、带下异常为主要表现,属中医"妇人腹痛""癥瘕"范畴,荆楚刘氏妇科认为其核心病机为正气亏虚、湿浊瘀阻,病位在胞宫,涉及肝脾肾.针对盆 SPID,其治疗原则为扶正祛邪、利湿化瘀,旨在调和气血,恢复胞宫功能.月经周期疗法秉承《内经》"天人相应"及"阴阳消长"之理论,依据女性经后、经间、经前、行经四期冲任气血盈亏之生理节律,动态调方施治,体现了"因时制宜"的个体化辨治原则,是为治疗 SPID 的重要优效方案,以期改善患者临床预后,并降低疾病复发风险,从而实现整体治疗目标.

Jingchu LIU's Gynecology,originating from Jingzhou,Hubei Province,has been passed down through generations and specializes in treating complex gynecological diseases based on the principles of"deficiency,damp-ness,and blood stasis."Sequelae of pelvic inflammatory disease(SPID)is characterized by recurrent lower abdominal pain,lumbosacral distension,and abnormal vaginal discharge.In traditional Chinese medicine,it falls under the cate-gories of"abdominal pain in women"and"abdominal masses."Jingchu LIU's Gynecology believes its core pathogen-esis is deficiency of vital energy and obstruction by dampness and blood stasis,with the disease location in the uterus and involving the liver,spleen,and kidneys.The treatment principle for SPID is to strengthen the body's resistance and eliminate pathogenic factors,promote diuresis and remove blood stasis,aiming to harmonize qi and blood and re-store uterine function.Menstrual cycle therapy adheres to the theories of"correspondence between man and nature"and"the waxing and waning of Yin and Yang"from the"Neijing"(Inner Canon of Medicine).Based on the physi-ological rhythms of the four phases of menstruation—post-menstruation,intermenstrual,premenstrual,and menstrual periods—it dynamically adjusts the prescription and treatment,embodying the principle of individualized treatment according to the time of day.It is an important and effective treatment plan for SPID(Spleen Deficiency with Dampness and Blood Stasis),aiming to improve patients'clinical prognosis and reduce the risk of disease recurrence,thereby achieving the overall treatment goal.

龚运婵;陈怡;刘雯星;周芸

湖北中医药大学 湖北 武汉 430000湖北中医药大学附属荆州市中医医院 湖北 荆州 434000湖北中医药大学附属荆州市中医医院 湖北 荆州 434000湖北中医药大学附属荆州市中医医院 湖北 荆州 434000

医药卫生

周期疗法脾虚湿瘀SPID中医妇科

Cycle therapySpleen deficiency with dampness and blood stasisSPIDTraditional Chinese medicine gynecology

《中医药临床杂志》 2026 (5)

904-909,6

湖北省中医药管理局中医药科研项目(ZY2025L064)2025年度荆州市科技计划立项项目(2025HD167)荆州市中医医院中医药研究所自主选题立项项目(ZZXT0A05)

10.16448/j.cjtcm.2026.0509

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