首页|期刊导航|基层中医药|基于丁丽仙教授学术思想运用"益气养血和营"法论治产后病经验

基于丁丽仙教授学术思想运用"益气养血和营"法论治产后病经验OA

Application of the Strategy of Replenishing Qi,Nourishing Blood,and Harmonizing Nutrient Qi in Treating Postpartum Disorders Based on Professor DING Lixian's Academic Philosophy

中文摘要英文摘要

产后病是指产妇在产褥期内发生的与分娩、产褥相关的疾病,其病因病机在于分娩用力耗气,产创失血伤津,致使机体处于气血骤亏、百脉空虚、瘀浊留滞的病理状态.气血亏虚则脏腑失养、冲任不充,瘀血内阻则经络不畅、新血不生,营卫随之失调,表里失和,故临床多见多虚多瘀、虚实夹杂之证.笔者导师李琼教授为全国名中医丁丽仙教授学术继承人,秉承丁教授"妇人以阴血为本,以调畅气机为要"的学术思想,在治疗产后病时尤为注重扶正通调相结合,以"益气养血和营"为基本治法,灵活运用丁丽仙教授经验方施治于临床,疗效确切.本文整理李琼教授典型验案两则,结合上述治则治法加以剖析,总结其诊疗经验,以供临床参考.

Postpartum disorders refer to diseases occurring in puerperium and related to childbirth and puerperium.The etiology and pathogenesis of postpartum disorders lie in the fact that physical exertion during delivery consumes Qi and delivery injury causes blood loss and fluid consumption.As a result,the body is in a pathological state of sudden deficiency of Qi and blood,exhaustion of all vessels,and stagnation of stasis and turbidity.Deficiency of Qi and blood results in dystrophy of Zang-Fu organs and insufficiency of thoroughfare and conception vessels.Internal obstruction of static blood leads to obstruction of meridians and collaterals and difficult regeneration of new blood,further causing imbalance of nutrient and defense Qi as well as disharmony between exterior and interior,thus clinically manifesting as patterns of multiple deficiency and stasis and mixed deficiency-excess.Professor LI Qiong,an academic inheritor of nationally renowned TCM professor DING Lixian,inherits her academic philosophy of taking Yin-blood as the foundation and regulating Qi movement as the priority in treating gynecological diseases.In the treatment of postpartum diseases,she focuses on the combination of reinforcing healthy Qi and dredging regulation,adopts the basic therapeutic method of replenishing Qi,nourishing blood,and harmonizing nutrient Qi,and flexibly applies Professor DING Lixian's empirical prescriptions in clinical practice,achieving definite therapeutic effect.This paper collates two typical clinical cases treated by Professor LI Qiong,analyzes them according to the above therapeutic principles and methods,and summarizes her clinical experience for clinical reference.

耿葳;李琼

贵州中医药大学(贵州 贵阳 550002)贵州中医药大学第一附属医院(贵州 贵阳 550001)

产后病丁丽仙益气养血和营桂枝汤合当归补血汤加味化裁验案

postpartum diseaseDING Lixianreplenishing qi,nourishing blood,and harmonize nutrient qimodified Guizhi Decoction combined with Danggui Buxue Decoctionclinical case

《基层中医药》 2026 (5)

1-6,6

国家中医药管理局全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号)贵州中医药大学研究生教育创新计划自然科学项目(YCXZR2021001)贵州省科学技术厅科技计划项目(黔科合基础-ZK[2022]一般521)

10.20065/j.cnki.btcm.20260291

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