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傅金英从气虚血瘀论治宫腔残留的常用角药OA

Fu Jinying's Experience in Treating Intrauterine Residue from Perspective of Qi Deficiency and Blood Stasis and the Application of Jiao Medicines

中文摘要英文摘要

宫腔残留是产科常见重症、危症,严重损害患者身心健康,影响女性生殖功能.傅金英教授认为其主要病机为气虚血瘀,属于本虚标实之证,治以益气化瘀,兼以固护脾胃,善用以下角药:黄芪、党参、炒白术健脾益气、生血摄血;当归、川芎、益母草行气活血、祛瘀生新;姜黄、紫草、天花粉清热凉血、消癥除积;三棱、莪术、炮姜破血行气、化瘀止痛;厚朴、木香、赤芍健脾行气、散瘀止痛;鸡内金、枳壳、茯苓健脾和胃、行气宽中;酸枣仁、首乌藤、茯神补脾宁心、养血安神;蜈蚣、延胡索、炙甘草消癥化瘀、散结止痛.诸药协同作用,促使宫腔残留物排出,助子宫复旧.

Intrauterine retention is a common severe and critical condition in obstetrics,which seriously harms the physical and mental health of patients and affects female reproductive function.Professor Fu Jinying believes that its main pathogenesis is Qi deficiency and blood stasis,classified as a syndrome of deficiency in root with excess in symptoms,and should be treated by tonifying Qi to transform stasis,while also strengthening and protecting the Spleen and Stomach.The following Jiao medicines are recommended:Huangqi(As-tragalus),Dangshen(Codonopsis),and Chaobaizhu(fried Atractylodes)to strengthen the Spleen and tonify Qi,and to generate and contrtol blood;Danggui(Angelica),Chuanxiong(Ligusticum wallichii),and Yimuchao(Leonurus)to promote Qi and activate blood,and to eliminate stasis and generate new blood;Jianghuang(Turmeric),Zicao(Lithospermum),and Tianhuafen(Radices trichosan-this)to clear Heat and cool blood,resolve and eliminate masses;Sanleng(Sparganium),Ezhu(Curcuma zedoary),and Paojiang(roasted Ginger)to break blood,promote Qi circulation,transform stasis and relieve pain;Houpo(Mangnolia officinalis),Muxiang(Aucklandia)and Chishao(Red peony)to strengthen the Spleen,promote Qi,disperse stasis,and relieve pain;Jineijin(Chicken giz-zard lining),Zhike(Fructus aurantii),and Fuling(Poria)to strengthen the Spleen and harmonize the Stomach,promote Qi,and re-lieve Middle Jiao distension;Suanzaoren(Spina date seed),Shouwuteng(Fleeceflower stem),and Fushen(Poria with hostwood)to tonify the Spleen and calm the mind,nourish blood and tranquilize the spirit;Wugong(Centipede),Yanhusuo(Corydalis tuber),and Zhigancao(honey-fried Licorice root)to resolve masses and stasis,disperse nodules,and relieve pain.The combined action of these herbs promotes the expulsion of intrauterine residues and aids in uterine recovery.

黄晓宇;傅金英;李瑞丽;王晶烁;李亚欣;黄娟

河南中医药大学第二临床医学院,河南 郑州 450002河南中医药大学第二附属医院/河南省中医院,河南 郑州 450002河南中医药大学第二临床医学院,河南 郑州 450002河南中医药大学第二临床医学院,河南 郑州 450002河南中医药大学第二临床医学院,河南 郑州 450002河南中医药大学第二临床医学院,河南 郑州 450002

医药卫生

宫腔残留气虚血瘀角药傅金英

intrauterine retentionQi deficiency and blood stasisJiao medicineFu Jinying

《中医学报》 2026 (7)

1513-1516,1521,5

河南省中医药科学研究专项课题项目(2022ZY2034)河南省科技攻关项目(222102310459)2019年国家中医临床研究基地科研专项课题项目(2019JDZX098)

10.16368/j.issn.1674-8999.2026.07.223

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