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肥人崩漏辨治
引用本文:林丹,叶瑜.肥人崩漏辨治[J].中国中医急症,2021(4):660-662.
作者姓名:林丹  叶瑜
作者单位:贵州中医药大学
基金项目:国家中医药管理局第四批全国中医(临床、基础)优秀人才研修项目(国中医药办人教发[2017]124号);2017年贵州省中医药管理局中医药、民族医药科学技术研究专项课题(QZYY2017-040);2019年贵州省中医药、民族医药科学技术研究专项课题(QZYY-2019-048)。
摘    要:肥人多崩漏,病机根本为脾虚,同时易夹杂湿热下注、阴虚阳亢、肾阳亏虚、瘀血阻塞之证,病理机转复杂,不易根治.治疗上第一要务是针对病因以止血、健脾化湿为治疗大法,祛瘀扶正均当兼顾,同时贯彻"治未病"理念以防复,并总结了治疗肥人崩漏的特色用药.

关 键 词:肥人崩漏  脾虚  止血  治未病

Differentiation and Treatment of Metrorrhagia in Obese Patients
Lin Dan,Ye Yu.Differentiation and Treatment of Metrorrhagia in Obese Patients[J].Journal of Emergency in Traditional Chinese Medicine,2021(4):660-662.
Authors:Lin Dan  Ye Yu
Institution:(Cuizhou University of Traditional Chinese Medicine,Guizhox,Guiyang 550025,China)
Abstract:Metrorrhagia is an acute and critical disease in gynecology of traditional Chinese medicine.Obese people are more likely to suffer metrorrhagia.Its pathogenesis is spleen deficiency,and it is easy to be mixed with thigh swelling with pattern of dampness-heat diffusing downward,syndrome of yang hyperactivity and yin deficiency,kidney yang deficiency,and syndrome of static blood blocking orifice.The priority in treatment is to stop bleeding,invigorate spleen for eliminating dampness according to the cause of the disease.We should give consideration to both dispelling stasis and strengthening vital qi;at the same time,the concept of"treating disease before its onset"should be implemented to prevent recurrence.The characteristic medications for the treatment of obese patients with metrorrhagia are summarized.
Keywords:Obese patients with metrorrhagia  Spleen deficiency  Hemostasis  Treating disease before its onset
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