“女好以肝为先天”在绝经综合征中的应用

目的]总结陈霞波教授运用"女子以肝为先天"理论辨治绝经综合征的经验。方法]通过侍诊学习、收集整理陈霞波教授的医案,总结陈教授运用"女子以肝为先天"理论阐释绝经综合征病因病机和治疗方法的临床经验。并举验案一例以佐证。结果]陈教授认为绝经综合征发病以肝为主导,治疗以调肝为要,创疏肝、清肝、滋肝、养肝四法,并注重乙癸同补、心肝同治、气血并调。而"女子以肝为先天"理论的核心内容强调了肝对于女子生理病理的重要性,提倡女科病从肝论治,这与绝经综合征病机特点和治疗方法如出一辙。所举验案辨为肝郁肾虚、阴阳失和之证,其肝郁之象显著,予丹栀逍遥散化裁疏肝解郁、协调阴阳治疗后,诸患皆和,可为证验。结论]"女子以肝为先天"理论对于绝经综合征的诊断和治疗具有指导意义,值得后学借鉴。

Application of "The Female Take the Liver as Congenital" in Menopausal Syndrome

Objective] To summarize Professor CHEN Xiabo''s experience in the treatment of menopausal syndrome with the theory of "the female take the liver as congenital". Methods] Through the consultation, studying and collecting the medical records of Professor CHEN Xiabo, the clinical experience of Professor CHEN''s in using of "the female take the liver as congenital" was summarized to explain the pathogenesis and treatment of menopausal syndrome. And a test case was presented to prove.Results] Professor CHEN Xiabo believes that the onset of menopausal syndrome is dominated by the liver. The treatment is to adjust the liver, and to create the four methods of soothing the liver, clearing the liver, nourishing the liver and moisturizing the liver, and attention should be paid to simultaneous conditioning of liver and kidney, heart and liver, Qi and blood. The core content of "the female take the liver as congenital" is to emphasize the importance of liver for women''s physiology and pathology and to advocate the treatment of female diseases from the liver, which is similar to the characteristics and treatment methods of menopausal diseases. The test case is identified as the Qi stagnation of liver, deficiency of the kidney, Yin and yang disorders, and the image of liver stagnation is remarkable. After using the Modification of Danzhi Xiaoyao Decoction to soothing the liver and coordinating yin and yang, all symptoms were alleviated and the theory and experience was verified.Conclusion] The theory of "the female take the liver as congenital" has guiding significance for the diagnosis and treatment of menopausal syndrome, and is worth the future generations to learn from.