子宫腺肌病的现代中医治疗研究进展

中医古籍中无＂子宫腺肌病＂的病名,但根据其病因病机及临床证候将其归为＂痛经＂、＂月经不调＂、＂癥瘕＂、＂不孕＂等范畴.现代中医将其病因病机大致分为气滞血瘀、寒凝血瘀、肾虚血瘀、气虚血瘀、热灼血瘀、痰瘀互结六类.中医治疗此病疗效较好,副作用小,易于被患者接受,但科研方案欠严谨,对机制研究不够,辩证分型和疗效评价无统一标准,也无统一的中医药治疗方案和临床路径,今后的研究中应注意完善.

Progress on treating adenomyosis with modern Chinese medicine

＂Adenomyosis＂ does not exist as a disease name in Chinese medical books. According to its etiology and clinical syndromes, it is categorized into ＂dysmenorrhea＂, ＂irregular menstruation＂, ＂abdominal mass＂ and ＂infertility＂ etc. In modern Chinese medicine, its causes of disease and pathologi- cal mechanisms are roughly divided into six kinds： Qi stagnation and blood stasis, cold coagulation and blood stasis, deficiency of kidney and blood stasis, blood stasis owing to Qi deficiency and, blood stasis owing to heat scorching, intermingled phlegm and blood stasis. Treating this disease with Chinese medicine has good curative effect and light side effects, and it is easily accepted by patients. However, it is short of strict scientific research, adequate research mechanism, unified standards of pattern differentiation and effect evaluation, as well as unified therapeutically schedule with Chinese medicine and clinical pathway. Special attention should be paid to improve future research.