摘要
中医学认为形、气、神是构成人体的三个基本元素,三者紧密联系,相互影响。原发性痛经(PD)是临床常见的妇科疾病,其发生发展过程涉及形、气、神三方面的病变。本文基于形、气、神三位一体生命观,提出在PD的发生发展过程中,冲任失养、胞络凝滞是其内在病因病机;脏腑气虚、气机失调是其发生发展的主导因素;疼痛、焦虑、抑郁、烦躁等神不安之负面情绪为外在表现,诱发加重PD发展;治疗倡导运用以治形、调气、稳神为原则,通过形、气、神一体同调治疗PD的指导应用意义,可为PD中医药治疗提供新的理论方法与治疗思路。
Chinese medicine believes that physique,qi,and spirit are the three basic elements that constitute the human body,and they are closely linked and influence each other.Primary dysmenorrhea(PD)is a common clinical gynecological disease,and its occurrence and development involve pathological changes in physique,qi,and spirit.Based on the life view of the trinity of physique,qi,and spirit,this paper proposes that during the occurrence and development of PD,malnutrition of thoroughfare and conception vessels and coagulation and stagnation of uterine collaterals are the internal etiology and pathogenesis;qi deficiency of zang-fu organs and disorder of qi movement are the dominant factors in its occurrence and development;and negative emotions such as pain,anxiety,depression,and irritability,which are manifestations of spirit disturbance,can induce and exacerbate the development of PD.Treatment advocates the principles of treating physique,regulating qi,and stabilizing spirit,and the guiding significance of treating PD through the integrated regulation of physique,qi,and spirit can provide new theoretical methods and treatment ideas for the treatment of PD with Chinese medicine.
作者
林碧蓝
张斌
章文春
关锦图
曾雅婷
周思贤
徐光镇
刘继洪
LIN Bilan;ZHANG Bin;ZHANG Wenchun;GUAN Jintu;ZENG Yating;ZHOU Sixian;XU Guangzhen;LIU Jihong(The Eighth Clinical Medical School of Guangzhou University of Chinese Medicine,Foshan Guangdong 528000,China;Preventive Treatment Center,Foshan Hospital of Traditional Chinese Medicine,Foshan Guangdong 528000,China;College of Chinese Medicine,Jiangxi University of Chinese Medicine,Nanchang Jiangxi 330004,China;Southern Medical University,Guangzhou Guangdong 510515,China)
出处
《新中医》
2025年第10期146-150,共5页
New Chinese Medicine
基金
广东省中医药局科研课题项目(20223038)。
关键词
原发性痛经
形气神
病因病机
治形
调气
稳神
Primary dysmenorrhea
Physique,qi,and spirit
Etiology and pathogenesis
Treating physique
Regulating qi
Stabilizing spirit
作者简介
林碧蓝(1998-),女,在读硕士研究生,E-mail:lbl52588@163.com;通信作者:刘继洪(1969-),男,主任医师,E-mail:544279373@qq.com。
