傅青主女科產後門用藥研究

Study on Postpartum Medical Care of Fu Qing Zhu Gynecology

傅青主對於產後的治療宗法丹溪，以大補氣血為主，少用過寒及過熱的藥材，治療常用生化湯加減，體現了產後婦女多虛、多寒、多瘀的生理病理特質。關於傅青主的期刊報告甚多，但集中在帶下、血崩、調經、種子、安胎。對於傅青主產後用藥也以生化湯的研究較多，因此本文以陸懋修校訂之傅青主女科為藍本進行研究，針對《傅青主女科》產後門十二篇用藥進行了探討，呈現出傅氏在產後除了生化湯外，其他的用藥在臨床上也相當具有可用性，值得進一步研究。對於用藥頻次最多的人參、當歸、熟地、白朮用法加以整理討論，以便瞭解傅青主大補氣血的用藥思想。《傅青主女科》產後門不論是用藥配伍或劑量上，都足以作為產後諸病的治療典範，達到病愈而不傷母體的療效。

Fu Qing Zhu used big supplement of qi and blood for the postpartum treatment mainly. Too cold and too hot medicines were seldom used. The Sheng Hua Tang is often used for the treatment. It shows physiological and pathological characteristics of postpartum woman, such as more insufficiency, cold and silt. There are many journal reports of Fu Qing Zhu, but most of them are concentrated in leucorrhea, vaginal bleeding, regulating menstruation, seeding, and preventing miscarriage. As for the postpartum medicines of Fu Qing Zhu, most researches relates to Sheng Hua Tang. So this paper refers to Fu Qing Zhu Zhu Gynecology revised by Lu Mao-Shou to conduct the study. The postpartum medicines described in 12 Chapters of 'Fu Qing Zhu Gynecology' are discussed. It shows except the Sheng Hua Tang, the other medicines are quite useful clinically, which are worthy for further study. The ginseng, angelica sinensis, rehmannia lutea, atractylis lancea are often used. They are discussed to understand the Fu Qing Zhu's medicine utilization concept of big supplement of qi and blood. The formula and dosage of postpartum medicine specified in 'Fu Qing Zhu Gynecology' can be used as the treatment model of all postpartum diseases, which can get the curative effect without injuring the mother's body.