中醫臨床治療月經病的經驗

The experience of clinical treatment of menstruation

本文主要探討中醫治療月經病的—些臨床經驗，作者認為月經病病因複雜，可由腎虛、肝鬱、脾虛、痰濕、血瘀等多種因素所致，但與腎關係密切。認為腎水是否充足，是月經正常的關鍵，同時臨診時應參考卵巢功能檢測的不同情況，辨病與辨證合參方可取效，治療重在兩點，即理血及調月經週期法。治療月經病應以「補腎為先，養腎氣以安血之室，調經以養腎水為主，滋水必兼養火」，用這四個步驟調月經週期，同時注意血氣的流通與和調，定時蓄溢，調理沖任。對於虛中夾滯、經期延長者，應平時調補沖任，經期行滯活血，通因通用，治療重理血法及調月經週期法，常能獲得滿意的療效，以上臨床經驗提供同道參考。

This article explores some of Chinese medicine clinical treatments of menstruation. The author thinks that the causes of menstrual diseases are complicated. They may be caused by weak kidney, liver, spleen, wet phlegm, blood stasis and many other factors, but they are closely related to the kidney. The adequacy of the kidney water is the key to the normal menstruation, and the clinical diagnosis of ovarian function should be referred to the different test conditions. It can take effect to pay attention to the distinction of the sickness and dialectical, and the treatment should focus on two points, namely the blood regulation and the adjustment of the menstrual cycle. The treatment of menstrual diseases should be followed by the four steps 'to nourish the kidney first; to invigorate the kidney to make room for blood; to regulate menstruation primarily based on nourishing kidney water; concurrently raise the fire.' With these four steps, the menstrual cycle can be adjusted; simultaneously the circulation and reconciliation of blood should be paid attention. Build overflow time and regulate Chong and Ren. For the weak in stagnation or menstrual period extension, practitioners should regulate Chong and Ren during the usual time and get rid of blood stagnation in menstrual period. The treatment focuses on regulating the flow of blood and adjusting the menstrual cycle, and thus we can often get satisfactory results. The above clinical experience provides fellow practitioners' reference.