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【摘要】病例,带下病,是妇女的常见病,多发病,一旦疏忽,会给患者带来日久暗中不适。其病是因裨虚湿注,留而伤肝,损伤冲任二脉之故。治疗“青、绿带下”一病,宜用针、药结合而顺其条达之性,开其郁遏之气,健脾而养营血,以达到养肝补脾的目的。则湿难留,使肝气得清,“青绿之带”得以痊愈。
【关键词】针、药结合;带下病;治愈
The needle, the medicine union treatment “morbid leucorrhoea sickness” gives an example
WU Han-chang
【Abstract】Case of illness, morbid leucorrhoea sickness, is woman’s common disease, the frequently-occurring disease, once neglects, will be able to bring to the patient in secret is ill in the course of time. Its sickness is because the benefit empty wet note, remains but injuries the liver, the damage flushes any two arteries therefore. The treatment “is blue, under the greenbelt” a sickness, suitably with the needle, the medicine union but along itsnature, opens it strongly fragrant to stop the gas, is good for the spleen raises, achieved raises the liver to make up the spleen the goal. Then wet is difficult to remain, causes liver-energy clear, “the dark green belt” can convalesce.
【Key words】Needle, medicine union; Morbid leucorrhoea sickness; Cures
柳某某,女,38岁,工人,2005年5月就诊,带下量多反复一年余,加重二月余,致近二月来带下物量多色青如绿豆汁,质稠不断,其气腥臭,需靠卫生巾垫与阴部才能不影响日常生活及正常工作。并伴头晕目眩,胸肋胀闷,喜叹息,疲乏食少,四肢乏力,睡眠欠佳,二便如常,月经前后无定期,舌质边红,苔白黄相兼稍腻,脉弦细。经多处内服中、西药及外用阴道塞药、洗药后症状当时有所缓解,但一直迁延未愈,遇情绪不稳辄能诱发,故今慕名而来本科诊治。
证属中医:脾虚湿注,留而伤肝,损伤任带二脉所致。
治法:针、药结合疏肝解郁,健脾利湿。
处方:取关元、中极、三阴交、中都、合谷穴,每日针刺一次,并均留针30分钟,连续10天,配合内服中药逍遥散加减,柴胡15g,白芍20g,当归20g,茯苓20g,白术10g,绿萼梅10g,薄荷6g(后下),菌陈6g,鸡冠头10g,甘草6g,一日一剂,文火煎熬,一剂两煎,分两次温服,连服6剂观其疗效。
二诊:带下及胸肋胀闷,叹息症状完全消失,已转正常分泌物,正遇行经期,经量,色,质,均转正常,余症大有好转,守原方继针5次,每天一次,按上方内服汤药中加入益气健脾之药党参20g,淮山20g,5剂,以增疗效。
三诊:未诉明显不适,嘱患者继服中成药逍遥丸及归脾丸各两瓶巩固疗效。尔后随访两年未见旧病复发,身体安然无恙。
按:因患者近二月来工作不顺心,家务事繁重,闷闷不乐,叹息不已,情绪十分低落,因而旧病复发。因肝藏血,主疏泄,肝郁不能疏泄脾土,以致冲、任失常。傅氏指出:“夫白带乃盛而火衰,肝郁而气弱,则脾土受伤,湿土之气下陷,是以脾精不守,不能生荣血以为经水,仍变成滑之物,由阴门直下,欲自禁而不可得也。”故发带下之病。或肝郁犯脾,脾虚湿盛,土反侮木,肝郁不舒,湿热内生,留注于下,伤及冲任,故见以上一派临床症状。所以治疗此病,根据《内经》“木郁达之”的原则。本文并采用针灸和中药结合而顺其条达之性,开其郁遏之气,健脾而养营血,以达到养肝补脾的目的,则湿难留,使肝气得清,“青绿之带”无从何来,而使症消病愈。
作者单位:337055 江西省萍乡市上栗县人民医院
【关键词】针、药结合;带下病;治愈
The needle, the medicine union treatment “morbid leucorrhoea sickness” gives an example
WU Han-chang
【Abstract】Case of illness, morbid leucorrhoea sickness, is woman’s common disease, the frequently-occurring disease, once neglects, will be able to bring to the patient in secret is ill in the course of time. Its sickness is because the benefit empty wet note, remains but injuries the liver, the damage flushes any two arteries therefore. The treatment “is blue, under the greenbelt” a sickness, suitably with the needle, the medicine union but along itsnature, opens it strongly fragrant to stop the gas, is good for the spleen raises, achieved raises the liver to make up the spleen the goal. Then wet is difficult to remain, causes liver-energy clear, “the dark green belt” can convalesce.
【Key words】Needle, medicine union; Morbid leucorrhoea sickness; Cures
柳某某,女,38岁,工人,2005年5月就诊,带下量多反复一年余,加重二月余,致近二月来带下物量多色青如绿豆汁,质稠不断,其气腥臭,需靠卫生巾垫与阴部才能不影响日常生活及正常工作。并伴头晕目眩,胸肋胀闷,喜叹息,疲乏食少,四肢乏力,睡眠欠佳,二便如常,月经前后无定期,舌质边红,苔白黄相兼稍腻,脉弦细。经多处内服中、西药及外用阴道塞药、洗药后症状当时有所缓解,但一直迁延未愈,遇情绪不稳辄能诱发,故今慕名而来本科诊治。
证属中医:脾虚湿注,留而伤肝,损伤任带二脉所致。
治法:针、药结合疏肝解郁,健脾利湿。
处方:取关元、中极、三阴交、中都、合谷穴,每日针刺一次,并均留针30分钟,连续10天,配合内服中药逍遥散加减,柴胡15g,白芍20g,当归20g,茯苓20g,白术10g,绿萼梅10g,薄荷6g(后下),菌陈6g,鸡冠头10g,甘草6g,一日一剂,文火煎熬,一剂两煎,分两次温服,连服6剂观其疗效。
二诊:带下及胸肋胀闷,叹息症状完全消失,已转正常分泌物,正遇行经期,经量,色,质,均转正常,余症大有好转,守原方继针5次,每天一次,按上方内服汤药中加入益气健脾之药党参20g,淮山20g,5剂,以增疗效。
三诊:未诉明显不适,嘱患者继服中成药逍遥丸及归脾丸各两瓶巩固疗效。尔后随访两年未见旧病复发,身体安然无恙。
按:因患者近二月来工作不顺心,家务事繁重,闷闷不乐,叹息不已,情绪十分低落,因而旧病复发。因肝藏血,主疏泄,肝郁不能疏泄脾土,以致冲、任失常。傅氏指出:“夫白带乃盛而火衰,肝郁而气弱,则脾土受伤,湿土之气下陷,是以脾精不守,不能生荣血以为经水,仍变成滑之物,由阴门直下,欲自禁而不可得也。”故发带下之病。或肝郁犯脾,脾虚湿盛,土反侮木,肝郁不舒,湿热内生,留注于下,伤及冲任,故见以上一派临床症状。所以治疗此病,根据《内经》“木郁达之”的原则。本文并采用针灸和中药结合而顺其条达之性,开其郁遏之气,健脾而养营血,以达到养肝补脾的目的,则湿难留,使肝气得清,“青绿之带”无从何来,而使症消病愈。
作者单位:337055 江西省萍乡市上栗县人民医院