壮乡医话——治带不忘瘀

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带下病的治法,根据寒、热、虚、实的不同,一般有温化、清热、燥湿、祛痰、补虚、泻实等的不同。在这些治法中,我素来是推崇《傅青主女科》“夫带下俱是湿症”之说,又以祛湿为先,在选方用药均着眼于湿邪的温化或清化,确实收到一定的效果。但近年来从临床实践体会,发现仅以温着眼还不够完善。盖湿为阴邪,其性重浊粘腻,最易阻遏气机,导致冲任脉功能的失常,血行不畅而形成湿瘀混杂为患的带下病变。所以在辨证论治的基础上,除了以湿为先之 With the treatment of diseases under the law, according to the different cold, heat, deficiency, and reality, there are generally different temperature, heat, dampness, sputum, tonic, diarrhea and other differences. In these governing methods, I have always advocated the theory that “Fu Qingzhu Women’s Family” is “who is suffering from wetness”. In addition, taking dampness as the first priority, the prescriptions are all focused on the warming or detoxification of dampness. Really received a certain effect. However, in recent years, he has learned from clinical practice and found that it is not enough to be perfect with warm eyes. Covering wet is Yinxie, its nature is thick and sticky and sticky, and it is most likely to deter the qi machine, leading to irregularities in the function of the veins, poor blood formation, and the formation of submucosal lesions with mixed wetness. Therefore, on the basis of syndrome differentiation and treatment, in addition to wetness first
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