尤昭玲基于络病理论辨治子宫内膜异位症临证经验
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国家中医药管理局“尤昭玲全国名中医传承工作室”建设项目(国中医药办人教函〔2022〕5号);湖南省中医药科研计划重点项目(C2022012);湖南省重点研发项目(2023SK2050);湖南省中医药管理局课题(B2024049)


YOU Zhaoling's Clinical Experience in Differentiating and Treating Endometriosis Based on Collateral Disease Theory
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    摘要:

    子宫内膜异位症是子宫内膜腺体和间质出现在子宫腔以外的身体其他部位引起的疾病。尤昭玲教授认为子宫内膜异位症为慢性迁延性疾病,本质在于“离经之血”阻滞胞脉胞络,具有病程日久、缠绵难愈、痛经进行性加剧的特点,符合络病“久病入络”和“久痛入络”的病机特点,属于络病,核心病机在于瘀血阻络。在络病理论的指导下,尤昭玲教授提出从寒热、从心肝肾、从痰瘀、从气虚论治子宫内膜异位症,灵活运用行气活血、温经散寒、清热解毒、化痰散结、益气活血等治法,使气畅络通,脏腑和谐,临床获效良好。

    Abstract:

    Endometriosis is a condition in which endometrial glands and stroma are found outside the uterine cavity,leading to various symptoms.Professor YOU Zhaoling views endometriosis as a chronic and refractory disease,with its essence being the “blood deviating from meridians” that obstructs the uterine vessels and collaterals.This condition is characterized by a prolonged course,difficult healing,and progressively worsening dysmenorrhea,aligning with the pathophysiological features of “long-standing disease entering the collaterals” and “long-standing pain entering the collaterals” found in the theory of collateral disease.The core pathology is blood stasis obstructing the collaterals.Guided by the theory of collateral disease,Professor YOU Zhaoling proposes a treatment approach for endometriosis that involves addressing cold-heat imbalances,considering the heart,liver,and kidney,resolving phlegm and blood stasis,and treating qi deficiency.Professor YOU advocates for flexible application of therapies that promote qi and blood circulation,warm the meridians,dispel cold,clear heat,remove toxin,resolve phlegm,dissolve masses,and nourish qi and blood.This comprehensive approach helps to smooth the flow of qi,harmonize the organs,and has shown favorable clinical outcomes.

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范美林,游卉,谈珍瑜,张紫娟.尤昭玲基于络病理论辨治子宫内膜异位症临证经验[J].世界中医药,2025,(05).

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  • 收稿日期:2024-05-25
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  • 在线发布日期: 2025-06-04
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