王加维主任中医治疗子宫腺肌症痛经的临床经验总结.pdfVIP

IIIIIIIMHIIHIIIHII 目 录 Y2296384 中文摘要···················································I Abstract···················································III 前月0 言···················································1吾 。。。。。。‘。。。‘。。·。。。。。。。‘。。。。。。。··。。‘。。‘。。。。。。。······。 l 学术观点···················································2 1 月经周期的节律性······································2 2 病因病机··············································2 3 j爹断··················································4 3．1 西医诊断标准···································4 3．2 中医辨证标准···································4 3．3 鉴别诊断·······································5 验案分析···················································7 1 验案··················································7 2 疗效评估·············································12 讨 论··················································14 1 祖国医学对月经生理的认识·····························14 2 中医学对子宫腺肌症病因病机的认识·····················14 3 现代医学对子宫腺肌症的认识···························14 4王教授治法分析·······································15 4．1理论阐释·······································15 4．2所用药物分析···································16 4．3方剂配伍分析···································23 4．4治疗优势·······································25 4．5存在不足·······································25 结 语··················································27 参考文献··················································28 文献综述··················································29 致 谢··················································34 中文摘要 在其中弥漫性生长所致的子宫良性疾病，属于子宫内膜异位症的一种特殊 类型，其临床表现多种多样，痛经是腺肌症患者主要的特征性症状。子宫 腺肌症多数患者存在痛经、月经异常及子宫增大症状，与盆腔子宫内膜异 位症存在不同。虽然其发生机制至今仍然不清楚，但目前认为其病理学改 变及雌激素水平高低为痛经发生及影响其痛经程度的重要原因。中医文献 中并无子宫腺肌症一名，根据其主要临床表现，当属中医“痛经”、“癜瘕” 范畴。该病好发于30至50岁的育龄期妇女，其发病