许昕教授论治垂体泌乳素微腺瘤临床经验.pdfVIP

( ) • 513 • 中华中医药杂志 原中国医药学报 2011年3月第26 卷第 3 期 CJTCMP , March 2011, Vol . 26, No.3 ·临证经验· 许昕教授论治垂体泌乳素微腺瘤临床经验 赵培，许昕 （首都医科大学附属北京中医医院，北京 100010） 摘要：文章旨在总结许昕教授对妇科疑难疾病垂体泌乳素微腺瘤，运用中医理论进行病机分析及辨证治疗 的经验与体会。她认为本病初始病机是肝气郁结，基本病机与证候实质是本虚标实。其虚者，即肾虚、脾虚、阴 虚、气血虚等；其实者，乃肝气上逆、脑络受阻。治疗当从肝脾肾立论，以调畅气机，培育下元，促进运化，最 终达到恢复月经和提高生殖能力之目的。 关键词：许昕；垂体泌乳素微腺瘤；中医辨证治疗 Clinical experiences of Professor XU Xin in treating microprolactinoma ZHAO Pei, XU Xin ( Beijing TCM Hospital of Capital Medical University, Beijing 100010, China ） Abstract: This article aims to summarize Professor XU Xin of gynecological diseases by microprolac- tinoma adenomas, the use of Chinese medicine theory and the pathogenesis of experiences of differential treatment. She believes that the initial pathogenesis of this disease is liver qi stagnation, but the basic mechanism and essence of syndrome is the vacuity. The virtual persons are kidney, spleen defi ciency, qi and blood virtual, etc.; In fact who is the liver Shangni, contact the blocked brain. When the argument from the liver spleen and kidney treatment in order to regulate the fl ow of qi and nurture lane roadway, to promote transport and eventually to restore menstruation and improve the reproductive capacity purposes. Professor XU Xin of clinical experiences, that is worth further summary and study. Key words: XU Xin; Microprolactinoma; TCM treatment 垂体泌乳素腺瘤 （PP）是高泌乳素血症（HPRL）的 外周血PRL水平异常增高，一般认为血PRL浓度高于 直接病因，根据肿瘤的大小将其分为：微腺瘤 （MIC）： 30ng/mL或880mIU/L时，应视为HRRL[3] 。头部磁共振 直径l0mm和大腺瘤 （MAC）：直径10mm。垂体泌乳