[关键词]
[摘要]
国医大师班秀文教授学验俱丰,善治妇科疾病,对经、带、胎、产及妇科杂病的诊治均有独到见解。女性阴痿隶属妇科杂病,《黄帝内经》中便有相关记载,但由于各种原因,中医对女性阴痿的研究远不及男性阳痿的多,班秀文教授的《妇科奇难病论治》中对该病有专门论述,他认为引起女性阴痿的原因主要有禀赋不足,阳虚宫寒;七情所伤,肝失生发;脾胃虚弱,气血不足;痰湿郁滞,气机不畅四个方面。本文通过整理研究国医大师班秀文教授治疗女性阴痿的病案记录,从女性阴痿的病因病机分析、辨证施治以及治疗女性阴痿的经验进行简要阐述。并举2例女性阴痿的病案,详细分析其中的病因病机、辨证论治及治疗经验。两个病案的疗效显著,是中医临床医师学习治疗女性阴痿的重要资料。
[Key word]
[Abstract]
National traditional Chinese medicine (TCM) master professor Ban Xiuwen had rich experiences on treatment of gynecological diseases with unique insights on diagnosis and treatment for disorders of menstruation, leukorrhea, pregnancy and delivery. Female Yin-Wei, which was a gynecological disorder, was recorded in the book of Huang-Di Nei-Jing. However, due to different reasons, TCM study on female Yin-Wei was far less than the study on male impotence. Professor Ban Xiuwen had specific considerations for this disease on the book of Treatment of Miscellaneous Gynecological Diseases. In his understanding, female Yin-Wei was due to four aspects, which were the innate deficiency, yang deficiency and coldness of the uterus; seven emotion damage, liver-qi soothing disorder; spleen-stomach deficiency, qi-blood deficiency; and phlegm-dampness stasis, qi stagnation. Through the analysis and study on case records of female Yin-Wei treatment by national TCM master professor Ban Xiuwen, this article briefly elaborated professor Ban Xiuwen’s understandings on female Yin-Wei treatment from etiology, pathogenesis, treatment according to syndrome differentiation, and clinical experiences. Two female Yin-Wei cases treated by professor Ban Xiuwen were given as examples in order to analyze the etiology, pathogenesis, treatment according to syndrome differentiation and treatment experiences in details. The therapeutic effects of both cases were obvious, which were also important study documents.
[中图分类号]
[基金项目]
广西自然科学基金面上项目(2012GXNSFAA276043):针灸丰乳法对雌性大鼠乳房发育不良的作用及其机理研究,负责人:彭红华;广西壮族自治区教育厅,广西高校人才小高地建设创新团队资助计划(桂教人[2015]34号):八桂医学创新团队,负责人:戴铭。