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单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,治法概要,河北医科大学第三医院,中医教研室,张慧玲,Evaluauon onr.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,中医常用治法,学习要点,掌握妇科常用十种治疗方法及代表方剂;,掌握常用外治法;,熟悉药物在妇科中的应用及禁忌。,Evaluauon onr.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,中医常用内治法(四个基本大法十个,治疗方法),)补肾滋肾,肾阳虚衰,肾气虚惫,肾阴亏损阴虚阳亢,阴阳两虚,精血耗损,天癸、冲、任失调,而发生经、带、胎、产诸,疾温肾及补益肾气,为妇科病常用的一种治,Evaluauon onr.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,月经先期,月经先后无定期,崩漏,肾气虚一冲任不固胎动不安,子宫脱垂,不孕,治疗宜平补肾气为主,代表方剂如大补元煎、,固阴煎之类,Evaluauon onr.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,肾阴虚冲任血少或热伏冲任,月经先期、崩漏、闭经、不孕,治法:滋肾益阴,填精益髓,常用的代表方剂:,左归丸,六味地黄丸,补肾地黄丸之类,Evaluauon onr.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,肾阳虚冲任失于温煦,命门火衰难,治法:温肾助阳,补益命火,常用代表方剂:金匮肾气丸,右归丸之类,Evaluauon onr.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,二)疏肝养肝,肝藏血,主疏泄,喜调达。而司血海,女子,肝气平和,经脉流畅,血海宁静,经孕产乳,正常。但女子数伤于血,气分偏盛,情绪易,于激动,而伤于肝,肝失调达,疏泄无度,冲任不调,致使经带胎产杂诸病,治疗以疏,肝养肝为主,Evaluauon onr.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,病因病机治法代表方剂常用药物,抑郁忿怒冲任失畅疏肝解郁|逍遥散四逆散|柴胡、香,肝气郁结,乌药汤,附、郁金,肝郁化火热伤冲任疏肝泻火丹栀逍遥散、栀子、牡,火上逆,清肝止淋汤丹皮,肝血不足冲任血虚养血柔肝四物汤、滋血,汤、养精种玉|,肝阴不足肝阳偏亢平肝潜阳|一贯煎,三甲,肝血愈虚,复脉汤,Evaluauon onr.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,注意,1.疏肝行气之药多辛燥,用量不宜过重;,2.应适当配伍清润平肝之品,如芍药、玉,竹之类;,3.育阴药容易滋腻,宜稍佐行气之药,如,枳壳、砂仁等;,4.肝郁气盛者,容易肝气横逆犯胃,木盛,则克土,故疏肝方中,宜佐以健脾之品,如逍遥散中配伍白术、茯苓,即是此意,5若肝气挟冲脉之气上逆者,则宜平肝降,逆,引血下行,常用药物如芍药、代赭石,等,Evaluauon onr.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,三)健脾和胃,素体脾胃虚弱,脾胃虚弱,饮食、劳倦所伤,冲任不调,健脾补气,四君子汤、参苓白术散,人参、山药、茯苓等,Evaluauon onr.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,
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