夏桂成教授从心论治闭经的学术思想探讨

摘要

国医大师夏桂成教授治疗闭经重在从心论治，认为闭经的发生与心关系密切，心？肾？子宫轴在月经来潮及其周期性演变中具有重要作用。若心脾失调、心气闭塞等致心气不下，胞脉闭阻，可致经闭不行。根据月经周期与调周法理论，虽闭经日久，但患者仍处于经后期，阴长癸水失调，或合并他因难以阴长至重，重阴至阳转化失常，不能进入经间排卵期顺利排出卵子，导致经闭不行，故治疗以经后期为重。此期是治疗的奠基时期，强调宁心安神，静能生水。在经后期滋阴补肾基础上加入清心安神或镇降安神的药物，同时配合对患者的情志疏解和人文关怀。%ABSTRACTProfessor Xia Guicheng put great emphasis on the treating of amenorrhea by regulating heart.He thinks that heat is closely related to amenorrhea.Heart?kidney?uterine plays an important role in menses and its periodic changes.If the balance of heart and spleen is disturbed and the heart qi is blockedthen the heart qi will be stagnated and the uterine vessels will be blockedwhich together will cause amenorrhea.According to menstrual cycle and cycle regulating theorythought amenorrhea may have lasted for a long timethe patients are still in the period of postmenstrualand they have imbalance of Yin zhang gui shuior there are other factors together contribute to the severe Yin zhang and it has problem transferring into Yang.There-fore patients have problem having ovulation to expel the eggs.So the treating should focus on postmenstrual period.Tranquili-zing mind is of great significance to the treatment.On the basis of yin enriching and kidney nourishingdrugs which can tran-quilize the mind should be used and during the same timedoctors should care about patients'emotions and try to help them to be optimistic.