經痛分四型 藥引改體質4 different cramp type of period Chinese medicine to physical Reply

經痛分四型 藥引改體質 【劉惠敏】中醫觀點，經痛多由於經血排出不暢，不通則痛，體質虛實寒熱都可能導致經痛，可以依臨床症狀、辯證問診來分型，再施以不同藥物調養。北市聯合醫院中醫院區婦科主治醫師林君玉說明，中醫辯證將經痛分為四型。 寒凝血瘀型 月經期受寒 這往往是月經期受寒，吃生冷食物，導致經血受寒凝結，有的人初經時不會，反而是隨著年歲增長，因為環境或是愛洗冷水澡、愛吃冰等等造成體質改變，有時熱敷可以感到疼痛緩解，或是食用溫暖子宮的藥材，中醫師會開給當歸四逆湯、桂枝茯苓丸來治療。 肝鬱氣滯型 情緒壓力大 由於情緒、壓力容易造成荷爾蒙分泌混亂，導致經痛，此類型經痛者常常是經期不準，中醫的經絡理論提及此類型人肝氣鬱結、氣阻滯於任沖二脈，需要治以加味逍遙散、五積散，來理氣活血，化瘀止痛，也需要調整情緒、減少壓力。 氣血虛弱型 易疲勞倦怠 此類型的人體質虛弱，因為氣血不足、運行乏力，所以容易疲勞、倦怠、貧血，特別容易在經期後感到腹痛，因此需要益氣補血之藥方來調養，例如當歸芍藥散。 肝腎虧損型 先天體質虛 此種類型主要是因為先天不足、腎氣虧虛、子宮虛寒作痛，也就是生殖泌尿系統或是子宮先天比較弱，中醫會開給養肝滋腎的藥方，如八味地黃丸、溫經湯。 林君玉強調，有經痛就要趕快就醫，千萬拖不得，因為經血逆流、長期累積，若是子宮內膜異位或巧克力囊腫等問題，不但影響生活品質，甚至可能造成不孕。 量多 痛久 結塊 子宮警訊 基本上，月經量特多、經痛時間長，經血中夾雜著結塊，或伴以經痛劇烈，都是子宮肌瘤、子宮肌腺瘤、子宮內膜異位的警訊。 林君玉說明，婦女下腹部有結塊，伴有或痛、或脹、或滿，甚至出血，中醫稱之為「癥瘕」，也是古籍《黃帝內經》所稱之「瘕聚」，西醫指的子宮內膜異位、子宮肌瘤、或子宮頸癌、多囊卵巢症候群皆是中醫的癥瘕範圍，治療前應先診斷腫瘤是否為良性，再來辯證診斷後、針對不同原因對症下藥。 中醫治療子宮肌瘤，會根據體質先補後攻、或攻補兼施。血瘀型，則施以活血化瘀、破積消癥，處方為桂枝茯苓丸、大黃蟅蟲丸、兼血虛者用增味四物湯。 而氣滯型則需要行氣導滯、破瘀消癥，處方為香稜丸或大七氣湯。痰瘀型以理氣化痰、破瘀消癥，處方為開鬱二陳湯、大黃牡丹皮湯。 一般而言，辨證準確時中藥能有一定的療效，肌瘤多能控制成長或漸漸縮小。子宮肌瘤小於3公分者，其症狀多半較不嚴重，頻尿、腹痛、經痛或因為經血量多而貧血的情形也比較輕微，治療效果也比較明顯。 2008-08-25 4 different cramp type of period Chinese medicine to physical Reply [LIU Hui-min - Chinese medicine point of view, the more pain because of blood from the poor, not General Clauses pain, cold and heat physique actual situation may lead to the pain, according to clinical symptoms, dialectical Wenzhen to type, and then impose different drugs tone. Chinese medicine hospitals through the United Christian Hospital District gynecology Dr. Lin Junyu that the Chinese dialectical pain will be divided into four types. Hanning blood stasis menstrual period Shouhan This is often Shouhan menstrual period, eating cold food, Shouhan lead to blood coagulation, and some people will not be early, but as the age of growth, because of environmental or Xilengshuizao love, love of ice, etc. Physical changes, sometimes hot packs can ease the pain, or eating a warm womb of medicine, Chinese medicine practitioners will be open to Angelica Sini soup, Guizhifuling pill to treat. Liver depression and feelings of stagnation gas pressure As emotions, the pressure likely to cause confusion in hormone secretion, leading to the pain, as this type of menstrual pain often is not allowed, the Chinese meridian theory that this type of person Ganqi blues, gas block in the two-clock, the need to rule Modified Xiaoyaosan , Scattered five plot to Qi and promoting blood circulation, Huayu pain, but also need to adjust mood, reducing stress. Qi and blood-type weak fatigue burnout This type of physical weakness, because of lack of qi and blood, running weak, so easy fatigue, malaise, anemia, are particularly vulnerable in menstrual pain after that, we need a prescription for the blood to Yiqi tone, for example, Angelica Shaoyao San. Liver and kidney virtual loss of congenital physical This type is mainly because of inherent weaknesses, Shenqi deficiency, the uterus Deficiency-Cold Zheng Zuo Tong, the genitourinary system that is innate or the uterus is relatively weak, Chinese medicine will be open to Yanggan Zishen prescription, such as the pill Bawei Huang Wen-by. Linjun Yu stressed that the pain will be there as soon as possible for medical treatment, 10 million may not be dragged, because blood counter-current, long-term accumulation, if endometriosis or chocolate cyst and other issues, will not only affect the quality of life, and may even cause infertility. The pain of many long-caking Uterine JPC Basically, the period of Trinidad-Tobago, the pain a long time and Inclusion in the blood caking, or accompanied by the intense pain, are uterine fibroids, uterine muscle adenoma, endometriosis of the JPC. Lin Junyu that women have lower abdomen agglomeration, with or pain, or bulging, or full, or even bleeding, Chinese medicine called "Zhengjia," is also ancient books, "Huang Di Nei Jing" alleged "Zhengjia Poly", referring to Western medicine The endometriosis, uterine fibroids, or cervical cancer, polycystic ovary syndrome are all Chinese medicine practitioners Zhengjia scope of treatment should be preceded whether the tumor was benign diagnosis, then dialectical diagnosis, the right remedy for different reasons. Chinese medicine treatment of uterine fibroids, the first meeting under the constitution after the attack, or attack-and carrot. Blood stasis, impose Huoxue blood and broken plot Xiaozheng, Guizhifuling prescription for the pills, rhubarb Zhe worm pills, and those used by blood deficiency taste Siwutang. The stagnation of gas is required to gas Daozhi, Poyu Xiaozheng, the prescription for the pill-collar or seven-Tang. Phlegm and blood stasis of the Qi Huatan, Poyu Xiaozheng, a prescription for Erchen Tang Yu, Cortex Moutan rhubarb soup. Generally speaking, when Chinese medicine can be accurately Syndrome have a certain effect, the growth of fibroids and more able to control or gradually narrowing. Uterine fibroids less than 3 centimeters, most of its less serious symptoms, urinary frequency, abdominal pain, the pain or because the blood of many and anemia relatively minor cases, treatment is also more obvious. 2008-08-25 For more information, see World Journal News ePaper.

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