Chai Songyan experience in treatment of gynecopathy

Xu Xin Beijing hospital of traditional Chinese medicine

China's traditional Chinese medicine to

        Chai Songyan is China's famous traditional Chinese medicine expert of department of gynaecology, the old Chinese medicine expert academic experience of inheritance work guidance teacher, clinical experience, the author had the opportunity to follow Chai Songyan, clinical benefit.

        Theoretical innovation

        1. The kidney's "three best"

        Chai Songyan on the basis of the theory of traditional Chinese medicine and decades of experience of clinical diagnosis and treatment, put forward the three characteristics of renal, become its theory basis for treating gynecological disease.

        Renal gave birth to the first: "plain question · ancient naive theory" cloud: "women's seven years old, and kidney, tooth grow more hair; menstruation to erqi, ren meridian, lr 3 veins fill, flow in nowadays, so can have a child." Woman as a teenager, kidney function has been occupies the dominant position. But young period is the beginning of the growth and development, kidney is not real, so its function is not stable, easy occurrence menstruation after menstruation disorders; Or kidney Yin deficiency, and can't d Yang, when the abuse of supplements, intestines and stomach heat, easy to cause fire to move, can show the 6 ~ 10 years old girl vulvae, breast development, early period such as collecting, western medicine diagnosis of children precocious puberty. Chai Songyan believes that the certificate standard belongs to this virtual to real, should with invigorating Yin as the solution, but please use clean purging fire of deficiency type, convergence of floating Yang, controlling actions Ren Zhipin, such as cold water stone, raw oysters, cortex phellodendri, sichuan to skin and bones, root of herbaceous peony, lotus, lotus stamen, bark, etc., at this time, dietary appropriate is delicate, avoiding meat, shrimp, quail egg, etc to help thermal Yang.

        Kidney solid: the latest women's cell in renal arteries and veins, blunt Ren Zhiben in kidney, people is closely related to the physical. Kidney gas enrichment, however, the need to "notoginseng", "47", classics, pregnancy, produce, and often repeatedly injured Yin blood, kidney wastage. So Chai Songyan in treating QingZhongNian family (apparent), women will be nourished Yin blood, gu kidney protection, maintenance of kidney essence of law. She often chooses radix polygoni multiflori, parasitic, eucommia, dodder, glossy privet fruit, wolfberry fruit, etc, can raise blood kidney, fill without delay, and liver and kidney, give attention to two or morethings to JingXie alternate. Or fill with straight ladybell, dwarf lilyturf, lily and the lung, and kidney, nourishing Yin fluid. For the both stasis is an alizarin peat, donkey-hide gelatin beads, motherwort, fructus alpiniae oxyphyllae, hippocampus, kidney and blood; What see coating on the tongue dry, abdominal distension full, yellow lead blood stasis gave birth to a new, to save Yin fluid.

        Renal failure: the earliest after kidney gas enrichment, quickly into the declining period, as the kidney and the menstruation and reproductive function gradually decreases until it is lost, but the other viscera can still maintain normal function. So the cloud: "jiao jiao tone, Yang Ming pulse failure, face, hair fall." Until kidney failure "groups", "dragon's menstruation, tunnel and so bad and no son". In middle-aged and old of diagnosis and treatment of gynecological problems, Chai Songyan pay attention to two points: one is the combination of kidney and nourishing blood; Second, traffic heart kidney, qing xie deficiency fire, choose glossy privet fruit, dry lotus herb, radix polygoni multiflori cane, wheat, lily, lotus plumule, radix rehmanniae, radix paeoniae alba, field bone skin, etc. To enter the middle-aged and old patients, and to "cure not ill" for the principle, to avoid damage to the kidney, Yin blood, still with caution or not to break the blood line of blood, diarrhea and XinWen dissipation of the product. Value "six or seven", "groups", kidney and blood is self-evident, and at the same time also pay attention to spleen and nourishing the stomach, balancing the day after tomorrow, so as to achieve the goals of spleen and kidney and raising.

        2. Yangming disease impact on menstrual physiology

        Chai Songyan in diagnosis and treatment of gynecopathy, patients often asked about diet and bowel movement condition, especially for amenorrhea, infertility, ren venereology card, is the reference of lingual vein like, judge the stomach of the actual situation, to strengthen targeted drugs. By the stomach and large intestine is the brotherhood of Yang Ming, known as "Yang", two reception, conduction function is normal, directly or indirectly affect the menstrual and reproductive. Yang Ming is more than by the blood of gas, the flesh all losses, all the following note blood; In turbid heat accumulation, as blood spilled into the points (due to the rush of blood, belonging to Yang Ming reason also), blood volt heat can burn less, amenorrhea, infertility due to fluid; Can indicates the propaganda in abdominal pain due to qi and blood and premenstrual headache, body pain, the disease; Blood can be forced downward to amount upfront, even ren more than more. So see stay, bad breath, food after abdominal distension, dry stool or viscous, tongue coating Huang Hou whitish or impurity, pulse heavy slip or sliding, strong use of rhizoma coptidis, bamboo shavings, herba artemisiae capillaris, forsythia, lotus leaves, glabrous greenbrier rhizome, army and other medicine stomach heat release, the material through the inner parts; Disease eat much hunger, see red lip weather-shack, stool for several days, red tongue body, moss thin white, dry, or center no moss, pulse count, multi-purpose snakegourd fruit, caulis dendrobii, jade, bamboo, reed root, gypsum, yuan Yin qing, such as stomach, runchang pass the inner parts; See less sodium, loose stool, lack of power, fear cold, tender tongue fat, veins thin weak people, for the taste cold, multi-purpose YiMi, galanga, atractylodes, amomum fruit, such as the spleen and stomach, prevent the wet resistance of intestines and stomach, qi and blood. Seize the yang-ming certificate by the inner parts, means that the treatment emphasis, so than pure blood kidney, or simple discharge heat flux relieving exceeds, often receive good curative effect of getting twice the result with half the effort.

        Good governance of knotty

        1. Polycystic ovary syndrome

        Polycystic ovary syndrome belongs to endocrine disorders in gynecopathy, the ovulation dysfunction syndrome of knotty, clinical performance for amenorrhoea, acne, obesity, hairy, infertility, etc., duration long, complicated machine. Chai Songyan believes that this disease first responsibility is to the kidney. Under normal circumstances, kidney gas is filled in addition to relying on nature, is dependent on the insides, may will be more subtle on the kidney. In pathological situation, "five phase shift, shall come to the kidney, so the treatment for kidney as the center, to two or morethings he is dirty.

        Pulmonary renal pathogenesis: pulmonary primary a gas, and can lose cloth subtle to water body. Lung is golden, golden water, Chai Songyan in kidney from lung hands at the same time, the commonly used straight ladybell, lily profit lung nourishing Yin, start the kidney water; With radix stemonae, honeysuckle, almonds, fritillary bulb, clearing lung heat, lung qi, the hair thicker in patients with polycystic ovary syndrome (such as lip weeks CuiMao thick long hair better, areola), steatorrhea or rough skin, etc have obvious therapeutic effect.

        Spleen and kidney together cure: the postnatal spleen, kidney Yang in wander, participate in the metabolism of body fluid, completion of operation, the qing, in the heart red the hemopoietic function. Mature follicle number and cannot discharge, it is because of wet sex gooey, block qi activity. Chai Songyan often choose YiRenMi, wax gourd peel, poria cocos, pinellia tuber, platycodon grandiflorum, perrin, selfheal, fritillaria, etc. The spleen qushi, phlegm fights, and ZhuoJia kidney and Yang, or of the tong Yang wen is tasted, can make the patients with ovulation function gradually recovered and won the good curative effect.

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