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全生讲中医 (18)—更年期综合症的中医防治(8/24/2011)

更年期是妇女一生中必经的阶段,它是指妇女从有生育能力过渡到无生育能力的过程,包括绝经前期、绝经期、绝经后期,统称也叫围绝经期.  更年期期间,由于妇女卵巢功能的衰退、激素分泌水平下降,可引起身体和心理的一系列变化,如潮热、、烦躁、睡眠不好、关节疼痛及性欲下降等症,这些症状统称为更年期综合症
 
女性生理的绝经期是45~55岁。在绝经前后2~4年有二分之一女性出现更年期综合症。妇女的更年期可长达20年或20余年。在这个过渡时期中,大部分妇女被一系列的轻或重的症状所困惑。重者使本人很痛苦,家庭和社会都感到患者在情绪上和行为上的变化,影响人际关系和正常生活。
 
更年期综合症主要症状 :月经紊乱、阵发性潮热、外阴及阴道萎缩、腰骶部疼痛、忧虑、多愁、多疑、头痛、头晕、心悸、出汗、失眠等。严重者还可引发心血管疾病、萎缩性尿道炎、阴道炎、骨质疏松、骨折、肥胖症及老年性痴呆等病. 进入更年期后,短期症状得不到及时治疗就会对身体造成长期影响和损坏.
 
男性更年期由睾丸功能退化所引起的。而睾丸的退化萎缩是缓慢渐进的,性激素分泌减少也是缓慢的,精子的生成在更年期也不完全消失。而男性更年期来得较晚,出现的时间很不一致,发病年龄一般在55-65岁左右,临床表现轻重不一,轻者可没有感觉,重者反应较明显.常见的临床表现有注意力不集中,记忆力、应变力均较差,处理事情优柔寡断,陷于悲伤、焦虑、猜疑、偏执、烦恼状态中,自觉体力不支,需求更多的休息才能应付日常工作;性欲、性反应、性能力持续减弱,性交不应期延长,精液量减少,精子质量下降,有时出现阳痿、早泄;头晕耳鸣、失眠多梦、食欲不振、大便秘结或稀溏,小便短少或清长等多脏腑功能失调的症状。
 
更年期综合症是一个包括了全身各系统、各器官由生理状态逐步发展到病理状态的过程。因此把一个全身性的病态表现分割成一组组的症状来治疗,效果肯定不佳。而从整体观出发,是中医治疗疾病的优势。
 
更年期综合症在中医学亦有称“经断前后诸证”。多因妇女将届经断之年,先天肾气渐衰,任脉虚,太冲脉衰,天癸将竭,导致机体阴阳失稀,或肾阴不足,阳失潜藏;或肾阳虚衰,经脉失于温养而出现一系列脏腑功能紊乱的症候。症见月经不调,颜面潮红,烦躁易怒或忧郁,头晕耳鸣,口干便燥等,为肾阴虚证;若症见月经不调,面白神疲,畏寒肢冷,腰脊酸痛,阴部重坠,纳呆便溏,为肾阳虚症;若月经不调,兼见颧红面赤,虚烦少寐,潮热盗汗,腰膝酸软,头晕心悸、血压升高等,为肾阴阳俱虚。
 
因此在治疗时,以补肾气、调整阴阳为主要方法。具体用药时又要注意,清热不宜过于苦寒,祛寒不宜过于辛热,更不要随便用攻伐的药物。北京中医药大学名老中医程士德教授,全国百名名老中医之一,积70余年临床经验,对关节痹痛、咳嗽、胃脘痛、闭经、、不孕不育、失眠、抑郁等精神情志失调性疾病和过敏性疾病等疑难杂证有丰富的理论和经验。作者有幸跟随程老坐诊三年,根据临床辨证分型,采用不同方药,治愈很多 病人。针灸对于更年期综合症的防治,疗效很好。但需根据辩证,采用不同组穴,方可取得满意效果。
 
对于轻型的,不需药物治疗,使她们了解更年期的保健知识,消除无谓的顾虑和恐惧,树立乐观主义精神,正确对待更年期的一些反应。同时,积极参加一些适当的体育锻炼,如跑步,散步,体操,气功,太极拳等。通过以上这些活动可使症状减轻或消除。
  
几首小方,对更年期综合症有帮助。甘麦饮:小麦30克,红枣10枚,甘草10克,水煎。每日早晚各服1次。适用于绝经前后伴有潮热出汗、烦躁心悸、忧郁易怒、面色无华者。莲子百合粥:莲子、百合粳米各30克同煮粥,每日早晚各服1次。适用于绝经前后伴有心悸不寐、怔忡健忘、肢体乏力、皮肤粗糙者。杞枣汤:枸杞子、桑椹子、红枣各等份,水煎服,早晚各1次;或用淮山药30克,瘦肉100克炖汤喝,每日1次。适用于更年期有头晕目眩、饮食不香、困倦乏力及面色苍白者。
 
下期敬请关注神经衰弱的中医防治. 更多全生讲中医, 敬请访问卢全生中西医结合博士的网站www.wholelifeherb.com,或直接拨打中文热线电话301-919-9898, 301-340-7682约诊. 全生中医针灸医疗中心地址:  416 Hungerford Dr, Suite 215, Rockville, MD 20850 (1个街区到Rockville地铁站,免费停车). 9801 Georgia Ave, Suite 337, Silver Spring, MD 20902 (2分钟走到Forest Glen 地铁站).

13 Comments to 全生讲中医 (18)—更年期综合症的中医防治(8/24/2011):

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