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全生妇科十讲2: 月经不调(9/21/2011)

       月经不调,是一种常见的妇科疾病。主要是指妇女的月经周期、经量、经色、经质发生异常改变,包括月经先期、月经后期、月经过多、月经过少,甚至闭止,并连续超过三个周期者。月经不调已经成为社会和医学界关注的一个热点。尤其是近几年,这种现象更为普遍,由于生活压力、生育、流产等原因,很多女性刚过30岁就开始出现月经不调。
 
         本病多因寒冷、疲劳、精神刺激和一些全身性疾病,导致体内雌激素分泌失调,自主神经功能紊乱所致。病因可能是器质性病变或是功能失常。许多全身性疾病如血液病、高血压病、肝病、内分泌病、流产、宫外孕、葡萄胎、生殖道感染、肿瘤(如卵巢肿瘤、子宫肌瘤)等均可引起月经失调。
 
            月经失调表现为月经周期或出血量的紊乱, 有以下几种情况:不规则子宫出血,或功能性子宫出血,或绝经后阴道出血,或闭经。月经异常表现或并发其它症状,如痛经等。少数妇女在月经前出现的一系列异常征象,如精神紧张、情绪不稳定、注意力不集中、烦躁易怒、抑郁、失眠、头痛、乳房胀痛等经前期综合征,多由于性激素代谢失调及精神因素引起。
 
         中医认为本病有内伤和外感两个方面。内伤以精神因素为主,外感以感受寒、热、湿邪为主,再由机体冲任不足、脏腑气血失调,导致月经失调诸证。月经先期是指月经周期提前七天以上,多因肝郁化火,血热妄行及脾不统血所致。月经后期是指月经周期延后七天以上,多因寒凝气滞,气血不足所致。月经先后无定期是指月经不按周期来潮,或先或后,超出7天以上,多为肝郁气滞,肝肾亏损所致。月经过多是指月经周期正常,而经量过多,或经行时间延长而量亦增多,多因血热、脾虚所致。月经过少是指月经周期正常,经量过少,或经行时间缩短而经量亦少,多为血虚、寒凝所致。
           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。下面抄录当时作者跟随程老坐诊时病例一则.
        一刘姓女子,25岁,贵州人。症见经行痛经,月经不调,手足有时冷,有时汗出,小腹冷,睡眠差。程老根据辨证,方药如下:柴胡10g,白芍20g,枳实10g,桂枝10g,吴萸10g,元胡10g,干姜10g,香附10g,益母草30g,艾叶15g,细辛3g,炒枣仁30g,炙甘草10g。
        针灸对于月经不调的防治,疗效很好。但首需辨别寒热虚实;然后根据兼症,采用不同组穴,方可取得满意效果。
        另外,几首小方,对治疗月经不调有帮助。1. 大枣20枚,益母草10克,红糖10克,加水炖饮汤,每日早晚各1次。适宜于经期受寒所致月经后延,月经过少等症。2.  当归、生姜各10克,羊肉片100克,加水同煮,熟后加盐,饮汤食肉。适宜于月经后延、量少、腹冷痛等症。3. 鸡蛋2个,益母草30克,将鸡蛋洗净,同益母草加水共炖,蛋熟后去壳再煮20分钟,吃蛋饮汤。适宜于瘀血阻滞所致的月经过少,月经后延症。
  
     下期敬请关注全生妇科十讲3: 子宫肌瘤. 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. 或 9801 Georgia Ave, Suite 337, Silver Spring, MD 20902
 

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