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全生妇科十讲3: 子宫肌瘤(9/27/2011)

     子宫肌瘤,又称子宫平滑肌瘤,是女性生殖器最常见的一种良性肿瘤。多无症状,少数表现为阴道出血,腹部触及肿物以及压迫症状等,以多发性子宫肌瘤常见。据相关统计资料表明,育龄妇女中有20%~25%的人患有该病。这种病常见于30-50岁的中年妇女,不孕的妇女尤为多见。本病确切病因不明,可能与体内雌激素水平过高,长期受雌激素刺激有关。
 
       多数患者无明显症状,仅于盆腔检查时偶被发现。若出现症状,与肌瘤的部位、生长速度及肌瘤有无变性等关系密切。最常见的症状为月经不调,表现为月经周期缩短、经量增多、经期延长、不规则阴道流血等; 腹部胀大,下腹扪及肿物,伴有下坠感;白带增多;如发生蒂扭转或其他情况时可引起疼痛;肌瘤可压迫膀胱、尿道或直肠,引起尿频、排尿困难、尿潴留或便秘;肌瘤压迫输卵管使之扭曲,或使宫腔变形以致妨碍受精卵着床,导致不孕;若患者长期月经过多可导致继发性贫血,出现全身乏力、面色苍白、气短、心慌等症状。
 
      中医认为,子宫肌瘤的形成与正气虚弱,气血失调有关。或由经期产后,内伤生冷,或外受风寒,或郁怒伤肝,肝气郁结,或忧思伤脾,气虚血滞,或积劳积弱, 气弱而不行所致。常以气滞血瘀,痰湿内阻等因素结聚而成,而正气虚弱为形成本病的主要病机. 后期则形成正气虚,邪气实,虚实错杂之痼疾。根据本病气血失调的特点,治疗时应辨清病变是在气、在血,新病还是旧病的不同。病在气则理气行滞为主,佐以理血;病在血则活血破瘀散结为主,佐以理气。新病正气尚盛,可攻可破;久病正衰,宜攻补兼施。但大凡攻伐,宜“衰其大半而止”,不可猛攻峻伐,以免损伤元气.
 
        
           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。作者跟随程老坐诊时,采用疏肝行气,活血散结,健脾益气,补益肝肾等法,治愈诸多子宫肌瘤病例.
        针灸对于子宫肌瘤的防治,疗效很好。针灸治疗子宫肌瘤的早期报道,见于50年代中期,在60年代初还出现过百例以上大样本的观察。现代针灸对于子宫肌瘤的治疗,更为普遍。在治疗上,应用体针为主,配合耳针,效果显著。
 
        对于疾病的防治,正确的心态至关重要。对于子宫肌瘤病人,须摆正心态,以乐观的心态面对人生,面对疾病。防止过度疲劳,经期尤须注意休息;多吃蔬菜、水果,少食辛辣食品;多吃含蛋白质、维生素丰富的食物。如果月经量过多,要多吃富含铁质的食物,以防缺铁性贫血。如果发现子宫肌瘤,一般应3-6个月复查一次,如肌瘤增大明显,出血严重,则应进行手术治疗。
 
         另外,几首小方,对治疗子宫肌瘤有帮助。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。适宜于经寒型子宫肌瘤所致月经后延,月经过少等症。2. 银耳藕粉汤:银耳25g,藕粉10g,冰糖适量。 用法:将银耳水发后加适量冰糖炖烂,加入藕粉冲服,每日1次。适应证:子宫肌瘤引起月经过多,久不止血,血色鲜红,烦躁不寐等症,可止血、除湿、清热。
 
       下期敬请关注全生妇科十讲4: 不孕症. 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301-340-7682,301-919-9898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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