原发性痛经是妇科常见的疾病,目前西医治疗以口服非甾体抗炎药为主,但由于其胃肠道和中枢系统的不良反应,临床应用受到限制。温经汤为中医临床常用的传统方剂,具有温经散寒、养血祛瘀的功效。现代多项研究发现,温经汤治疗寒凝血瘀型原发性痛经,可调节内分泌水平,降低子宫动脉血流阻力,减轻机体炎症反应,疗效确切。本文主要从温经汤方解、治疗原发性痛经的作用机制研究、临床应用研究等方面进行综述。Primary dysmenorrhea is a common disease in gynecology. At present, oral non-steroidal anti-inflammatory drugs are the main treatment in Western medicine, but their clinical application is limited due to the adverse reactions of gastrointestinal tract and central system. Wengjing Tang is a traditional prescription commonly used in TCM clinical practice. It has the effect of warming the meridian, dispelling cold, nourishing blood and removing blood stasis. A number of modern studies have found that the treatment of cold coagulation and blood stasis type primary dysmenorrhea, Wenjing Tang can adjust the endocrine level, reduce the resistance of uterine artery blood flow, reduce the inflammation of the body, the effect is accurate. In this paper, the author mainly reviewed the treatment of primary dysmenorrhea, including the aspects of warm Jing decoction, mechanism of action, and clinical application.
盆腔炎性疾病后遗症是指发生在女性上生殖道的慢性感染性疾病,常累及子宫内膜、输卵管、卵巢甚至盆腔腹膜处,造成盆腔反复疼痛、发热甚至不孕等后果。对于盆腔炎性疾病后遗症的治疗,西医往往依靠抗生素,久之易形成耐药,同时对于慢性盆腔疼痛的疗效有限,物理治疗有着依从性差的问题,手术治疗也有着易复发、易粘连等缺点。近年来中医药在盆腔炎性疾病后遗症的治疗上逐渐占据优势,中药、针灸、直肠给药、熏洗、穴位注射、离子导入等治疗方法疗效显著,具有复发率低、预后较好、经济便捷、依从性好等优点,对盆腔炎性疾病后遗症的康复及预后有明显的帮助,具有越来越广阔的应用和科研前景。The sequelae of pelvic inflammatory diseases refer to chronic infectious diseases that occur in the female upper reproductive tract, often involving the endometrium, fallopian tubes, ovaries and even pelvic peritoneum, resulting in recurrent pelvic pain, fever and even infertility. For the treatment of sequelae of pelvic inflammatory diseases, Western medicine often relies on antibiotics, which can easily lead to drug resistance over time. At the same time, the therapeutic effect on chronic pelvic pain is limited, physical therapy has poor compliance, and surgical treatment also has disadvantages, such as easy recurrence and adhesion. In recent years, traditional Chinese medicine has gradually occupied an advantage in the treatment of pelvic inflammatory disease sequelae. Traditional Chinese medicine, acupuncture and moxibustion, rectal administration, fumigation, acupoint injection, iontophoresis and other treatment methods have significant effects, with low recurrence rate, good recovery, economic convenience, good compliance and other advantages. They have obvious help for the rehabilitation and prognosis of pelvic inflammatory disease sequelae, and have more and more broad application and scientific research prospects.
