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试论产后“多虚多瘀”之内涵 被引量:25

On the Connotation of Puerperal "Susceptibility to Deficiency and Stasis"
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摘要 在充分肯定产后“多虚多瘀”观点的基础上 ,进一步提出虚者为气虚、瘀者为血瘀之内涵 ,气虚血瘀具有密切相关性。气虚血失固摄则致产后恶露不绝 ,出血又致气随血泄 ,形成气虚血虚的恶性循环 ,引发产后血晕等虚证。新产后余血浊液经阴道从子宫排出 ,此血属离经之血 ,此瘀血不去 ,则新血妄行 ,停而成瘀 ,瘀血又致产后腹痛、产后发热等实证 ,成为第二个恶性循环。因此 ,气虚血瘀为产后病的主要病因病机 ,补气化瘀则为产后病的主要治疗原则。 On the basis of thorough confirmation of the view puerperal 'susceptibility to deficiency and stasis', the author further puts forward that deficiency means qi deficiency; stasis blood stasis as the connotation, and that qi deficiency and blood stasis are mutually related. Qi deficiency fails to keep normal blood circulation, giving rise to puerperal prolonged lochia. While bleeding causes discharge of qi with blood, forming the unfavourable circulation of qi deficiency and blood stasis This may further lead to puerperal blood syncope, etc. The neopuerperal residue of blood and turbid liquid is dischaged from the vagina via the uterus. This blood may form blood stasis,forces new blood to circulate abnormally and form new blood stasis, causing sthenia syndromes like puerperal abdominalgia and fever as the the second unfavourable circulation. Therefore, qi deficiency and blood stasis are the main causes and pathogenesis of puerperal diseases. Invigorating qi and removing blood stasis are the main therapeutic principles.
机构地区 陕西中医学院
出处 《陕西中医学院学报》 2004年第4期9-10,共2页 Journal of Shaanxi College of Traditional Chinese Medicine
关键词 产后病 病因病机 多虚多瘀 气虚血瘀 puerperal diseases causes of disease and pathogenesis susceptibility to dificiency and stasis: qi deficiency and blood stasis
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