(1) The premenstrual period is said to be premenstrual if the menstrual cycle is advanced by more than 7 days, or even16 ~17. Traditional Chinese medicine often calls it "premenstrual", "premenstrual" and "premenstrual". Its pathogenesis is often due to weak temper and weak fixation; Or kidney qi is not solid; Or liver stagnation and blood heat; Or yin deficiency forcing blood to flourish. Two songs, such as Jieyin Liangxue Decoction, are selected.
1.Zhiqin Pre-drinking Medicine consists of Scutellaria baicalensis Georgi and Fructus Gardeniae each 10g, Radix et Rhizoma Rhei preparata and Cimicifugae Rhizoma each 1g, Radix Ophiopogonis and Radix Paeoniae Alba each 12g, Poria cocos 15g and Alismatis Rhizoma 9g.
The treatment method is decoction. Start taking medicine on the fifth day after menstruation is clean, and add 7 ~15 doses. If you have menstrual cramps during taking the medicine, you should stop taking the medicine. Continue to take medicine on the fifth day after menstruation is clean. Can be taken continuously for 3 menstrual cycles. During medication, you must avoid irritating food.
Efficacy is mainly used for clearing away heat and purging fire, regulating blood and consolidating menstruation. Indications: Premenstrual period.
Clinical application in this group 1 16 patients. The menstrual cycle is ahead of the normal cycle by more than 1 week, or accompanied by more menstrual flow, purple color and thick texture; Or the amount is more or less, the color is purple and red, and there is a blood clot; Or a small amount, red color, sticky quality, or accompanied by a large amount of leucorrhea, yellow color and foul smell. Among them, 42 were unmarried and 64 were married. The oldest is 46 years old, and the youngest is 13 years old. The shortest course of disease is half a year, and the longest is 19 years. Twenty-five cases were cured after taking pre-drinking (taking 7 doses, the menstrual cycle and volume turned normal and there was no recurrence within 1 year); 77 cases showed significant effect (taking medicine1~ 3 menstrual cycles, the menstrual cycle turned normal, and there was no recurrence within 3 months); 4 cases were invalid. Among them, *** 102 cases were effective, accounting for 96.2%; 4 cases were ineffective, accounting for 3.8%. The follow-up time was from 6 months to 1 year after treatment.
Experience shows that the main pathogenesis of this disease is due to heat in blood, or qi deficiency leading to unstable chong and ren. In clinic, it is more common to have heat in blood. Scutellaria baicalensis Georgi, Gardenia jasminoides Ellis, rhubarb and Alisma orientalis in the prescription clear away heat and purge fire, so that heat can flow out from the stool. Ophiopogon japonicus and Radix Paeoniae Alba nourish the yin and soften the liver, so that the heat will go away and the yin will not hurt. Cimicifuga rhizome, Poria cocos, Yang-invigorating and spleen-strengthening, and the principle of treating the lower one is taken. The whole prescription focuses on clearing away heat and purging fire, removing blood from heat for self-security, calming blood for self-consolidation, and consolidating menstruation for self-regulation. This prescription is cool and moist, and it is not suitable for anyone with qi deficiency type premenstrual. This prescription also has good curative effect on premenstrual caused by upper contraceptive ring.
The prescription comes from Ma Juhua. Observation on the curative effect of "Xianchiyin" in the treatment of 106 cases of premenstrual. journal of traditional chinese medicine, Zhejiang, 1988, (7,): 304.2. Composition of Ziyin Liangxue Decoction ① Basic prescriptions: Radix Rehmanniae, Radix Scrophulariae, Radix Paeoniae Rubra and Shixiaosan (package) each1.
② Changes of addition and subtraction: due to yin deficiency, Ophiopogon japonicus and Radix Glehniae were added; Combined with qi deficiency, Radix Codonopsis, Cimicifuga charcoal and Herba et Gemma Agrimoniae are added; Combined with blood stasis, add madder charcoal, etc. Qi stagnation, fragrant and charcoal; For those with deficiency cold, add processed ginger charcoal, wormwood charcoal and kitchen soil; And real heat, increase yellow charcoal, stir-fry Sophora japonica; For those with excessive menstrual flow, add panax pseudo-ginseng (swallow).
⑧ Consolidation treatment: During the period of clean menstrual blood: for those with yin deficiency and blood heat, take Liuwei Dihuang Pill and Erzhi Pill; Partial qi deficiency, taking Guipi Pill and Erzhi Pill; Partial kidney-yang deficiency, take Jinkui Shenqi Pill and Erzhi Pill. Pre-menstrual period: generally, in advance 1 week, the above basic prescriptions are still used to treat the symptoms. Continuous treatment for 3 menstrual cycles, during this period, the treatment focuses on the root cause, in order to recover.
Treatment method: decoct in water, daily 1 dose, morning and evening, and tell patients to pay attention to diet caution, such as longan, pepper, alcohol and other foods that are too spicy and warm, so as not to affect the curative effect of the drug.
Indications: nourishing yin, cooling blood, promoting blood circulation and removing blood stasis. Indications: menorrhagia, premenstrual and prolonged menstruation.
Clinical application showed that 60 cases in this group were cured in 5 1 case (metrorrhagia 19 cases, premenstrual 12 cases, menorrhagia 12 cases and prolonged menstrual period in 9 cases). Markedly effective in 8 cases (metrorrhagia in 6 cases and menorrhagia in 2 cases); Invalid 1 case (the right ovarian cyst was found in gynecological reexamination, and surgery was used instead).
Clinical experience shows that the above four kinds of blood diseases are different, but the pathogenesis of imbalance of chong and ren and flourishing of qi is the same. Therefore, there is no difference in treatment. In principle, "if you are urgent, treat the symptoms", it is advisable to cool the blood, and if you are cold, the fire will drop, so as to make the blood level. However, if you are too cold, blood coagulation will easily become a disadvantage, so don't forget to take blood. "Slow is the root cause", nourishing yin is appropriate, yin is sufficient, and blood syndrome can be recovered. Nourishing yin and cooling blood, tonifying deficiency and purging excess, giving consideration to both symptoms and root causes, and stopping yin and restoring blood. Continue to cut, beware of spicy, warm and dry products In this way, the four blood syndromes "treat different diseases at the same time" have achieved remarkable results.
Prescription source Zhou Zhidong. Nourishing yin and cooling blood drugs are mainly used to treat 60 cases of four common blood syndromes in gynecology. Shanghai Journal of Traditional Chinese Medicine, 1987, (4):17. (2) Late menstruation is called "late menstruation" when the menstrual cycle is delayed by more than 7 days or even 40-50 days. Traditional Chinese medicine literature is also called "late menstruation", "backward menstruation" and "late menstrual period". It is often related to the deficiency of qi and blood, yin and yang, qi stagnation and blood stasis, phlegm resistance and so on. This paper introduces the modified Wenjing decoction 1 head for reference.
1.Modified Wenjing Decoction comprises15g for Radix Angelicae Sinensis, Radix Ophiopogonis and Radix Codonopsis,12g for Radix Paeoniae Alba, Rhizoma Chuanxiong, Jiang Banxia, Cortex Moutan and Colla Corii Asini (melted),10g for Ramulus Cinnamomi and Fructus Evodiae, 6g for Radix Glycyrrhizae Preparata, and ginger and Colla Corii Asini.
Changes of addition and subtraction: hematoxylin, prepared myrrh each10g, motherwort15g were added to patients with abdominal pain during menstruation; For belching, abdominal distension and breast distension, green tangerine peel and orange leaf10g, and whole fructus trichosanthis15g are added; Eucommia ulmoides Oliv. and Dipsaci Radix15g for lumbago patients; White lentils and plantain seeds15g, keel and oyster10g are added for patients with leukorrhagia.
The treatment method is to take 3 ~ 4 doses after menstruation for about 2 weeks, decocted in water, and taken daily 1 dose.
Efficacy is mainly used to warm uterus and dispel cold, regulate qi and promote blood circulation, nourish blood and regulate menstruation. Indications: late menstruation.
Clinical application: 40 cases in this group, 30 cases were married, and 30 cases were female 10. The youngest. 16 years old, the oldest is 58 years old; The shortest menstrual cycle is 8 days and the longest is 90 days. After treatment, 28 cases were cured, 7 cases were markedly effective, and 3 cases were ineffective (2 cases did not insist on treatment). 32 cases were cured after taking medicine for 2 cycles, and 6 cases were cured after taking medicine for 3 ~ 4 menstrual cycles. Take the least 6 doses and the most 15 doses.
Experience shows that this disease is mostly caused by blood cold, blood deficiency, blood stasis and qi stagnation. Most patients have abdominal cold pain, infertility and other symptoms, so this prescription is effective. The time of taking medicine depends on the menstrual cycle and biological clock. Generally, the medicine is taken about two weeks after menstruation, daily 1 dose, and the effect is the best.
The prescription comes from Li Dexin, et al. Wenjing Decoction is used to treat 40 cases of late menstruation. Henan TCM, 1988, (6): 24. (3) The irregular menstruation is called "irregular menstruation". Traditional Chinese medicine literature is also called "before or after menstruation" and "after menstruation". It is mostly related to factors such as deficiency of kidney-qi, stagnation of liver-qi and spleen deficiency. This paper introduces the experience of treating this syndrome 1 head.
1.The medicine of Hanliang Zhibeng Decoction consists of Scutellaria baicalensis Georgi, Radix Paeoniae Alba and cuttlefish bone each 10g, Radix Rehmanniae, Eclipta prostrata and Lalang Grass Rhizome each 15g, and Cortex Moutan, Xueyu and Radix Rubiae each 6g.
In the treatment, Scutellaria baicalensis Georgi, Radix Paeoniae Alba and cuttlefish bone should be lightly fried except fresh ones (dry ones are also acceptable). Stir-fried madder root, blood residue and cortex moutan. Soak the herbs in water for 30 minutes, and then boil them twice on fire. Take 1 dose daily, divided into three times. Those who are seriously ill can take two doses a day.
Efficacy is mainly used to clear heat, cool blood, and stop bleeding. It is suitable for irregular menstruation, or menstrual disorder, or continuous menstruation, bleeding, or dripping.
Clinical application of this prescription is the experience prescription of Li Peisheng, a famous Hubei doctor, to stop the collapse. It is quite effective in clinic. For example, jane doe, 30 years old, is suffering from profuse bleeding, spotting all over his body, epistaxis, fever, upset, dry mouth, rapid pulse and red tongue. After taking 3 doses above, the menstrual blood gradually stopped, and taking 6 doses, all the symptoms were removed and later occurred.
Experience shows that this prescription is indeed reliable in clinical practice for patients with yang deficiency and blood heat. Its adaptation symptoms are fresh blood, upset and dry mouth, restless night sleep, red tongue and yellow fur. Decoction of Radix Rehmanniae and Radix Paeoniae Alba for cooling blood, nourishing yin and nourishing zi; Scutellaria baicalensis Georgi, Eclipta prostrata, Cortex Moutan and Rhizoma Imperatae were washed with water to stay warm and cool blood to stop bleeding; After blood stasis, cuttlefish bone and Radix Rubiae parched black to stop bleeding have the function of removing blood stasis and blood. Artemisia annua and Cynanchum atratum can be added in case of fever due to blood heat. Amomum villosum and Rhizoma Cyperi can be slightly added for abdominal pain to relieve depression and promote qi circulation; In order to strengthen the effect of nourishing yin and stopping bleeding, Ejiao10 ~15g can be added for chronic disease and bleeding.
The prescription comes from Li Peisheng, a famous doctor's prescription-Hanliang Zhibeng Decoction, journal of traditional chinese medicine, 1988, (6): 48.2. The medicinal composition of Liangdi Tiaojing Decoction is Radix Rehmanniae 15g, Cortex Lycii, Radix Scrophulariae 12g, Cortex Moutan, Radix Paeoniae Alba, Cortex Phellodendri, Radix Ophiopogonis and Colla Corii Asini.
Changes of addition and subtraction: Pollen Typhae 10g and Salvia Miltiorrhiza12g were added for patients with blood heat and blood stasis; Go to Eclipta prostrata and add Leonurus japonicus10g for those with low blood fever; Stir-fried jujube kernel 10g for those with excessive heart fire.
Treatment method: decoct in water and take orally, 1 day 1 dose, and take it warm twice.
Efficacy is mainly used for clearing heat, nourishing yin, cooling blood, consolidating menstruation and stopping leakage. Indications: menstrual disorder and leakage caused by uterine blood heat; Or the syndrome of early menstruation, large initial volume and continuous dripping.
Clinical application of this prescription in treating menopausal menstrual disorder and missed syndrome 1 1 case, cured 1 case, improved1case, generally 6 doses. Patients with missed syndrome should continue to be treated for 3 ~ 4 months after their condition improves, and take medicine before or after menstruation every month. This prescription treats 23 cases of premature menstruation, cured 19 cases, effective in 3 cases, and improved 1 case. Generally, it treats 3 menstrual cycles, and takes 3 ~ 6 doses before and after menstruation.
The experience shows that this recipe is made by imitating Fu Qingzhu Qingjing Powder and the decoction of two places, and the key to its application lies in the blood heat in the cell. It is especially suitable for those with menstrual disorder and long menstrual period before and after menopause. You need to flirt during the treatment.
The prescription comes from Qin Jiatai. Liangdi Tiaojing Decoction. Guangxi Traditional Chinese Medicine, 199 1, (6): 261.3. Dahuang Tiaojing Decoction consists of rhubarb charcoal, radix rehmanniae, radix rehmanniae Preparata, Rhizoma Cyperi preparata, Poria, Atractylodis Rhizoma, Morinda officinalis and fried Sanguisorba officinalis/kloc.
Treatment method: decoct in water, daily 1 dose, and take it warm for three times. Take 2 ~ 6 doses every time at the onset of the disease as 1 course of treatment, and take it for 2 courses continuously.
Efficacy is mainly used for promoting qi circulation, promoting blood circulation, benefiting qi, tonifying kidney and regulating menstruation. Indications: Irregular menstruation after IUD release.
Clinical application of this group of 220 cases, all have a history of IUD release, normal menstruation before IUD release, menstrual cycle advanced or delayed by more than 7 days after IUD release, or 1 menstrual blood loss > 80ml, or more than 7 days after menstruation, or pain in the back and abdomen before and after menstruation and even affecting work. Syndrome differentiation of traditional Chinese medicine can be divided into three types: qi stagnation and blood stasis in the pulse, blood stasis in the uterus, and pathogenic heat accumulating in the cell. Randomly divided into Dahuangtiaoji decoction group and control group (syndrome differentiation treatment group) 1 10 cases each. Dahuang Tiaojing decoction group was treated with fixed prescription; In the control group, Chaihu Shugan Powder was used as the main prescription, and it was modified according to different syndrome differentiation (taking method and course of treatment were the same as Dahuang Tiaojing Decoction group). Results: Both groups have good curative effect. Among them, 78 cases (70.9%) were cured, 22 cases (20%) were markedly effective, 7 cases (6.4%) were improved and 3 cases (2.7%) were ineffective in Dahuang Tiaojing Decoction group. In the control group, 64 cases (58.2%), 2 1 case (19.1%), 15 cases (13.6%) and 10 cases (9. Compared with the curative effect of the two groups, the curative effect of Dahuang Tiaojing Decoction group was obviously better than that of the control group (P < 0．05）。
Experience Some women often have irregular menstruation after IUD release. Internal resistance of blood stasis and failure of new blood to return to menstruation are the main pathogenesis of this disease, such as menorrhagia and prolonged menstrual period, which are characterized by bleeding. Chaihu Shugan Powder, combined with syndrome differentiation and addition and subtraction, has a good effect. On this basis, after years of exploration, Dahuang Tiaojing Decoction was developed, and the curative effect was obviously improved. Because this prescription can be applied to all syndromes of this disease, it is convenient for clinical use. Stir-fried rhubarb in the prescription has the effects of purging fire, cooling blood, promoting blood circulation and stopping bleeding. At the same time, it is combined with products of promoting blood circulation, stopping bleeding, benefiting qi and tonifying kidney, which can treat both the symptoms and root causes and reinforce the diarrhea, so it has good effects.
The source of prescription is Liu Zhengqiu. Clinical observation of Dahuang Tiaojing decoction in treating irregular menstruation 1 10 cases after releasing IUD. journal of traditional chinese medicine, 199 1, (8): 30.