Experience in treating menstrual disorders

Menstrual disease is the main evidence of gynecology, the ancients said: “Women’s disease, the same as men, but the fetus, maternity, menstrual regulation and men are different, the treatment is particularly difficult, a period is not regulated, there is a blockage ……. All kinds of changes are due to the irregularity of menstrual flow”, so the regulation of menstruation is often a prerequisite for the treatment of other miscellaneous symptoms in women. Mr. Kong Sibe is the son of Mr. Kong Bohua, the first of the four famous doctors of Chinese medicine in old Beijing, more than 50 years of medical practice, clinical live countless people, in the gynecological identification of a family, this article to organize and study his experience in the treatment of menstrual disease, will help the development of clinical identification of Chinese medicine ideas. 1, identification Qibo said: the woman seven years old kidney Qi Sheng, teeth more hair growth, two seven and the day sebum to, Ren vein through, Tai Chong vein Sheng, menstruation to time down. The Confucian master believes that the main menstrual disease is in the punching of any, the original in the liver and kidney, the “Jing” cloud: “two yang of the disease of the heart and spleen, there can not be hidden curve, women do not moon”, emotional and mental disorders, liver depression, is a common cause of menstrual disease. The spleen is the essence of the postnatal period, ascending clear and descending turbid, echoing the function of the uterus to hide the diarrhea, and a deficiency of the spleen will easily produce phlegm and dampness, and phlegm and dampness will contain heat and depress the blood, which will also easily lead to menstrual changes. Therefore, menstrual diseases are identified in the liver, spleen, and kidney, and the common pathogenesis is liver and kidney deficiency, dampness and heat in the blood, and stagnation of qi and blood. In the case of menorrhagia, the deficiency and reality are regulated together, the symptoms are treated together with the root cause, and the underlying Yang is mediated, and charcoal is used. According to Confucius, the pathogenesis of collapse is more due to fire and less due to cold, and there is also a difference between deficiency fire and actual heat, while the actual evidence is more due to damp-heat in the blood, but it is often due to deficiency that causes evil. The ratio between the use of deficiency and diarrhea is often the key to diagnosis and treatment. The reason why the blood is delusional is that the dragon and thunder phase fires are inappropriately drained. He also makes good use of charcoal medicine to treat both the symptoms and the root cause, such as blood heat with Diyu charcoal and Phellodendron charcoal, blood stasis with Blood Yu charcoal, Xi Cao charcoal, Pu Huang charcoal, and kidney benefit with Du Zhong charcoal. For those who have been ill for a long time and have a deficiency of qi and cannot take in blood, add Shengma and Chaihu as appropriate to raise Yang and lift traps. Menorrhagia: “The Golden Horoscope” said: “Women’s disease, because of the deficiency of cold gas, as evidence of the menstrual water cut off, to have a calendar year, blood cold accumulation of the cell door, cold injury meridians, 36 diseases, thousands of changes. The common causes of gynecological amenorrhea are summarized. For its pathogenesis, the Su Wen said: the menstruation does not come, the cellular vein is closed. The “Cellular Vessel” belongs to the heart and is connected to the cell. Now the gas is forced on the lungs, the heart is not allowed to pass down, so the menstrual events do not come. Also said: two Yang’s disease, the heart and spleen, there is no hidden curve, women do not month, its transmission for the wind elimination, for the interest Ben, death is not treated. Although menorrhagia has blood stagnation, blood withered, Kong Shi clinical evidence of menorrhagia due to cold blood deficiency in the uterus less, identified as qi stagnation, blood stasis, blood damp heat stagnation for more, especially for the body abundance of menorrhagia, there is like Danxi said “phlegm downstream plug in the cell door”, blood withered because of the evil Qi Sheng and fluid depletion, still focus on eliminating evil, but also heavy liver and kidney punch, not just attack The clinical use of medicine is to regulate qi, clear heat, resolve dampness, channel phlegm, expel blood stasis, and break up knots, while regulating the flushing of the body and benefiting the liver and kidney. Commonly used drugs are Yu Jin, Rose Flower, Qing Chen Pi, Slippery Rock, Fa Xia, Hou Pu, Tao Ren, Safflower, Hua Rui Shi, San Ling, Curcuma, etc. Infertility: Miao Zhong Chun is mainly for wind and cold attacking the uterus; Zhu Dan Xi is mainly for the heat in the Chong Ren, and in fat women, the main fat membrane is blocking the cell; Zhang Zi He is mainly for the real phlegm in the cell; Chen Liang Fu said that those who have not given birth for 20 to 30 years must have accumulated blood in the cell, and the main is to drown the cell soup. In recent years, most doctors treat infertility with kidney deficiency, mainly by nourishing the liver and kidney and replenishing qi and blood. The main treatment of infertility by Confucius focuses on eliminating evil, mainly regulating qi, resolving dampness and clearing the orifice, and not just nourishing the kidneys. 2.Therapeutic use of medicine Treatment of the liver must be soft and nourishing its body, soothing its nature can be, soothing liver qi Kong Shi likes to use Yu Jin, Buddha’s hand, green peel, nourishing the body of the liver and kidney, adhering to the same source of liver and kidney, commonly used white peony, herbal medicine, oyster