肝郁肾虚为本血瘀为标论治子宫内膜异位症性痛经

Liver Stagnation and Kidney Deficiency: A Syndrome of Blood Stasis in Endometriosis-Related Dysmenorrhea Treatment

摘要: 文章总结了黑龙江省名中医姚美玉教授临床治疗肝郁肾虚血瘀型子宫内膜异位症痛经的临床经验。“女子以肝为先天”，情志不遂，肝气郁结，气机失司，又“肝肾同源”，肝藏血、肾藏经，肝气下疏于肾，肾水上涵肝气，肝血依赖肾精的不断滋养，肾精又依赖肝血不断充补，肝失常致肾失常，肾失于肝濡养，致肾虚的形成，肝、肾二脏失常最终导致瘀血的产生，引发痛经。故姚美玉教授采用中医疗法，以补肾、疏肝、活血化瘀为治疗原则，标本兼顾，治疗的同时，更关注患者的心理变化，最终减轻患者痛经的症状。

Abstract: This article summarizes the clinical experience of Professor Yao Meiyu, a renowned TCM practitioner from Heilongjiang Province, in treating endometriosis-related dysmenorrhea with liver-stagnation-kidney-deficiency blood stasis syndrome. “The liver is considered the foundation of innate constitution in women,” as emotional stagnation leads to liver qi stagnation and impaired qi circulation. Furthermore, “liver and kidney share a common origin”—the liver stores blood while the kidney governs meridians. Liver qi descends to regulate kidney function, whereas kidney water nourishes liver qi. Liver blood relies on renal essence for continuous nourishment, while renal essence depends on liver blood for replenishment. Dysfunction of the liver impairs kidney function, resulting in kidney deficiency. Ultimately, imbalance between liver and kidney organs causes blood stasis, triggering dysmenorrhea. Professor Yao Meiyu employs TCM principles of kidney-tonifying, liver-regulating, and blood-activating therapies, addressing both symptoms and underlying mechanisms. She emphasizes psychological adjustment during treatment to alleviate dysmenorrhea.