经方治疗更年期思路探析

Analysis of the Classical Formulas Approach in Treating Menopause

摘要: 更年期是临床上一种常见病和多发病，多见于中老年女性，中医学对此无专门记载，对其症状的描述可散见于“脏躁”“百合病”“老年血崩”等范畴。对于更年期的治疗，经方有着独特的优势，且从古至今已积累了丰富的治疗经验。本文从经方的方证视角出发，通过遴选《伤寒论》和《金匮要略》条文中出现的与更年期症状相关的方剂，深入探讨其病因、病机及组方思路，归纳用药特点，以期更好地指导临床治疗。

Abstract: Menopause syndrome is a common clinical condition frequently encountered in middle-aged and elderly women. While traditional Chinese medicine does not have a specific designation for this disease, descriptions of its symptoms can be found scattered within categories such as “visceral agitation”, “lily disease”, and “geriatric metrorrhagia”. Classical formulas possess unique advantages in treating menopause, and rich experience has been accumulated from ancient times to the present. This article, starting from the perspective of formula indications of classical formulas, selects relevant formulas from the Treatise on Cold Damage Diseases and Essentials from the Golden Cabinet whose textual passages describe symptoms related to menopause. It aims to explore their etiology, pathogenesis, and formula composition principles in depth, summarize medication characteristics, with the goal of providing better guidance for clinical treatment.