《傅青主女科》从肝论治带下病的学术思想 探析及现代应用

Analysis on the Academic Thoughts and Modern Application of Treating Leucorrhea from the Liver in Fu Qingzhu Nv Ke

摘要: 本文系统探析《傅青主女科》从肝论治带下病的学术思想及其现代应用。研究首先梳理该著作的成书背景与肝脏生理病理对带下病的影响，明确肝郁、肝火、肝虚等病理状态与带下病的关联，并阐释基于五色带下的辨证论治体系。学术思想方面，重点分析肝郁型、肝火型、肝虚型的表现及对应治疗原则(疏肝解郁、清肝泻火、补肝养血)，探讨白芍、柴胡等核心药物的配伍规律。现代应用部分结合阴道炎、盆腔炎等临床案例，验证其有效性，并针对现代女性压力与生活方式提出防治策略。同时指出当前药物剂量标准化、个体化治疗及机制研究等挑战，未来需深化神经内分泌调节与免疫功能研究，推动传统理论与现代医学融合。该研究为带下病的临床诊疗提供理论依据与实践指导，彰显中医妇科的传承与创新价值。

Abstract: This paper systematically analyzes the academic thoughts and modern application of treating leucorrhea from the liver in Fu Qingzhu Nv Ke. The study first combs the background of the book’s creation and the impact of liver physiology and pathology on leucorrhea, clarifies the association between pathological states such as liver depression, liver fire, and liver deficiency and leucorrhea, and explains the syndrome differentiation and treatment system based on five-color leucorrhea. In terms of academic thoughts, it focuses on analyzing the manifestations of liver depression type, liver fire type, and liver deficiency type and their corresponding treatment principles (soothing the liver and relieving depression, clearing liver fire, nourishing liver and blood), and explores the compatibility rules of core drugs such as Paeonia lactiflora and Bupleurum. The modern application section combines clinical cases such as vaginitis and pelvic inflammatory disease to verify its effectiveness and proposes prevention and treatment strategies for modern women’s stress and lifestyle. It also points out current challenges such as drug dosage standardization, individualized treatment, and mechanism research. In the future, it is necessary to deepen the research on neuroendocrine regulation and immune function to promote the integration of traditional theory and modern medicine. This study provides a theoretical basis and practical guidance for the clinical diagnosis and treatment of leucorrhea, highlighting the value of inheritance and innovation in traditional Chinese medicine gynecology.