益母胜金丹治疗月经过少(冲任失调证)的个案分析

Case Analysis of Yimu Shengjin Dan in Treating Scanty Menstruation (Syndrome of Chong and Ren Meridian Dysfunction)

摘要: 月经过少是妇科临床常见病，现代医学多以激素治疗为主，但存在药物依赖性、停药易复发等问题。文章报道了1例益母胜金丹治疗冲任失调型月经过少的诊疗过程：患者女性，32岁，月经量进行性减少1年余，经期缩短至2天，量少色暗有块，伴经前乳房胀痛、腰膝酸软、夜尿频多等症。舌暗红边有瘀点，脉弦细涩。中医辨证为冲任失调，兼肝郁肾虚、瘀血内阻。治以调补冲任、养血活血、疏肝理气，予益母胜金丹加减治疗3个月经周期。治疗后月经恢复正常，经期延长至5天，伴随症状消失，子宫内膜增厚，贫血纠正，随访6个月疗效稳定。本案例提示，益母胜金丹加减方可能对冲任失调型月经过少具有良好的治疗潜力，其确切疗效有待更大样本的临床研究进一步验证。该方案体现了中医药辨证论治的优势，为月经过少的个体化治疗提供了临床参考。

Abstract: Oligomenorrhoea is a common gynecological condition in clinical practice. Modern medicine mainly employs hormone therapy, yet this approach carries risks of drug dependency and recurrence upon discontinuation. This paper reports the diagnostic and therapeutic process of treating oligomenorrhoea due to Chong-Ren channel dysfunction using Yimu Shengjin Dan. A 32-year-old female patient presented with progressively diminishing menstrual flow over one year, reduced duration to two days, scanty dark-coloured discharge with clots, accompanied by premenstrual breast tenderness, soreness in the lower back and knees, and frequent nocturnal urination. Her tongue exhibited a dark red body with ecchymotic spots along the margins, while her pulse was wiry, fine, and thready. Traditional Chinese Medicine differential diagnosis identified Chong-Ren dysfunction complicated by liver qi stagnation, kidney deficiency, and internal blood stasis obstruction. Treatment involved regulating and tonifying the Chong and Ren vessels, nourishing and invigorating blood, and soothing the liver and regulating qi. The modified Yimu Shengjin Dan formula was administered for three menstrual cycles. Following treatment, menstruation normalised with a duration extending to five days, and accompanying symptoms resolved. Endometrial thickness increased, anaemia was corrected, and stable efficacy was maintained during six months of follow-up. This case study suggests that the modified Yimu Shengjin Dan formula may hold promising therapeutic potential for treating hypomenorrhoea associated with disharmony of the Chong and Ren meridians; however, its precise efficacy requires further validation through clinical studies involving larger sample sizes. This treatment regimen exemplifies the strengths of pattern differentiation and treatment in traditional Chinese medicine, and provides a clinical reference for the individualised management of hypomenorrhoea.