赵珂主任从疏肝补肾法辨治高泌乳素血症所致月经疾病经验浅析

A Brief Analysis of Director Zhao Ke’s Experience in Treating Menstrual Disorders Caused by Hyperprolactinemia through the Liver-Soothing and Kidney-Tonifying Method

摘要: 高泌乳素血症(HPRL)是指由于各种原因导致患者血清中泌乳素(PRL)水平异常升高的一种临床疾病。在女性患者中，多数同时伴有月经紊乱甚至闭经、泌乳和不孕等表现，严重影响生活质量。西医治疗本病，其方法主要包括以多巴胺受体激动剂为代表的药物治疗、手术治疗及放射治疗等，因其均存在较大的不良反应或疗效不确定，故而部分患者难以接受。中医论治该病，可将其归为“闭经”“月经先后不定期”“月经过少”等。赵珂主任临证每从肝、肾两脏入手，因于乙癸同源，治以疏肝补肾，多有效验。本文从此法立论，浅析赵珂主任治疗此病经验，并附验案1则，以期有益于同道。

Abstract: Hyperprolactinemia (HPRL) refers to a clinical condition characterized by abnormally elevated levels of prolactin (PRL) in the serum of patients due to various causes. Among female patients, most also suffer from menstrual disorders, even amenorrhea, galactorrhea and infertility, which seriously affect their quality of life. In western medicine, the treatment methods for this disease mainly include pharmacological therapy represented by dopamine receptor agonists, surgical therapy, and radiotherapy. In traditional Chinese medicine, this disease can be classified as “amenorrhea”, “irregular menstruation”, “oligomenorrhea”, etc. Director Zhao Ke always starts with the liver and kidneys in clinical practice, considering that the liver and kidneys share a common origin, she treats patients by liver-soothing and kidney-tonifying method, which often proves effective. This article is based on this method, providing a brief analysis of director Zhao Ke’s experience in treating this disease, and appending a verified case, in the hope of benefiting fellow practitioners.