中医治疗月经过少的研究进展

Research Progress on Treatment of Hypomenorrhea with Traditional Chinese Medicine

摘要: 月经过少指月经周期正常，但经量明显少于正常月经量一半或少于20 ml，或行经时间不足2天，甚或点滴即净。随着社会压力增大、宫腔操作增多及生活方式的改变，整体发病率呈上升趋势。中医认为本病病机以肾虚、血瘀、血虚、痰湿多见，涉及肝、脾、肾及冲任。本文从病因病机、辨证论治、方药、针灸外治、中西医结合等方面，对中医治疗月经过少的研究进展进行综述，以期为临床提供参考。

Abstract: Hypomenorrhea refers to the normal menstrual cycle, but the menstrual volume is significantly less than half of the normal menstrual volume or less than 20 ml, or the menstrual time is less than 2 days, or even only slight spotting that quickly ceases. With the increase of social pressure, the increase of uterine cavity operation and the change of lifestyle, the overall incidence rate is on the rise. Traditional Chinese medicine believes that the pathogenesis of this disease is kidney deficiency, blood stasis, blood deficiency, phlegm dampness, involving liver, spleen, kidney and Chong and Ren. This article reviews the research progress of traditional Chinese medicine in the treatment of hypomenorrhea from the aspects of etiology and pathogenesis, syndrome differentiation and treatment, prescriptions, external treatment of acupuncture and moxibustion, and integration of traditional Chinese and Western medicine, in order to provide reference for clinical practice.