从“滋水涵木”探析肝肾阴虚型青春期女童经间期出血的诊治思路

A Probe into the Diagnosis and Treatment of Intermenstrual Hemorrhage in Adolescent Girls with Yin Deficiency of Liver and Kidney from the Perspective of “Nourishing Water and Culturing Wood”

摘要: 经间期出血是指两次月经中间呈周期性出现少量阴道出血。若病情缠绵日久可引起患儿月经周期紊乱甚或出现崩漏等症状，严重地危害了青春期女童的身心健康。目前，现代医学多应用雌、孕激素治疗此病，不但停药后易复发，且大多患儿及其家长排斥口服激素类药物。而中医治疗，不仅副作用小还从整体论治把握妇科治未病的最佳时期，既病防变，更易被患儿及其家长接受。本文旨在从“滋水涵木”理论的角度，结合青春期女童的生理、病理特点，探讨肝肾阴虚型青春期女童的经间期出血的诊疗思路，为治疗青春期经间期出血提供新思绪。

Abstract: Intermenstrual bleeding refers to the periodic occurrence of a small amount of vaginal bleeding between two menstruations. If the condition lingers for a long time, it can cause menstrual cycle disorder or even symptoms such as collapse and leakage, which seriously endangers the physical and mental health of adolescent girls. At present, estrogen and progesterone are often used in modern medicine to treat this disease, which is not only easy to relapse after drug withdrawal, but also most of the children and their parents reject oral hormone drugs. Traditional Chinese medicine treatment, not only has small side effects, but also is from the overall treatment to grasp the best period of gynecological treatment, not only preventing disease from exacerbating, but also easier to be accepted by children and their parents. From the point of view of the theory of “nourishing water and culvert wood”, combined with the physiological and pathological characteristics of adolescent girls, this paper aims to explore the diagnosis and treatment of intermenstrual hemorrhage in adolescent girls with liver and kidney yin deficiency, so as to provide new ideas for the treatment of intermenstrual bleeding in puberty.