基于傅青主调气和血法论治产后缺乳及验案分析
Based on Fu Qingzhu’s Theory of the Method of Regulating Qi and Blood to Discussion on the Treatment of Postpartum Hypogalactia and Case Analysis
DOI: 10.12677/tcm.2024.139346, PDF,   
作者: 王 铭*, 陈秀均:广西中医药大学研究生院,广西 南宁;梁 丹#:广西中医药大学第一附属医院产科,广西 南宁
关键词: 傅青主傅山产后缺乳调气和血医案Fu Qingzhu Fu Shan Postpartum Hypogalactia Method of Regulating Qi and Blood Medical Records
摘要: 母乳喂养对母婴双方均有益处,现阶段孕妇产后出现缺乳现象非常普遍,而产后缺乳是减少甚至停止母乳喂养的重要原因。对于如何论治缺乳,中医各家各有论述,傅青主为清代著名医家,其所著的《傅青主女科》为妇科学专著,书中对缺乳有专篇论述,并创传世名方通乳丹及通肝生乳汤。现基于傅青主所著《傅青主女科》中以调气和血发论治缺乳理论展开讨论,通过理论剖析及临证验案总结,为临床辨治缺乳提供新思路,以期提高临床产后缺乳疗效,从而提高母乳喂养率。
Abstract: Breastfeeding is beneficial to both mother and infant. At present, the phenomenon of Postpartum Hypogalactia in pregnant women is very common, and Postpartum hypogalactia is an important reason for reducing or even stopping breastfeeding. Regarding how to treat lactation deficiency, various scholars of traditional Chinese medicine have their own discussions. Fu Qingzhu was a famous physician during the Qing Dynasty, and his book, “Fu Qingzhu’s Gynecology,” is a specialized work on gynecology. The book has a special chapter on postpartum hypogalactia, and it created the world-renowned prescriptions Tong Ru Dan and Tong gan Sheng Ru Decoction. Based on the theory of treating Postpartum hypogalactia by regulating qi and blood as discussed in “Fu Qingzhu’s Gynecology”, this paper discusses through theoretical analysis and summary of clinical cases, providing new ideas for clinical diagnosis and treatment of Postpartum hypogalactia, with the aim of improving the therapeutic effect of Postpartum hypogalactia and thus increasing the rate of breastfeeding.
文章引用:王铭, 陈秀均, 梁丹. 基于傅青主调气和血法论治产后缺乳及验案分析[J]. 中医学, 2024, 13(9): 2324-2329. https://doi.org/10.12677/tcm.2024.139346

参考文献

[1] 谈勇. 中医妇科学[M]. 第4版. 北京: 中国中医药出版社, 2016: 238-239.
[2] 谢幸. 妇产科学[M]. 第9版. 北京: 人民卫生出版社, 2018: 218.
[3] Miao, Y., Zhao, S., Liu, W., Jiang, H., Li, Y., Wang, A., et al. (2023) Prevalence and Risk Factors of Delayed Onset Lactogenesis II in China: A Systematic Review and Meta-Analysis. The Journal of Maternal-Fetal & Neonatal Medicine, 36, Article ID: 2214833. [Google Scholar] [CrossRef] [PubMed]
[4] 清∙傅山. 傅青主女科[M]. 北京: 人民卫生出版社, 2006: 82-83.
[5] 林玲, 张阳. 催乳汤治疗产后缺乳400例分析[J]. 中医药学刊, 2004, 22(4): 680.
[6] 刘辉艳, 巩志慧, 吴文玲, 等. 蔡连香运用“益气血滋乳通络法”治疗产后缺乳经验[J]. 北京中医药, 2024, 43(4): 378-380.
[7] 缪海燕, 吴冬梅, 魏萍, 等. 穴位按摩联合刮痧疗法治疗肝郁气滞型产后缺乳50例[J]. 福建中医药, 2024, 55(4): 60-61+67.
[8] 李静, 唐卒卒, 梁喜艳, 等. 广西地中海贫血患者同种异体免疫发生情况分析[J]. 联勤军事医学, 2024, 38(1): 36-39.
[9] 郭潇雅. 地中海贫血防治的“广西模式” [J]. 中国医院院长, 2024, 20(3): 68-70.
[10] 姚帅君, 杨继红, 杜彩凤, 等. 浅析《傅青主女科》辨治产后病特色[J]. 中国民间疗法, 2023, 31(15): 14-15+20.
[11] 薛秋云, 黄玉蓉, 李慧, 等. 催乳颗粒通过分泌Frizzled相关蛋白2-Wnt/β-catenin信号通路改善大鼠产后缺乳[J]. 四川大学学报(医学版), 2024, 55(3): 619-629.
[12] 李明珠. 乳房穴位按摩联合耳穴压豆改善顺产妇泌乳量的方案构建及评价[D]: [硕士学位论文]. 合肥: 安徽中医药大学, 2023.
[13] 丰有吉. 妇产科学[M]. 第2版. 北京: 人民卫生出版社, 2010: 218.
[14] 杜建姝, 王嘉艺, 王学梅, 等. 乳腺癌主要危险因素的流行趋势与一级预防[J]. 中国初级卫生保健, 2019, 33(7): 43-45+59.
[15] 方留民. 母乳喂养可减少母亲患卵巢癌风险[J]. 家庭医学, 2020(8): 33.
[16] 赵月, 王霞. 早产儿母乳喂养的研究进展[J]. 中国社区医师, 2024, 40(4): 4-6.