基于形氣神一體同調(diào)辨治原發(fā)性痛經(jīng)

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[關(guān)鍵詞］原發(fā)性痛經(jīng)；形氣神；病因病機(jī)；治形；調(diào)氣；穩(wěn)神

[中圖分類號(hào)] [文獻(xiàn)標(biāo)志碼］A [文章編號(hào)]0256-7415（2025）10-0146-05

DOl：10.13457/j.cnki.jncm.2025.10.028

Syndrome Differentiation and Treatment of Primary Dysmenorrhea Based on Integrated Regulation of Physique，Qi，and Spirit

LINBilan’，ZHANGBin2，ZHANGWenchun 3 ，GUANJintu 2 ZENG Yating2，ZHOU Sixian4，XU Guangzhen 2 ，LIU Jihong2

1.TheEighthClinicalMedicalSchoolofGuangzhouUniversityofChineseMedicie，oshanGuangdong5280oo，China；2.Prevetive TreatmentCenter，F(xiàn)oshanHospitalofTraditionalChinese Medicie，F(xiàn)oshanGuangdong528Ooo，China；3.CollgeofChineseMedicine， Jiangxi UniversityofChineseMedicine，NanchangJiangxi33004，China；4.SouthernMedical University，GuangzhouGuangdong 510515，China

Abstract：Chinese medicine believes that physique，qi，and spirit are the threebasic elements thatconstitute the human body，and theyareclosely linkedand influence each other.Primary dysmenorhea（PD）is acommon clinical gynecological disease，and itsocurrnceand development involvepathologicalchanges in physique，qi，and spirit. Based on the life view ofthe trinity of physique，qi，and spirit，this paper proposes that during the occurrence and development of PD，malnutrition of thoroughfare andconception vesselsand coagulationand stagnationof uterine colateralsarethe internal etiology and pathogenesis；qi deficiencyof zang-fu organs and disorderof qimovement are the dominant factors in its occurrence and development；and negative emotions such as pain，anxiety，depression， and iritability，which are manifestations of spirit disturbance，can induce and exacerbate the development of PD.

Treatmentadvocates the principlesof treatingphysique，regulatingqi，and stabilizing spirit，and the guiding significance of treating PD through the integrated regulation of physique，qi，and spiritcan provide new theoretical methods and treatment ideas for the treatment of PD with Chinese medicine.

Keywords：Primary dysmenorrhea；Physique，qi，and spirit；Etiology and pathogenesis；Treating physique; Regulating qi； Stabilizing spirit

原發(fā)性痛經(jīng)（PD）又稱功能性痛經(jīng)，是指女性在月經(jīng)前后或經(jīng)期出現(xiàn)的小腹疼痛，表現(xiàn)為痙攣性疼痛，或者痛及腰骶部，常伴有惡心嘔吐、頭痛、頭暈等癥狀，病情嚴(yán)重者可出現(xiàn)手足心發(fā)涼、冷汗淋漓，甚至?xí)炟蔥1-2]。（剩余7483字）