杨燕贤从阴火论辨治慢性盆腔炎经验介绍
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R249;R711.33

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汕头市科技计划研究项目(240501106498352)


Introduction of YANG Yanxian's Experience in Treating Chronic Pelvic Inflammation Based on Theory of Yin Fire
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    摘要:

    介绍杨燕贤教授从阴火论辨治慢性盆腔炎的临床经验。杨燕贤教授临证发现,部分盆腔炎性疾病 患者经抗生素和苦寒中药治疗,“热证”顽固不减,病情迁延,转为慢性盆腔炎。症状虽有带下色黄、量多、 味腥臭、反复发热、附件压痛等,伴局部感染(带下脓细胞增多),但脉多虚弱无力或虚滑,常有神疲乏力感, 腹部下坠感。其病机本质为元气不足、阴火内生,以湿热下注为标,从李东垣阴火论辨治,予自拟升阳盆炎汤 加减,可取得满意疗效。

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    Abstract: This article introduces Professor YANG Yanxian´s clinical experience in treating chronic pelvic inflammation based on the theory of yin fire. Professor YANG Yanxian observed that some patients with pelvic inflammatory disease, despite treatment with antibiotics and bitter-cold Chinese medicine, still exhibited persistent "heat syndromes" that did not subside, leading to chronic pelvic inflammation. These patients often presented with symptoms such as yellowish, foul-smelling vaginal discharge in large amounts, recurrent fever, tenderness in the adnexa, and local infection (increased purulent cells in the vaginal discharge) . Their pulses were often weak and feeble or vacuous and slippery,accompanied by fatigue,a sensation of abdominal heaviness,and general weakness. The underlying pathogenesis is characterized by the deficiency of original qi and the internal generation of yin fire,with damp-heat pouring downward as the manifestation. By applying the theory of yin fire proposed by LI Dongyuan, Professor YANG prescribes a formula, modified Shengyang Penyan Decoction, which can achieve satisfactory therapeutic effects.

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陈越惠,指导:杨燕贤.杨燕贤从阴火论辨治慢性盆腔炎经验介绍[J].新中医,2025,57(10):196-200

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  • 在线发布日期: 2025-05-27
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