国医大师王庆国基于“通平致和”治疗更年期综合征经验介绍
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R249;R271.1

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广东省中医院第五批名中医药专家学术经验传承工作室建设项目——王庆国学术经验传承工作室(中医二院〔2020〕161号);广东 省教育厅普通高校特色创新类项目(2021WTSCX016)


Introduction of Chinese Medicine Master WANG Qingguo's Experience in Treating Climacteric Syndrome Based on "Unblocking and Balancing to Achieve Harmony"
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    摘要:

    国医大师王庆国提出更年期综合征病机以肾精亏虚为本,肝失疏泄、枢机不利为诱因,营卫失和、心神不宁为关键,终致阴阳失衡、虚实夹杂、多脏失和,论治恪守“通平致和”学术思想。临证以补、通治法为核心,辅以清泻,分四法施治:滋补肾精以调和阴阳,疏肝调枢以疏利气机,调和营卫、宁心安神,兼顾虚实、调和多脏。善用经方化裁,用药取熟地黄、山萸肉、枸杞子填补肾精固本,知母、黄柏清泄虚火,龙骨、牡蛎、浮小麦潜阳敛汗,柴胡、黄芩疏利少阳枢机,扶正通滞、清泻邪热并举,使机体复归阴平阳秘之平和状态,临床疗效显著。

    Abstract:

    Abstract:Professor WANG Qingguo,a Chinese medicine master,proposes that the pathogenesis of climacteric syndrome is rooted in kidney essence deficiency, with liver failing to maintain free flow of qi and dysfunction of the cardinal axis as triggering factors, and disharmony between nutrient and defensive qi along with restlessness of heart spirit as key links, eventually leading to imbalance of yin and yang, intermingled deficiency and excess, and disharmony among multiple zang-organs. His treatment adheres to the academic thought of "unblocking and balancing to achieve harmony". Clinically,he adopts tonifying and unblocking methods as the core,supplemented by clearing and purging,and applies four therapeutic strategies:nourishing kidney essence to harmonize yin and yang;soothing the liver and regulating the cardinal axis to smooth qi movement; harmonizing nutrient and defensive qi and calming the heart to settle the spirit; and addressing both deficiency and excess to harmonize multiple zang-organs. He skillfully uses modified classical formulas, employing Rehmanniae Radix Praeparata, Corni Fructus, and Lycii Fructus to replenish kidney essence and consolidate the constitution;Anemarrhenae Rhizoma and Phellodendri Chinensis Cortex to clear and purge deficient fire;Os Draconis,Ostreae Concha,and Tritici Levis Fructus to subdue yang and arrest sweating; and Bupleuri Radix and Scutellariae Radix to soothe the Shaoyang cardinal axis. By simultaneously strengthening healthy qi, removing stagnation, and clearing pathogenic heat, he restores the body to a harmonious state where yin is balanced and yang is secured,thus achieving good clinical effect.

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刘春曦,王庆国,胡向丹.国医大师王庆国基于“通平致和”治疗更年期综合征经验介绍[J].新中医,2026,58(20):168-173

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  • 在线发布日期: 2026-10-21
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