医学研究与教育 ›› 2026, Vol. 43 ›› Issue (2): 33-38.DOI: 10.3969/j.issn.1674-490X.2026.02.005

• 中医药学 • 上一篇    

从“推陈致新”角度探析孙思邈辨治“胞中风寒”

张非凡,赵汉青   

  1. 河北大学中医学院, 河北 保定 071000
  • 收稿日期:2025-11-14 发布日期:2026-04-30
  • 通讯作者: 赵汉青(1990—),男,山东枣庄人,讲师,博士,硕士生导师,主要从事中医药文化研究。E-mail: zhaohq@hbu.edu.cn
  • 作者简介:张非凡(1999—),女,河北保定人,在读硕士,主要从事中医药妇科疾病诊疗研究。 E-mail: eifan10705@163.com
  • 基金资助:
    河北省医学科学研究课题(20240336);河北省教育厅科学研究项目(BJK2024108);河北大学医学学科培育项目(2021X03)

Analyzing SUN Simiao's treatment of “Bao Zhong Fenghan” from perspective of “Tuichen Zhixin”

ZHANG Feifan, ZHAO Hanqing   

  1. College of Traditional Chinese Medicine, Hebei University, Baoding 071000, China
  • Received:2025-11-14 Published:2026-04-30

摘要: 基于孙思邈“胞中风寒”理论,凝炼以“推陈致新”为先辨治月经病的观点,分析总结“胞中风寒”理论内涵,提出正虚为胞中风寒的首要条件,治疗时应以推陈致新为主要临证思路。胞中风寒临床特点为“久”,多是患病经年,以致胞宫内癥瘕停聚,兼杂他病。治疗此类月经病应注重推陈致新,结合多法灵活运用,如攻下法重在开门逐寇,荡邪而出;矿物药直达胞宫,缓散风寒;虫类药走窜破瘀,辛味药散风行血,重在通行胞宫气血;寒温并用重在调和阴阳,气血得以新生。旨在系统挖掘孙思邈“胞中风寒”理论,进一步丰富月经病的中医诊疗思路,为现代医家研究孙思邈学术思想提供依据,特别是为“宫寒”等病程较长的复杂女科疾病从外感风寒角度辨治提供参考。

关键词: 胞中风寒, 推陈致新, 月经病, 孙思邈, 辨治特色

Abstract: Based on SUN Simiao's theory of “Bao Zhong Fenghan”, this paper condenses the point of view of “Tuichen Zhixin” as the first point of view in treating menstrual diseases. It analyzed and summarized the theoretical connotation of “Bao Zhong Fenghan” suggested that the first condition of “Bao Zhong Fenghan” is long-standing deficiency of the vegetative body, and the main clinical idea of treatment should be to Tuichen Zhixin(weeding through the old to bring forth the new). The clinical feature of “Bao Zhong Fenghan” in menstrual diseases is “prolonged”.Most of the patients have been ill for years, resulting in the accumulation of obstructions in the uterus and the combination of other diseases. Treating this type of menstrual disease should focus on the “Tuichen Zhixin”, combined with the flexible use of multiple methods.Purgative therapy focuses on opening the door to chase away bandits, driving the evil out. The mineral herbs reach the uterus directly to slowly dissipate the Fenghan. The medicinal properties of insect drugs are good at moving and removing, so they can be used to attack eliminate mass. The pungent herbs Sanfeng Xingxue, which focuses on Tongxing Baogong Qixue. Hanwen Bingyong focuses on Tiaohe Yinyang, and the renewal of Qixue. The purpose of this paper is to systematically excavate SUN Simiao's theory of “Bao Zhong Fenghan”, to further enrich the ideas of Chinese medicine diagnosis and treatment of menstrual diseases, to provide a basis for the modern medical research of SUN Simiao's academic thought, especially provide reference for the identification and treatment of complex female diseases with a long course, such as “Gonghan”, from the perspective of Waigan Fenghan.

Key words: Bao Zhong Fenghan, Tuichen Zhixin, menstrual disease, SUN Simiao, treatment characteristics

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