The Treatment Idea for Postoperative "Eliminating Abdominal Mass to Help Pregnancy" in Lingnan LUO's Gynaecology
10.13288/j.11-2166/r.2024.21.007
- VernacularTitle:岭南罗氏妇科术后“消癥助孕”思想钩玄
- Author:
Xijing LU
1
;
Songping LUO
2
;
Peiyin LI
1
;
Zitong LIN
1
;
Zheyanxuan YANG
1
;
Lei ZENG
2
Author Information
1. The First Clinical Medical College of Guangzhou University of Chinese Medicine， Guangzhou， 501405
2. The First Affiliated Hospital of Guangzhou University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
dispersion method;
abdominal mass;
eliminating abdominal mass to help pregnancy;
Lingnan LUO's gynaecology
- From:
Journal of Traditional Chinese Medicine
2024;65(21):2205-2210
- CountryChina
- Language:Chinese
-
Abstract:
Based on the characteristics of postoperative gynaecological diseases， Lingnan LUO's Gynaecology has summarized the idea of "eliminating abdominal mass to help pregnancy"， and applied the elimination method in the postoperative gynaecological treatment to promote rehabilitation， prevent recurrence， and regulate menstruation in a sequential manner， which is divided into three phases of diagnosis and treatment. The first stage of postoperative rehabilitation （2 weeks after surgery） is based on the pathogenesis of profuse deficiency， profuse stasis， and easy to retain pathogens， and the treatment should focus on tonifying the positive qi and eliminating abdominal mass at the same time， commonly used in modified Sijunzi Dcoction （四君子汤） and Shenghua Dcoction （生化汤）. In the second stage of postoperative rehabilitation （2 weeks to 2-3 months after surgery）， the pathogenesis is mainly kidney deficiency and blood stasis， which should be treated by tonifying kidney and supplement essence， eliminate blood stasis and eliminate abdominal mass， and commonly use the Guishen Pill （归肾丸） with herbs that invigorating blood， dissolving stasis， and clearing the collaterals. Postoperative sequential menstrual regulation and fertility promotion stage （after the end of the postoperative rehabilitation stage， the normal anatomy of the uterine cavity and pelvis is basically restored） adopts cyclic sequential therapy， according to the characteristics of the pathogenesis of the different periods of menstruation in phases， always tonifying kidney and regulating menstruation， eliminating abdominal mass， and attaches importance to the application of four methods of eliminating abdominal mass， including invigorating blood and dissolving stasis， moving qi to resolve constraint， dissolving phlegm and dispelling dampness， resolving accumulation and removing stagnation.
