殷一红　阳少辉　王小云

1.宁波市中医院妇科，浙江宁波　315010；2.湖南省永州市妇幼保健院妇科，湖南永州　425006；3.广东省中医院妇科，广东广州　510120

王小云教授“宣肺降肺”法治疗女性情绪致病应用举隅

殷一红1阳少辉2王小云3

1.宁波市中医院妇科，浙江宁波315010；2.湖南省永州市妇幼保健院妇科，湖南永州425006；3.广东省中医院妇科，广东广州510120

情绪致病可引起女性月经失调、经前期综合征、绝经前后诸症、痛经及不P等诸多病症。王小云教授基于《内经》“左”肝“右”肺理论及多年的临证经验，提出治疗女性情绪相关疾病需以“治肝为主，调肺为辅”为原则，治以疏肝理气的同时结合宣肺降肺，方能效佳。本文通过结合病案阐述王小云教授“宣肺降肺”法在治疗女性情绪致病中的运用特点。

宣肺降肺；疏肝解郁；焦虑；抑郁

［Abstract］Emotion related illnessmay lead tomenstrual disorder，premenstrual syndrome，syndromes before and after menopause，dysmenorrheal and infertility.Based on the“left”liver and“right”lung theory of“Canon of Internal Medicine”and years of clinical experience，Professor Wang Xiaoyun proposed that the treatment of women's emotion related illness should take“liver treatment-oriented and lung adjustment-supplemented”as the principle and combine lung ventilation and lung decrease with liver soothing and qi regulation in order to achieve preferable efficacy.Combiningmedical reports，this paper illustrates the application features of professor Wang Xiaoyun's“Lung ventilation and lung decrease”method in the treatment ofwomen's emotion related illness.

［Key words］Lung ventilation and lung decrease；Soothing liver-qi stagnation；Anxiety；Depression

月经不调常表现为月经周期不规、经量异常，或伴随月经期或经行前后出现各种不适症状的疾病。古代医学认为月水的生成与肝脾肾密切相关，但与心肺亦相关［1-3］。正如《灵枢》记载：胞脉属心络于胞中，气上迫肺，心气不得下通，提示心肺的气机不调可能导致月经不调，由于心为君主之官，神明出焉，肺为相傅之官，治节出焉，精血皆赖肺气之宣降输布而达于子宫。又如《内经》所载：上焦开发，宣五谷味，熏肤“充身”泽毛，若雾露之溉，是谓气。中医学中的心肺不仅对机体气机调节，同时为经水满盈提供充分的物质基础，而达到调节月经的作用［4-6］。

“气者，人之根本也”，自古以来中医治疗疾病重视气机的调治。……