高山凤 杨琪 方庆霞

摘要 浅述蔡连香从“精血”理论辨治妇科疾病的特色。本文通过整理蔡老为中医妇科初学者的讲课内容，对其运用“精血”理论阐述妇科疾病的特点、病因病机、辨证论治、临床应用进行总结，突出精血理论在妇科疾病中的地位，认为精血的盈亏与肾肝脾密切相关，临床治疗妇女疾病从调补肝脾肾及调理气血冲任来辨证论治。

关键词 精血理论;妇科疾病;名老中医经验; @ 蔡连香

Abstract The characteristics of CAI Lianxiang′s differentiation and treatment of gynecological diseases from the theory of “Essential Blood”was analyzed.Through sorting out CAI′s lectures for beginners of gynecology in traditional Chinese medicine，this paper summarized the characteristics，etiology，pathogenesis，syndrome differentiation，treatment and clinical application of gynecological diseases by using the theory of “Essential Blood”，highlighting the status of the theory of “Essential Blood” in gynecological diseases，and considering that the excess and loss of essenstial blood was closely related to kidney，liver and spleen.Clinical treatment of women′s diseases is based on the syndrome differentiation of regulating and supplementing liver，spleen，kidney，and regulation qi，blood and thoroughfare and conception channels.

Keywords Essential Blood Theory; Gynecological Diseases; Experience of old and famous doctors of TCM; @ CAI Lianxiang

蔡連香系首都国医名师，全国第二、三、五批名老中医药专家学术经验指导老师，在中国中医科学院西苑医院从事中医妇科临床56载，诊疗经验丰富，疗效明确，对“怎么看妇科病”拥有独到的见解，并对每一位后学者均倾囊相授，堪为医者之楷模，师者之表率。本文整理了蔡老为初学者所授的讲课内容，从“精血”方面阐述妇科疾病的特点、病因病机、辨证论治、临床应用，总结其诊治妇科病的学术思想与特色，现将结果报道如下。

1 蔡老对妇科疾病特点的认识

《医宗金鉴》[1]记载：“妇人诸病本与男子无异，故同其治也。其异于男子者，惟调经、经闭、带浊、崩漏、癥瘕、生育子嗣、胎前、产后诸病及乳疾前阴诸症不相同尔，故立妇人一科，以分门而详治也”。因妇女在解剖上有胞宫，在生理上有月经、带下、妊娠、产育和哺乳等不同于男子的特点，妇科疾病被相应地归纳为月经病、带下病、妊娠病、产后病、杂病等。故蔡老认为，对妇科疾病的诊治及其用药，尤需重视经、带、胎、产、乳的生理病理因素。……