杨朝梅 王琪

【摘 要】 妇人腹痛是妇科的常见病、多发病，相当于西医学之盆腔炎性疾病、盆腔瘀血综合征等引起的腹痛。因妇女平素房劳多产，耗伤气血，加之经期、产后调摄失宜，易受外邪，故本病具有难治性和易复发性。六经辨证首见于张仲景所著《伤寒杂病论》，是一种辨证论治的方法体系。从六经辨证论治妇人腹痛，可为本病的治疗提供新的思路，同时为经方的临床运用拓宽范围。

【关键词】 妇人腹痛;盆腔炎性疾病;六经辨证;伤寒杂病论;张仲景

【中图分类号】R241.5   【文献标志码】 A    【文章编号】1007-8517（2021）22-0096-04

Treatment of Female Abdominal Pain based on Syndrome Differentiation of Six Meridians

YANG Chaomei1 WANG Qi2*

1.Guizhou University of Traditional Chinese Medicine， Guiyang 550025，China;

2.The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine， Guiyang 550001，China

Abstract：The woman abnormal pain is a common stubborn disease in women. It’s equivalent to pelvic inflammatory disease and pelvic congestion syndrome in theory of western medicine .Because of sexual taxation and baby too much， the qi and blood of women was consumed. Moreover， some women were attracted by external evil in menstrual period and pureperium.So， the woman abnormal pain is difficult to treat and easy to replase. Six-Meridian syndrome differentiation first appeared in Treatise on Febrile and Miscellaneous Disease， which written by ZHANG Zhong-jing， it’s a theory of Syndrome differentiation and treatment. This theory provide a new idea for the treatment of woman abnormal pain. Meanwhile， it will broaden the scope for the application of classical prescription.

Keywords：Woman Abnormal Pain; Pelvic Inflammatory Disease; Syndrome Differentiation of Six Channels Theory; Treatise on Febrile and Miscellaneous Disease; ZHANG Zhong-jing

从六经着手论治妇人腹痛，为妇科急慢性盆腔痛的辨证治疗提供新思路。笔者反复研读，现将六经辨证运用于妇人腹痛之学习心得归纳如下。

1 妇人腹痛的古今定义及范畴

妇女在非行经、妊娠及产后期间发生于小腹或少腹疼痛，甚至痛连腰骶的，称为妇人腹痛。妇人腹痛有急、缓之分，现代医学中的盆腔炎性疾病及其后遗症与之对应。盆腔炎性疾病是指包括子宫内膜炎、输卵管炎、输卵管卵巢脓肿和盆腔腹膜炎在内的一组女性上生殖道感染性疾病[1]。若盆腔炎性疾病未得到及时正确的治疗，可继发盆腔炎性疾病后遗症，即妇人慢性腹痛。中医古籍中并无盆腔炎之名，在“热入血室”“带下病”“产后发热”“癥瘕”“不孕”等以腹痛为主要表现的病症中散在记载[2]。

2 伤寒论之六经辨证

《傷寒杂病论》创造性地对外感疾病错综复杂的证候表现及演变规律进行了分析归纳，创立了六经辨证的理论体系。……