[1]沙燕红,钟晓玲,郑月慧,等.从络病理论辨治女性慢性盆腔疼痛[J].陕西中医,2026,(3):370-374.[doi:DOI:10.3969/j.issn.1000-7369.2026.03.015]
　SHA Yanhong,ZHONG Xiaoling,ZHENG Yuehui,et al.Diagnosis and treatment of chronic pelvic pain in women based on the theory of collateral disease[J].,2026,(3):370-374.[doi:DOI:10.3969/j.issn.1000-7369.2026.03.015]
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从络病理论辨治女性慢性盆腔疼痛

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2026年3期
页码:
370-374
栏目:
学术探讨
出版日期:
2026-03-05

文章信息/Info

Title:
Diagnosis and treatment of chronic pelvic pain in women based on the theory of collateral disease
作者:
沙燕红1; 钟晓玲2; 郑月慧2; 张雅丽3; 周佳莹1
（1.广州中医药大学第四临床医学院，广东 深圳 518000；2.深圳市中医院，广东 深圳518000；3.深圳市福田区妇幼保健院，广东 深圳 518000）
Author(s):
SHA Yanhong1; ZHONG Xiaoling2; ZHENG Yuehui2; ZHANG Yali3; ZHOU Jiaying1
(1.The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine,Shenzhen 518000,China；2.Shenzhen Traditional Chinese Medicine Hospital,Shenzhen 518000,China；3.Shenzhen Futian District Maternity & Child Healthcare Hospital,Shenzhen 518000,China)
关键词:
女性慢性盆腔疼痛; 络病理论; 分期辨治; 通络止痛; 内外合治
Keywords:
Female chronic pelvic pain; Collateral disease theory stage-based pattern differentiation and therapy; Unblocking collaterals to alleviate pain; Internal-external combined therapy
分类号:
R 246.3
DOI:
DOI:10.3969/j.issn.1000-7369.2026.03.015
文献标志码:
A
摘要:
女性慢性盆腔疼痛（CPP）为妇科常见病，病程迁延、反复发作，严重影响患者生活质量。以络病理论为指导，结合叶天士“初病气结在经，久则血伤入络”理论，探讨女性CPP的病因病机及辨治。认为其病理演变符合“络气郁滞，瘀血阻络，络虚不荣”的发展过程，治疗应随病程递进，采用“调气行血，化瘀通络，荣络止痛”分期辨治，构建“络病三期、治法三变”的辨治体系。临床实践表明，该体系可有效缓解症状、降低复发率并改善生育预后，具有较高的临床推广价值，为女性CPP的中医诊疗提供新思路和方法。
Abstract:
Female chronic pelvic pain (CPP) is a common gynecological condition characterized by a prolonged disease course and recurrent episodes,severely impairing patients’ quality of life.Guided by the theory of collateral disease,and based on YE Tianshi’s principle that “in the early stage,qi stagnates in the channels,and in the chronic stage,blood injury enters the collaterals”, this study explores the etiology,pathogenesis,and differentiation-based treatment of female CPP.It is proposed that the pathological evolution of CPP corresponds to the progression of “collateral qi stagnation,blood stasis obstructing the collaterals,and deficiency of collaterals due to malnourishment”. Accordingly,treatment should follow the course of disease progression,applying the stage-based therapeutic principles of “regulating qi and promoting blood circulation,resolving stasis and unblocking collaterals,and nourishing collaterals to relieve pain”. Thus,a three-stage system of “three pathological stages and three corresponding therapeutic approaches” is established.Clinical practice has demonstrated that this system effectively alleviates symptoms,reduces recurrence rates,and improves reproductive outcomes.It provides a novel theoretical framework and therapeutic approach for the traditional Chinese medicine management of female chronic pelvic pain.

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备注/Memo

备注/Memo:
国家自然科学基金资助项目（82474232）
更新日期/Last Update: 2026-03-05