桂枝茯苓丸加味治疗卵巢囊肿与子宫肌瘤（Treatment of ovarian cyst and hysteromyoma with modified Guizhi Fuling pills）

1、桂枝茯苓丸加味治疗卵巢囊肿与子宫肌瘤（Treatment of ovarian cyst and hysteromyoma with modified Guizhi Fuling pills）Treatment of ovarian cyst and hysteromyoma with modified Guizhi Fuling pillsAbstract: clinical experience of 40 years, adhere to treatment based on syndrome differentiation, treatment of ovarian cyst and

2、uterine fibroids received good effect, I have the honor to follow professor Tian Shuxiao visits, carefully read the case and prescription, and by Professor Tian pointing, seems to have income, now only the experience of Professor Tian using modified Guizhifuling pill in treatment of uterine and ovar

3、ian cyst the myoma of the pen on the book, and all the readers. Ovarian cyst and uterine fibroids are the treatment of traditional Chinese medicine category, based on volume nineteen? in the disease syndrome pointed out in the hair.Topic recommendation:Clinical ExpressDrug market dynamicsIllegal adv

4、ertisingMedical insurance dynamicsDrug pricesInfluenza epidemicGeneral knowledge of health careGynecology classHealth care reform trendsTian Shuxiao is a professor of Hebei medical school professor, master tutor, the old Chinese medicine experts academic experience inheritance to guide the work of t

5、eachers, enjoy special government allowances of more than 40 years of clinical, adhere to treatment based on syndrome differentiation, treatment of ovarian cyst and uterine fibroids received good effect, I have the honor to follow Professor Tian Xiao Shu visits, carefully read the case and prescript

6、ion and, by Professor Tian pointing, seems to have income, now only the use of the experience of Professor Tian treatment of ovarian cyst and uterine fibroids modified Guizhifuling pill of the pen on the book, and all the readers.Ovarian cyst and uterine fibroids are the treatment of traditional Chi

7、nese medicine category, based on volume nineteen? in the pathogenesis of disease syndrome pointed out: in the mass, by the cold and warm tone, diet, and organ stroke knot born. Canon also said: the accumulation of mass,All the five internal organs, Qi and evil and lost six, but was born. So that the

8、 main reason of ovarian cyst and uterine myoma is deficiency of vital qi, the camp Wei Qi evil take advantage of a weak point, disorder, lead to poor blood circulation, so that blood stasis and.Ovarian cyst combines water wet accumulation, blood Qi, water and dampness mutually, treatment should invi

9、gorate the circulation of blood, remove stasis, benefit water and damp, soft firm scattered.Myoma of uterus in Neijing was called Chang Tan and stone or tumor. The main cause of the disease is blood block, such as qi stagnation, blood stasis or qi deficiency, blood stasis and so on. Therefore, the t

10、reatment is to invigorate the circulation of blood, remove stasis, consolidate the soft and dissipate the deficiency, and eliminate the symptoms.Ovarian cyst and uterine fibroids are woman lump, treatment is basically the same, are in compliance with the Yellow Emperor Kennedy cut off, in addition,

11、the knot are scattered, with the attack. Law of. The difference is that ovarian cysts add a large amount of water and damp products. Because of the fluid in the cyst, the effect of the water medicine is good.Several cases are cured by Professor Tian, citing several examples.Oophoritic cystCase 1: Wu

12、, female, 41 years old, married, railway cadre. October 26, 2002 first visit. The right ovary cyst was removed last October, and the cyst was found on the left side, 3.2cm x 4.5cm size, no obvious symptoms, and would not like to have an operation. The tongue is normal, the fur is thin and white, the

13、 pulse is slippery and the ruler is weak. As the water volume caused by blood stasis syndrome treatment. Treat with promoting blood circulation to remove stasis, removing diuresis and removing stasis, and adding Guizhi Fuling pills.Shu Fang: cassia twig 10g, red peony root 10g, peach kernel, safflow

14、er 10g, seaweed 15g, peony skin 12g, Zhejiang fritillary 10g,Oysters (first decoct) 30g, licorice 6G, 20g Poria, Alisma 10g, turtle shell 15g, dafupi 12 Okam 20g, Scrophulariaceae 10g, November 9th November 6th to visit: menstrual tide, weight, left lower abdomen pain, dark red tongue, thin white fu

15、r, slippery pulse.Sparse: Cinnamon 10g, Radix Paeoniae Rubra 10g, Poria 10g, Moutan 15g, seaweed 15g, oyster 30g, angelica 15g, Chuanxiong 10g, Radix Rehmanniae 10g, licorice 6G, peach kernel, safflower 10g, Radix Paeoniae Alba 10g, corydalis 15g, Lindera 15g, Laminaria 20g, turtle shell 15g. Give 1

16、4 doses.November 30th return visit: after the medicine feels short of breath, the tongue is fat big, pointed red, the moss thin white, the pulse is slippery. Sparse: Cinnamon 10g, Radix Paeoniae Rubra 10g, Poria 15g, Moutan 12g, seaweed 15g, Zhejiang Fritillaria 10g, oyster 30g, peach kernel, safflo

17、wer 10g, licorice 6G, Laminaria 20g, Scrophulariaceae 10g, turtle 15g, Prunella 15g, Polyporus 15g, Astragalus 15g, dangshen 15g.The top was served until January 24, 2003. January 25th return visit: in January 20th, a B ultrasound examination in a hospital revealed a 1.9cm * 1.84cm cyst on the left

18、ovary. Red tongue, thin white fur, smooth pulse, still connected to the top, until March 8, 2003. March 6th went to the railway hospital to do B ultrasound examination, ovarian cyst has disappeared, in April 5th went to Hebei province hospital ultrasound examination results annex no abnormal withdra

19、wal order.Case 2: a 20 year old female, often, and in December 3, 2005, the private prosecution right ovarian cyst 49mm * 30MM right lower abdominal pain, menstrual menarche at the age of 12, half the time, without hormone cramps, a nearly a year 23 month, the last menstrual period by November 24th,

20、 right before the less severe abdominal pain,Red tongue with thin whitish fur and slippery pulse.Sparse: cassia twig 10g, Moutan 10g, motherwort 15g, Scrophulariaceae 10g, Poria 20g, peach 10g, white atractylodes rhizome 10g, Plantago 10g (cloth), Polyporus 15g, coix seed 20g, Laminaria 20g, licoric

21、e 6G, Eupatorium 15g, Prunella 15g, raw Longmu (Xian Jian) 30g. Give four doses.Come back to visit before December 7th, lower abdominal pain, red tongue, thin white fur, slippery pulse. Add seaweed 15g on top and give seven doses.Later come back visit, in front of the foundation slightly add and sub

22、tract, and into more than 20 agents. The patient reported in January 14, 2006, in January 13th in a hospital in the ultrasonic examination, no abnormal uterine attachment. Instruct them to stop taking medicine.According to the treatment of ovarian cyst blood circulation, diuresis, Ruanjiansanjie, in

23、 Guizhi Fuling pill based on Gary water wet goods, Guizhi Fuling pill from the Golden Chamber, the party with Guizhi warm meridians, Fuling and water to wet, Mudanpi cooling blood to remove blood stasis, blood breaking peach blood stasis, Radix Xiegan stasis, Prunella vulgaris, turtle shell, raw oys

24、ters, seaweed, kelp, Radix Scrophulariae, enhanced Ruanjiansanjie effect, seaweed, kelp and phlegm; Alisma, motherwort Huoxue Huayu Lishui, Polyporus dampness; Astragalus, licorice, dangshen for Qi and emaciation of the goods, to the brigade Huayu with the soft and hard drugs, raise regular product

25、from the addition of Italy, still can attack too.FibroidCase 1: Zhang, married, Wuji county. April 20, 1989 first visit. Menstruation 10 15 days time, more blood, pale without block, todays volume diminished, accompanied by palpitations, shortness of breath,The uterus is about 8cm * 5cm * 4cm, and t

26、he 3cm * 2cm enhanced band is visible behind the fundus of the uterus. The ultrasound indicates that the uterus is myoma and the left fallopian tube is effusion. Certificate for the spleen, Qi and blood weakness, so that the amount of menstruation, treated by Invigorating the spleen and replenishing

27、 qi, Ruanjiansanjie, Xiaozheng, with Guipi decoction. A period of bleeding.Shu Party: Astragalus 15g, dangshen 15g, agrimony 15g, Rehmannia charcoal 30g, 6G. 6G, Oujie charcoal, gelatin 15g, Poria 10g, Rubia 10g, white atractylodes rhizome 8g, Cimicifuga carbon 6G, longan pulp 20g.April 28th two dia

28、gnosis: menstruation has been net, but the body still feel weak, face improved, pale tongue, thin white fur, pulse weakness.Shu Party: Astragalus 15g, dangshen 15g, Prunella 15g, Scrophulariaceae 10g, Sparganium 8g, Curcuma 8g, kelp seaweed 20g, 20g, 30g 10g oysters, Zhejiang Fritillaria, licorice 6

29、G, with 14 agents.In May 8th three diagnosis: no obvious symptoms, tongue and pulse as fast, because of the menstrual cramps, prevention of bleeding, bleeding spleen first.Shu Party: Astragalus 15g, dangshen 15g, Poria 10g, fried Atractylodes 8g, longan pulp 20g, gelatin 15g, licorice 6G, 15g 20g tu

30、rtle, kelp, Rubia 10g, oyster 30g 30g, agrimony, Radix 15g, fried Zaoren 10g, 30g Oujie carbon. Give 7 doses.May 23rd: four menstruation five days net, normal tongue, thin white fur, weak pulse. Shu Party: Astragalus 15g, dangshen 15g, Prunella 10g, oyster 30g, Laminaria 20g, peach 10g, cinnamon 10g

31、, Poria 20g, Zhejiang Fritillaria 10g, dafupi 15g, Alisma 15g, Polyporus 15g, turtle 15g, Scrophulariaceae 10g, Moutan 10g, licorice 6g.Take 15 doses.June 9th return visit: in June 3rd, another hospital to do B ultrasound examination, the uterus normal, intrauterine echo uniform, ultrasound tip: nor

32、mal uterus, left fallopian tube effusion. The tongue is normal, the coating is thin and white, the pulse is weak, and 10 doses are added to the upper part.June 19th June 15th: menstruation toward referral, little blood, red color, no block, normal tongue, thin white fur, pulse is strong, ruddy, abov

33、e even served more than a month.July 20th return visit: B ultrasound prompt: the uterus appendix has not seen unusual, explained that the womb myoma and the oviduct fluid accumulation are all more, requests to stop the medicine.Case 2: Xu, 28 years old, married, Hebei College of traditional Chinese

34、medicine workers in the spring of 1994, gynecological examination, there is a 1.8 x 2 uterine fibroids, no obvious symptoms, good physique, normal tongue, pulse string. Treated with huoxuexiaozheng, Ruanjiansanjie, with modified Guizhifuling pill.Shu Party: Guizhi 10g, Poria 10g, Moutan 10g, Radix P

35、aeoniae Rubra 10g, oyster 30g, Scrophulariaceae 10g, Zhejiang Fritillaria 10g, peach 10g, turtle shell 15g, Laminaria 20g, seaweed 20g, Prunella vulgaris 15g.Even for a month. Review the uterus.According to the myoma of uterus treated by activating blood and removing stasis, Ruanjiansanjie Xiaozheng

36、, so in Guizhi Fuling Pill on the basis of only adding Prunella, turtle shell, oyster Ruanjiansanjie medicine etc. Case 1, the initial diagnosis of spleen deficiency, Qi and blood weakness, resulting in more advanced menstruation. The key to treating spleen qi with Guipi decoction. A period of bleeding. When the blood is less or after menstruation is normal, then soft strong scattered disease mainly treatment. Uterine fibroids disappeared, but there are still sactosalpinx, according to the treatment of pelvic mass,Becau