CAJ | 학술논문

[目的]以六则临床验案为例，探讨《黄帝内经》反治法在妇科疾病中的运用，以期指导临床。[方法]通过温习《黄帝内经·至真要大论》中相关反治法条文，爰举临床实践验案，如通经利水法治疗经期过长、疏风解表药治疗经期盗汗、攻下法治疗带下、健脾法治疗妊娠消食、补气法治疗妊娠便秘、温热药治疗咽喉疼痛等。同时总结反治法在妇科疾病中的运用规律。[结果]妇科疾病在辨证论治基础上，可以使用反治法，如通因通用、塞因塞用、热因热用法等，经实践证明，临床疗效佳。[结论]以经文奥旨“反治法”治疗妇科疾病，是治病求本的体现，应当深入挖掘、继承、发扬，使之更好指导临床。
[목적]이륙칙림상험안위례，탐토《황제내경》반치법재부과질병중적운용，이기지도림상。[방법]통과온습《황제내경·지진요대론》중상관반치법조문，원거림상실천험안，여통경이수법치료경기과장、소풍해표약치료경기도한、공하법치료대하、건비법치료임신소식、보기법치료임신편비、온열약치료인후동통등。동시총결반치법재부과질병중적운용규률。[결과]부과질병재변증론치기출상，가이사용반치법，여통인통용、새인새용、열인열용법등，경실천증명，림상료효가。[결론]이경문오지“반치법”치료부과질병，시치병구본적체현，응당심입알굴、계승、발양，사지경호지도림상。
[Objective] To dicuss the application of contraray treatment from“Yel ow Emperor’s Internal Classics”in gynecological diseases, hoping to guide the clinic. [Method] By reviewing the articles concerning contrary treatment in “True Large Theory.Yel ow Emperor’s Internal Classics”, take clinical recipe cases as examples, such as stimulating the menstrual flow and water circulation for long menstruation; dispel ing wind to relieve exterior syndrome for night sweat in menstruation;dismounting for morbid leucorrhea;reinforcing spleen for pregnant digestion;tonifying Qi for pregnant constipation;warm drugs for sore throat, etc. Meanwhile, it sums up the application rules of the contrary treatment in gynecological diseases. [Result] The gynecological dis-eases can be cured by contrary therapy based on differentiation of signs, i.e.treating diarrhea with purgative,treating obstruction with tonics, treating heat with warm, al with good cure effect proved by practice.[Conclusion] To treat gynecological diseases with contrary therapy is the demonstration of search-ing for primary cause in treatment;we shal further dig out, inherit and develop it and make it better serve the clinic.