CAJ | 학술논문

国医大师班秀文教授学验俱丰，善治妇科疾病，对经、带、胎、产及妇科杂病的诊治均有独到见解。女性阴痿隶属妇科杂病，《黄帝内经》中便有相关记载，但由于各种原因，中医对女性阴痿的研究远不及男性阳痿的多，班秀文教授的《妇科奇难病论治》中对该病有专门论述，他认为引起女性阴痿的原因主要有禀赋不足，阳虚宫寒；七情所伤，肝失生发；脾胃虚弱，气血不足；痰湿郁滞，气机不畅四个方面。本文通过整理研究国医大师班秀文教授治疗女性阴痿的病案记录，从女性阴痿的病因病机分析、辨证施治以及治疗女性阴痿的经验进行简要阐述。并举2例女性阴痿的病案，详细分析其中的病因病机、辨证论治及治疗经验。两个病案的疗效显著，是中医临床医师学习治疗女性阴痿的重要资料。
국의대사반수문교수학험구봉，선치부과질병，대경、대、태、산급부과잡병적진치균유독도견해。녀성음위대속부과잡병，《황제내경》중편유상관기재，단유우각충원인，중의대녀성음위적연구원불급남성양위적다，반수문교수적《부과기난병론치》중대해병유전문논술，타인위인기녀성음위적원인주요유품부불족，양허궁한；칠정소상，간실생발；비위허약，기혈불족；담습욱체，기궤불창사개방면。본문통과정리연구국의대사반수문교수치료녀성음위적병안기록，종녀성음위적병인병궤분석、변증시치이급치료녀성음위적경험진행간요천술。병거2례녀성음위적병안，상세분석기중적병인병궤、변증론치급치료경험。량개병안적료효현저，시중의림상의사학습치료녀성음위적중요자료。
National traditional Chinese medicine (TCM) master professor Ban Xiuwen had rich experiences on treatment of gynecological diseases with unique insights on diagnosis and treatment for disorders of menstruation, leukorrhea, pregnancy and delivery. FemaleYin-Wei, which was a gynecological disorder, was recorded in the book ofHuang-Di Nei-Jing. However, due to different reasons, TCM study on femaleYin-Wei was far less than the study on male impotence. ProfessorBan Xiuwen had specific considerations for this disease on the book of Treatment of Miscellaneous Gynecological Diseases. In his understanding, femaleYin-Wei was due to four aspects, which were the innate deficiency, yang deficiency and coldness of the uterus; seven emotion damage, liver-qi soothing disorder; spleen-stomach deficiency,qi-blood deficiency; and phlegm-dampness stasis,qi stagnation. Through the analysis and study on case records of femaleYin-Wei treatment by national TCM master professorBan Xiuwen, this article briefly elaborated professorBan Xiuwen’s understandings on femaleYin-Wei treatment from etiology, pathogenesis, treatment according to syndrome differentiation, and clinical experiences. Two femaleYin-Wei cases treated by professorBan Xiuwen were given as examples in order to analyze the etiology, pathogenesis, treatment according to syndrome differentiation and treatment experiences in details. The therapeutic effects of both cases were obvious, which were also important study documents.