產後缺乳之中醫治療保健策略

The Treatment of Puerperal Alactation by the Traditional Chinese Medicine

陳建霖(Chien-Lin Chen)

《北台灣中醫醫學雜誌》 5卷2期 (2013/12) Pp. 1-12

摘要

哺乳有利於母親健康，例如可以促進子宮的收縮，減少產後的出血；也可以抑制排卵，延遲月經的來潮，有利於減少卵巢癌與乳癌的發生率。因此世界各國都不遺餘力的推廣哺乳。但有研究指出母乳的餵養率並未明顯的增高，其中一個最重要的原因就是乳量的不足。所以如果想要推廣母乳的哺育以增進人民的健康，就不得不重視產後缺乳的問題，而如何保障母乳的足量是過去中醫的一個重要的議題，因此，產後缺乳的治療，中醫有很多的治療與保健經驗，值得我們去發掘與發揚。由歷代中醫的治療經驗總結，氣血是產生乳汁的基礎物質。因此，治療產後缺乳要從兩方面去考量：一是氣血生化的足與不足，二是氣血流通的暢與不暢。而兩者往往相互並見。除了醫藥的治療，中醫也累積了許多針灸與藥膳保健的經驗，藉由對古籍記錄的比較分析與臨床運用的經驗，我們可以提出一些總結性的經驗，提供中醫同道的臨床應用。

關鍵字

產後缺乳 ； 中醫藥

並列摘要

Breast-feeding are important for the health of mother and baby. Such as suction will promote the contraction of the uterus, which will decrease the puerperal bleeding. It also inhibits the ovulation and that will delay the menstrual cycle and decrease the risk of ovary cancer and breast cancer. Puerperal alactation is the major reason that make breast-feed difficult for the mother. So, how to increase the puerperal lactation is important for the health of our children. Traditional Chinese Medicine care deeply about the puerperal lactation. So, there must be many experience about treating of puerperal alactation. According to the experience of tradition Chinese medicine, the breast milk is transferred from Qi and Blood, especial Blood. So how to increase Blood and make it flow smoothly is the tow key points in treating the puerperal alactation. Moreover, acupuncture, moxibution, massage and Chinese tonics are also useful in treating the puerperal alactation. I will deal with them shortly about the principle in the treatment of puerperal alactation.

並列關鍵字

Chinese medicine ； puerperal alactation ； Chinese Tonics ； TCM

參考文獻

陳建霖(2008)。產後缺乳的中醫藥典籍匯編。台北:行政院衛生署中醫藥委員會。

孫思邈(1970)。備急千金要方。台北:宏業出版社。

顧觀光輯(2002)。神農本草經。北京:學苑出版社。

張璐(1999)。本經逢原。北京:中國中醫藥出版社。

蒲輔周(2005)。蒲輔周醫療經驗。北京:人民衛生出版社。