《傅青主女科》調經與用藥淺論

Brief Discussion on Regulating the Menstruation and Medicine Utilization n the "Fu Qung Zhu Gynecology"

曹偉(Wei Tsao) ； 林于廷(Yue-Ting Lin)

《中醫藥研究論叢》 10卷1期 (2007/03) Pp. 115-128

https://doi.org/10.6516/TJTCM.200703_10(1).0012

摘要

調經乃論治婦科病證的入門和基礎，宋代《婦人大全良方》的作者陳自明主張凡醫婦人，必先調經，張子和亦謂凡看婦人病，入門先問經。把握傅氏調經的學術思想，會有助於理解《傅青主女科》全文的精髓，從所用處方中看出傅氏扶正以祛邪的用藥觀點，用藥補血爲最，其次健脾滋腎，體現了傅氏注重氣血，制方精巧的學術思想。傅氏調經特色爲：『重視肝血，扶正求本，擅用補法，強調補氣健脾溫陽，重視調本補腎水及乙癸同源』，少提及破瘀化積，強調婦人以血爲本，且妊娠、經產多損傷氣血，主張立足於補，氣血充盈則瘀自除。在分析『傅氏調經門，傅氏用藥及傅氏活血化瘀方劑』後，發覺傅氏調經不重破血而重扶正以祛邪，若有瘀時，僅注重溫經化瘀和補氣血化瘀，在疏肝解鬱、涼血活血、清熱瀉火、大補氣血上佐以少量化瘀藥物。因此，提醒我們須注意扶正所以去邪，正存後方有邪可以去，用藥重時須補行兼施，因時、因經期、因人不同而有所當爲，不可一昧攻伐，而忽略傅氏醫學所提示的『調經重視肝血，扶正求本，補氣溫陽』的治法大要。

關鍵字

傳青主女科 ； 調經 ； 活血化瘀

並列摘要

Regulating the menstruation is the introduction and basis of gyniatrics. The author of ”Complete Collections of Woman Therapy Formula” in Song Dynasty, Jeh-Ming Chen advocated that it had to regulate the menstruation first upon treating women. Zih-Ho Chang also asserted that it had to ask the menstruation at the start upon curing woman's diseases, Hold the academic thought of Eu's menstruation regulation will help to understand the marrow of ”Fu Quing Zhu Gynecology”. From the prescription of Eu's formula, the view of medicine utilization can be found. The major way is enriching the blood by medicine. Then strengthen the spleen and nourish the kidney. It has reflected Fu's academic thought of paying attention to qi and blood. The feature of Fu's menstruation regulation is: ”Pay attention to the liver blood, to get right and get rid of evil, to use the reinforcing method, to emphasize the support of qi, and to strengthen the spleen and nourish the Yang”. It emphasizes that the blood is used as the basis of women. The gestation, much menstruation will damage qi and blood. It has to enrich the qi and blood. After Analyzing ”Eu's menstruation regulation, Eu's medicine and Eu's formula for invigorating blood circulation”, it is found that Fu's menstruation regulation will not break blood and support to get rid of evil. When there is silt, it has to pay attention to warm the silt and emich qi and blood silt, and a little bit of silt medicine is used to clear away heat. So, we are reminded to get right and get rid of evil. The medicine must be used at correct time, menstrual period, and people. The outline of Fu’s medicine: ”to pay attention to the liver blood, to get right and get rid of evil, and to support qi and nourish the Yang”.

並列關鍵字

Fu Quing Zhu Gynecology ； menstruation regulation ； invigorating blood circulation and get rid of silt