子宮內膜異位(Endometriosis)之中醫診治

The Diagnosis and Treatment of Endometriosis with Chinese Medicine

何彥頤(Yen-Yi Ho) ； 許中華(Chung-Hua Hsu) ； 陳建中(Chien-Chung Chen)

《中國中醫臨床醫學雜誌》 10卷4期 (2004/12) Pp. 316-320

https://doi.org/10.6968/TJCCTM.200412.0316

摘要

子宮內膜異位症(Endometriosis)就是子宮內膜組織因某些原因出現在子宮腔內面以外其它地方，造成骨盆腔慢性發炎、粕連而導致痛經、不孕以及慢性骨盆腔疼痛等臨床症狀。依據生長部位之不同又分為：子宮腺肌(Adenomyosis)及子宮內膜瘤(Endometrioma)或稱巧克力囊腫(Chocolate cysts)。
子宮內膜異位的成因可能不止一種，其中，經血返流學說在眾多成因中起主導作用。西醫治療主要以Danazol、GnRHa (LeuPlindepot)或手術，但副作用多且易再復發。中醫對此病症雖沒有特定的病名，但依其臨床症狀表現於行經腹痛、不孕、癥痛、月經過多等病症。治療原則在治標的基礎上，還注意到病患本虛標實的特點，以通調心、脾、肝、腎氣血為要，經脈充盈則經血流暢而病症自除。

關鍵字

子宮內膜異位 ； 癥瘤

並列摘要

Endometriosis is the result of certain factors which lead to endometrial tissue being located outside the uterine cavity. Endometriosis can lead to chronic pelvic inflammation and adhesions which in turn can lead to dysmenorrhea, infertility and chronic pain in the pelvic cavity. Endometriosis can also lead to tumorous growths, such as adenomyosis, or endometriomas, also know as chocolate cysts.
There are several theories as to the cause of endometriosis; the predominant theory among them is that of reverse menstrual flow. Western medicine treatment consists mainly of Danazol, GnRHa (Leuplin Depot) or surgery, but there are many side effects and recurrence is common. Although Chinese medicine has no specific name for this disease, treatment is based on clinical manifestation of symptoms such as abdominal pain during menstruation, infertility, concretations and conglomerations, and menorrhagia. Besides following the fundamental principle of treating the branch, it is essential to pay attention to the patient’s root vacuity and branch repletion manifestations so as to free and regulate the qi and blood of the heart, spleen liver and kidney accordingly. When the channels and vessels are full then the menses will flow smoothly and symptoms will naturally subside.

並列關鍵字

endometriosis ； concretions and conglomerations (zheng jia)