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1闭经许某,女,37岁,已婚,农民.主因闭经1年而就诊.伴见头痛,胸胁胀满,小腹冷痛喜按,四肢寒冷,急躁易怒,食欲欠佳.舌质紫黯有瘀点,脉沉弦.曾用西药和偏方治疗无效.据证而辨,当为血寒而瘀,凝滞闭经.治宜温经散寒,活血化瘀,佐以理气行滞.方用少腹逐瘀汤加减:当归、赤芍药、延胡索、川穹各15g,生蒲黄、桃仁、红花、牛膝各12g,肉桂、干姜、小茴香、没药、益母草各10g.服用6剂全身症状好转,月经来潮.第2次月经来潮时小腹坠胀,隐痛,再服4剂诸症悉除,随访半年月经周期正常.2痛经徐某,女,20岁,未婚.主因痛经2年来诊.月经错后,行经时小腹呈持续性剧痛,喜按,得热痛减,痛时恶心呕吐,四肢冷,便溏.经量少,色黯有块,血块排出后痛减.舌质黯,苔薄白,脉沉紧.据其脉证当属寒气凝滞,气滞血瘀.治宜温经散寒.方用少腹
1 Amenorrhea Xu Mou, female, 37 years old, married, farmer. Mainly due to amenorrhea for 1 year and treatment. Accompanied with headache, chest fullness, cold bellyache pain, press, cold extremities, irritable, irritability, poor appetite. Purple clams have phlegm, pulse Shen strings. Have used Western medicine and remedies ineffective treatment. According to evidence and identification, when the blood stasis and phlegm, amenorrhea amenorrhea. Expelling warming by the cold, blood circulation, combined with qi stagnation. Side with Shaofu Zhuyu decoction: Angelica, red peony root medicine, Corydalis, Chuanxiong each 15g, Health Puhuang, peach kernel, safflower, Achyranthes each 12g, cinnamon, ginger, cumin, myrrh, Motherwort each 10g. Taking 6 doses of systemic symptoms improved, menstrual cramps. The second menstrual cramps when the lower abdomen bulge, hidden pain, and then served 4 doses of Zhuji Xie Xi, follow-up six months menstrual cycle is normal. 2 dysmenorrhea Xu, female, 20 years old, unmarried. Dysmenorrhea was diagnosed after 2 years of menstruation. After the menstrual error, the lower abdomen was persistently painful at the time of passing through. When the pain was relieved by pain, nausea and vomiting, cold extremities, and loose stools were noted. After a small amount of blood stasis, there was a block of color and blood clots were discharged. Reduced. Tongue scrofula, thin white fur, pulse tight. According to the pulse card is a cold stagnation, qi stagnation and blood stasis. Expelling warming by the cold side. Party with a lower abdomen.