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【王幸福医案】治疗盆腔炎效方

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主方：黄柏30g，苍术15g，怀牛膝10g，生薏米50g，忍冬藤30g，车前草30g，败酱30g，红藤15g，生甘草10g。

 

主治：湿热带下，腥臭异味。西医所谓的盆腔炎、附件炎、宫颈炎、阴道炎等。

 

此方由传统的二妙散发展而来，专治下焦湿热。

 

【体会】

 

妇女的带下病多数属于肝经郁滞，湿热下注。亦有寒湿证，但相对的热证见多，即湿热带下。这可能和现代生活条件改善有关，常吃烧烤肥甘厚味，积热郁湿。

 

此类病在急性期西医抗生素也好使，诸如左氧氟沙星之类，但是还有部分不效。在这方面不如中医治疗可靠，只要是湿热证，中药是百分之百有效，这是不含糊的。大量的中医实践已可以证明这一点，短处是喝药一般人不太爱接受。

 

我临床上接诊的病人大多数已经西医治疗过，不效，找中医继续治疗，经用上方无有不效的。这一点大家可以重复验证，我想不会使大家失望的。下面举一例示之。

 

【辨治经过】

 

刘某某，女，28岁。甘肃人，回民，人白净，在医院找到我，要求看妇科。

 

刻诊：自述近一个多月少腹胀痛，腰酸困，白带多，有臭味，舌尖边红，苔白腻，饮食少，小便黄有热，大便溏，心烦急躁。

 

西医检查化验：盆腔炎，二度宫颈糜烂。点滴左氧氟沙星一周，略为好转，但不除根，过几天又犯，搞得人没心情工作，要求中医彻底治疗。

 

辨证：肝经郁热，湿热下注。用上方加白头翁30g，七剂。二周后，少腹已不痛，白带减少，效不更方，前方减白头翁、败酱草，加芡实、山药、海螵蛸，又七剂痊愈，三月后追访没有再犯。

 

|医家简介|

王幸福（网名：古道瘦马），男，1956年10月生，大学文化，主籍河南，飘零豫陕，定居西安。16岁起随祖父习医，18岁始独自行医，中途亦官亦医，晚年定心皈依中医。一贯奉行：读万卷医书，治万计病人。崇尚大道至简，效法仲景；鄙视装神弄鬼，故弄玄虚。著有《杏林薪传》、《王幸福中医文集》等。

 

地址：陕西省西安市高新路80号望庭国际4-2-1-1室藻露堂友联医药店中医诊室。

邮编：710065

电话：13363925205

 

来源：国医微课堂医案分享20170323/编辑整理：微键