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痛经都是“宫寒”?别再傻傻“听说”了,文内附妙招

2019-07-19 15:21:06   来源:未知
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痛经可谓是妇科最常见的一种疾病,面对痛经,你会怎么做? 喝热水,贴暖宝宝,抑或依靠止痛药,还是忍一忍? 何必如此,中医有妙招,且听我来告诉您。 痛经 凡在经期出现下腹部疼痛、腰骶部酸胀、伴见恶心、呕吐、腹泻、头晕头痛,甚至剧痛晕厥者,称为痛经。重度痛经患者严重影响学习和生活,据说,全世界80%-90%的女性,一生中或多或少都经历过痛经的困扰。 痛经又分原发性痛经或继发性痛经,前者是指生殖道无器质性病变的痛经,一般发生在月经初潮后几年,随着发育的日渐成熟多能自然好转,后者系指盆腔器质性疾病如子宫内膜异位症、子宫腺肌

  “痛经”可谓是妇科最常见的一种疾病,面对痛经,你会怎么做?

  喝热水,贴暖宝宝,抑或依靠止痛药,还是忍一忍?

  何必如此,中医有妙招,且听我来告诉您。

  痛经

  凡在经期出现下腹部疼痛、腰骶部酸胀、伴见恶心、呕吐、腹泻、头晕头痛,甚至剧痛晕厥者,称为“痛经”。重度痛经患者严重影响学习和生活,据说,全世界80%-90%的女性,一生中或多或少都经历过痛经的困扰。

  痛经又分原发性痛经或继发性痛经,前者是指生殖道无器质性病变的痛经,一般发生在月经初潮后几年,随着发育的日渐成熟多能自然好转,后者系指盆腔器质性疾病如子宫内膜异位症、子宫腺肌病、盆腔炎或宫颈管粘连引起的痛经,这类痛经是不能自行好转的。

  每一个来诊的痛经患者,我们会建议您做一些检查就是为了鉴别原发性痛经和继发性痛经,两者治法不尽相同,所以,千万不要自作主张的拒绝一切检查,另外痛经还需要和一些常见的妇科、外科、内科疾病相鉴别,切勿认为经期出现的腹痛就一定是痛经,配合医生,找准病因,才能取得较好的疗效。

  痛经发生的原因有哪些?

  西医认为痛经与子宫收缩异常有关,由于子宫异常收缩增强,使子宫血流量减少,造成子宫缺血,导致痛经发生;还有子宫内膜前列腺素升高,引起子宫平滑肌过强收缩,血管痉挛,造成子宫缺血缺氧状态而出现痛经;部分患者是由于器质性病变所致的痛经,常见的如子宫内膜异位症、子宫腺肌症及颈管狭窄等因素引起痛经,还有患者是由于精神压抑、焦虑、对疼痛的恐惧所致。

  很多人认为自己痛经的原因都是因为“宫寒”!非也,中医认为气滞血瘀、寒凝胞中、气血虚弱、肝肾虚弱都会引起痛经,所以即便都是痛经,中医大夫对每个人的治疗都不尽相同。简单说来痛在经前、经期多属实,痛在经后多属虚;痛甚于胀,经血色黯夹血块多为血瘀;胀甚于痛,伴经血排出不畅多属气滞;绞痛、冷痛、得热痛减者为寒;灼痛得热痛增多为热;痛在少腹,兼有乳房胀痛者,病多在肝;痛连腰骶,伴头晕、耳鸣者多为肾虚。

  诊断明确了,该如何治疗呢?

  西医治疗主要是对症治疗,常用止痛方法三部曲,生活护理—止痛药—避孕药。经期注意保暖、避免受寒,喝杯姜糖水、热牛奶也能有缓解的作用。疼痛无法缓解者,可以吃布洛芬胶囊(每次0.2-0.4g,一天3次)或是芬必得(每次一片,一天2次),这些药物可以抑制前列腺素的合成,可以缓解痛经;无效者还可以选用复方短效口服避孕药,比如妈富隆、达英35、优思明、优思悦等,上述药物除能治疗痛经外,尚能起到调整月经周期、减少经量,治疗多囊卵巢综合征等作用。但提到激素,很多患者尤其是年轻的女性会顾虑重重,不用担心,我们还有很多中医的好办法可以帮到你!痛经的中医治疗以调理冲任气血为主,痛时缓急止痛以治标;平时审因辩证以治本;痛经的治疗时间,宜经前一周给药至经期。我们来看看都有哪些好方法呢?

  特别注意:药物请在专业医师指导下使用

  1.中药内服

  就诊时医生会根据患者的症状结合舌脉象进行辨证论治,往往能收到较好的疗效。另外给大家介绍几种常用的治疗痛经的中成药,定坤丹适合于肾虚夹瘀型痛经的患者,益坤宁适合于寒凝经脉所致之痛经,少腹逐瘀颗粒适用于寒凝血瘀所致的痛经;妇科再造丸则具有暖宫止痛,养血调经的作用,可择其一口服。

  2.中医外治法

  ①腹部热熨法:将中药制成中药包,隔水蒸半小时后即在腹部进行热熨,本法适用于寒性痛经。亦可将煎剂所剩药渣,如法在小腹部热熨。经前2-3天至经期第一天,每天1-2次,每次30分钟。本法是中医独特、有效的外治法之一。它可借助温热之力,将药性由表达里,通过皮毛腠理,循经运行,内达脏腑,疏通经络,温中散寒,畅通气机,镇痛消肿,从而达到治病的目的。

  ② 针灸疗法:根据患者的具体病情,选择相应的穴位进行针灸,通过刺激穴位,达到疏通任督两脉,调理经络,可使血气运行畅通,止痛的目的,常用的痛经选穴有中极、次髎、中髎、地机、足三里、三阴交,实证用泻法,留针15-20分钟,具有较好的疗效。

  ③ 耳针:取子宫、内分泌、交感、肾、肝、脾、神门等。每次可选取2-4穴,在所选穴位处寻找敏感点,进针后快速捻转数分钟,每日或隔日一次,也可用王不留行籽、磁珠等贴在穴位处,用中、强刺激也具有较好的止痛效果。

  ④ 太极灸:是将药物放置于腹部腧穴,借助艾灸及温熨的双重功效,起到通经活络、祛湿散寒,暖宫止痛的功效。上述治疗方法均可有效缓解痛经,配合中药口服,对于原发性痛经及部分继发性痛经女性均可起到较好的疗效。

  3.食疗方法

  如果有妹子嫌吃药苦,外治法又麻烦,还有食疗的方法可以帮到你,既好吃又能治病!

  ①黑豆蛋酒汤:

  材料:黑豆60克,鸡蛋2个,米酒100毫升。

  做法:将黑豆先煮30分钟,再加入鸡蛋同煮,起锅前加入米酒即可。

  功效:具有调中、下气、止痛功能。适用于妇女气血虚弱型痛经,并有和血润肤功效。

  ②姜艾薏苡仁粥:

  材料:干姜、艾叶各10克,薏苡仁30克。

  做法:将前两味水煎取汁待用,将薏苡仁煮粥至八成熟,入药汁同煮至熟。

  功效:具有温经、化瘀、散寒、除湿及润肤功效。适用于寒湿凝滞型痛经。

  ③姜枣红糖水:

  材料:干姜、大枣、红糖各30克。

  做法:将前两味洗净,干姜切片,大枣去核,加红糖煎。喝汤,吃大枣。

  功效:具有温经散寒功效。适用于寒性痛经及黄褐斑。

  ④益母草煮鸡蛋:

  材料:益母草、鸡蛋、红糖

  做法,将益母草先煮15分钟,再放入鸡蛋同煎,起锅前加入适量红糖即可。喝汤吃蛋。

  功效:具有通经、止痛经、补血、悦色、润肤美容功效。适用于月经先期伴有双乳小腹胀痛者。

  4.未病先治,未病先防

  很多疾病防胜于治,想要不痛经,预防是关键。经期注意保暖,避免受寒;经前和经期禁食冷饮及寒凉食物。经期禁游泳、盆浴、冷水浴;保持外阴清洁,经期尤其注意卫生;调畅情志,保持精神舒畅,消除恐惧心理;练习瑜珈,适量的运动更能松弛肌肉及神经,且体质增强有助改善痛经;月经期应尽量避免做不必要的妇科检查及各种手术,防止细菌上行感染;做好避孕,减少人工流产次数,避免发生宫颈管粘连或宫腔粘连。

  综上所述,中医治疗痛经方法多样,治疗方法分平时和经期不同,平时根据患者的具体病因、辩证多采用中药内服调理气血,经期采用内服中药和外治法相结合,不论是原发性痛经还是继发性痛经均能收效良好。

  痛经何须忍,我们有妙招!

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