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刘敏如教授从事中医妇科临床工作七十余载，对经断前后诸证（围绝经期综合征）积累了丰富的临床经验。她认为经断前后诸证的主要病机为肾气亏虚、阴血亏虚、以肾虚为根本的全身多脏器功能失调。治疗关键在于“补肾气”“滋阴血”，恢复经断前后女性“脏腑功能体系的再平衡”，同时应兼治痰浊、血瘀、郁火等致病因素。临床紧扣治疗关键，根据患者的不同临床表现选方化裁，并结合现代医学研究，选用类雌激素样作用中药，常常取得显著效果。
Abstract：Professor Liu Minru has been engaged in the clinical work of Gynecology of traditional Chinese medicine(TCM) for more than 70 years, and has accumulated rich clinical experience in pre-and post-menstrual symptoms(perimenopausal syndrome). She believes that the main pathogenesis of the pre-and post-menstrual symptoms is kidney Qi deficiency, Yin blood deficiency, and systemic multiple organ dysfunction with kidney deficiency as the fundamental factor. The key to treatment lies in "tonifying kidney qi", "nourishing yin and blood", and restoring the "rebalancing of visceral function system" of women before and after menstruation interruption. At the same time, the pathogenic factors such as phlegm, blood stasis, depression and fire should also be treated. According to the different clinical manifestations, Professor Liu Minru prescribe patients different drugs, and combining with modern medical research, estrogenic-like traditional Chinese medicine was selected, which often achieved significant results.
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基本信息:
DOI：10.26946/j.cnki.1000-3649.sczy.2503070002
中图分类号:R249;R271.116
引用信息:
[1]张莉,刘敏如.国医大师刘敏如教授治疗经断前后诸证的临床经验[J].四川中医,2025,43(08):1-4.DOI:10.26946/j.cnki.1000-3649.sczy.2503070002.
基金信息:
深圳市鹏城岐黄工程中医药优秀人才培养项目（20230403）