许明桃 郑玮琳 梁雪芳

    [摘要] 子宫内膜异位症为妇科常见的疑难病，痛经是子宫内膜异位症的典型症状，且多随局部病变加重而逐年加剧。司徒仪教授认为子宫内膜异位症痛经多为虚实夹杂之证，“血瘀”和“气虚”是内异症痛经的主要病机，气虚为本，血瘀为标。司徒仪教授倡导以益气化瘀消癥为治疗大法，消补兼施，并配合月经周期调治，益气固本，调畅气血，化瘀消癥，强调审证求因，辨证论治，因人制宜。司徒仪教授对子宫内膜异位症痛经的诊治经验丰富，疗效显著，值得传承推广。

    [关键词] 子宫内膜异位症;痛经;益气消癥法;月经周期

    [中图分类号] R249.8? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-7210(2019)09(c)-0138-05

    Si Tuyi′s experience of treating endometriosis dysmenorrhea with benefiting qi and mass-eliminating method

    XU Mingtao1? ?ZHENG Weilin2? ?LIANG Xuefang1

    1.Department of Gynecology， Guangdong Province Hospital of Traditional Chinese Medicine? The Second Affiliated Hospital of Guangzhou University of Chinese Medicine， Guangdong Province， Guangzhou? ?510120， China; 2.the Second Clinical Medical College， Guangzhou University of Chinese Medicine， Guangdong Province， Guangzhou? ?510405， China

    [Abstract] Endometriosis is a common gynecological disease. Dysmenorrhea is a typical symptom of endometriosis， and it is aggravated year by year with the increase of local lesions. Professor Si Tuyi believes that endometriosis dysmenorrhea is mostly a mixture of intermingled deficiency and excess syndrome. The main pathogenesis of endogenous dysplasia is “blood stasis” and “qi deficiency” ......