〔摘要〕 赵颖教授从事中医药治疗妇科疾病多年，临床上擅用经方治疗妇科血证，总结出异常子宫出血的主要病机为冲任虚寒夹瘀，以温经散寒、养血祛瘀为法，采用经方温经汤加减治疗。温经汤具有温阳散寒、清退虚热、温通气血功效，同时全方配伍可气血阴阳俱调，主治寒热错杂、瘀血阻滞之病症，与异常子宫出血的病机相符合，临床用于治疗异常子宫出血疗效颇佳。赵颖教授将治疗异常子宫出血的经验归结为“一纲二期三步法”，并且根据一天中阳气的消长变化而因时处方，随证加减。附验案一则以飨同道。

    〔关键词〕 异常子宫出血;温经汤;一纲二期三步法;阴阳特性

    〔中图分类号〕R271.1" " " " "〔文献标志码〕A" " " " " 〔文章编号〕doi：10.3969/j.issn.1674-070X.2024.08.027

    Professor ZHAO Ying's \"one principle， two stages， and three steps\" method in treating abnormal uterine bleeding with Wenjing Decoction

    ZHONG Caiting1， ZHAO Ying2*

    1. The First Clinical Medicine College of Guangzhou University of Chinese Medicine， Guangzhou， Guangdong 510000， China;

    2. Department of Gynecology， the First Hospital of Guangzhou University of Chinese Medicine， Guangzhou， Guangdong

    510000， China

    〔Abstract〕 Professor ZHAO Ying has been engaged in treating gynecological diseases with Chinese medicine for many years. She is proficient in using classic formulas to treat gynecological blood disorders in clinical practice and has concluded that the main pathogenesis of abnormal uterine bleeding is deficiency-cold of Chong and Ren meridians with blood stasis. Accordingly ......