推荐回答(1个)
病因病机:
主要病因是冲任不固,经血失于制约而致血量多。
常见的分型有气虚、血热和血瘀。
①气虚 素体虚弱,或饮食失节,劳倦过度,大病久病,损伤脾气,中气不足,冲任不固,血失统摄,遂致经行量多。
②血热 素体阳盛,或恣食辛燥,感受热邪,七情过极,郁而化热,热扰冲任,迫血妄行,遂致经行量多。
③血瘀 素性抑郁,或忿怒过度。气滞而致血瘀,或经期产后余血未尽,感受外邪,或不禁房事,瘀血内停,瘀阻冲任,血不归经,遂致经行量多。
血崩亦称崩中、暴崩,指妇女不在经期而突然阴道大量出血的急性病证。本病病因颇多,有因劳伤过度,气虚下陷,统摄无权所致;有因暴怒伤肝,肝不藏血,经血妄行而发为血崩;亦可素体热盛,复感热邪或恣食辛燥之品,积热化火,热迫血行而发病;另有经期产后,余血未尽,或因外感,夹内伤,瘀血内阻。恶血不去,新血不得归经,造成崩中。现代医学中的功能性子宫出血之重症者。
可分为下列三型:
1.气虚,暴崩下血,色淡质薄,面色晄白或虚浮,困倦乏力,动则气短,脉细弱或芤。舌体胖嫩有齿印,苔薄润或腻。
2.血热,突然血出如崩,血色深红,头晕面赤,烦躁口渴,脉滑数或弦数,苔黄。
3.血瘀,血出淋漓不断,猝然其势若崩,夹有瘀块,血色紫暗,小腹疼痛拒按,脉沉涩或沉紧,舌质暗红,舌尖边时见瘀点。
参考资料
百度百科.百度百科[引用时间2017-12-22]
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