芒果视频

人物簡介

楊桂云(yun)，女(nv)，湖北省漢陽人。主任醫(yi)師(shi)，教(jiao)授。1983年畢(bi)業于上海中(zhong)醫(yi)學院，師(shi)從中(zhong)醫(yi)婦科(ke)專家沈仲理(li)教(jiao)授，畢(bi)業后在江蘇省中(zhong)醫(yi)藥研究(jiu)院婦科(ke)工作。是(shi)全國(guo)第三、第四、第五、第六批名老中(zhong)醫(yi)藥專家學術經驗繼(ji)承工作指導老師(shi)。擅長治(zhi)療調治(zhi)月(yue)經失調類疾病、不孕不育癥、更年期綜合征、子宮肌(ji)瘤等。

主要作品

出版著作

《中醫婦科學》

《中(zhong)華家(jia)庭調補(bu)大全》

《中成(cheng)藥(yao)臨床手(shou)冊》

主要論文

1.池雷,楊(yang)桂云.益腎健脾法(fa)治(zhi)療(liao)無排卵性(xing)功(gong)能失調性(xing)子宮出血60例[J].河南中醫,2011,31(10):1148-1149.

2.楊桂(gui)云.補腎活血湯治(zhi)療卵巢功能失調(diao)性不孕的臨(lin)床觀察[J].中(zhong)西醫(yi)結合學報,2004(02):138-139.

3.楊桂(gui)云.不(bu)孕癥的中醫調周治療(liao)及其作用機理(li)初探[J].江蘇中醫藥,2004(03):17-20.

4.楊(yang)桂云,劉紅林.補(bu)腎活血方(fang)對子宮內膜異位癥不(bu)孕腹腔液微(wei)環境改善作用的(de)實驗研究(jiu)[J].中醫藥學刊(kan),2003(01):57-59.

5.楊桂云,王佩娟,賈曉(xiao)(xiao)斌,顧(gu)奎興,曹步凱(kai),王曉(xiao)(xiao)麗,紀孝萍.補腎(shen)活血(xue)湯(tang)對小鼠體外(wai)受精及其早(zao)期胚胎發育的影響[J].中(zhong)(zhong)國中(zhong)(zhong)西醫結合雜(za)志,2001(07):522-524.

6.楊桂云(yun),王佩娟,賈(jia)曉斌,顧奎興,劉紅林.“補腎(shen)活血湯”對小鼠早(zao)期胚胎發(fa)育的作用[J].江蘇(su)中醫,2000(11):50-51.

7.顧奎興,楊(yang)桂云.中藥(yao)藥(yao)對在腫(zhong)瘤臨床的應(ying)用[J].江蘇(su)藥(yao)學(xue)與臨床研(yan)究,1998(03):31-33.

8.楊桂云(yun),顧(gu)奎興.補腎活血法治療卵巢功能(neng)失(shi)調性不孕(yun)癥92例[J].南京中(zhong)醫藥大(da)學學報,1998(03):56.

9.顧奎(kui)興,楊桂云(yun).相反相畏(wei)藥對在腫瘤臨床的(de)應用舉隅[J].江蘇中醫,1998(03):36-38.

10.楊桂云.益腎為主治(zhi)療室(shi)女(nv)崩漏的(de)臨床體會(hui)[J].江蘇中醫,1996(08):27-28.

11.楊桂云.中(zhong)醫(yi)藥治(zhi)療子宮肌(ji)瘤的研(yan)究進(jin)展[J].河南(nan)中(zhong)醫(yi),1990,10(05):41-43.

12.楊桂云.閉經醫(yi)案拾零[J].江蘇中醫(yi),1989(08):15-16.

貢獻影響

學術思想

婦科疾病以補腎調周為先

補腎(shen)調(diao)(diao)周(zhou)治療(liao)(liao)不(bu)孕癥(zheng):下丘腦(nao)一垂體一卵(luan)巢軸功(gong)能(neng)(neng)(neng)異常(chang)導致無排卵(luan)和黃體功(gong)能(neng)(neng)(neng)不(bu)健(jian)，表(biao)現為功(gong)能(neng)(neng)(neng)性子宮出血、閉經(jing)(jing)(jing)、不(bu)孕等(deng)病(bing)證(zheng)。西醫常(chang)用(yong)誘(you)發排卵(luan)，改善黃體功(gong)能(neng)(neng)(neng)的(de)方法治療(liao)(liao)排卵(luan)功(gong)能(neng)(neng)(neng)障(zhang)礙性不(bu)孕癥(zheng)。中醫認為，“種(zhong)子之(zhi)法，即(ji)在(zai)于調(diao)(diao)經(jing)(jing)(jing)之(zhi)中”，“調(diao)(diao)經(jing)(jing)(jing)”是“種(zhong)子”的(de)重要手段，她通過(guo)分經(jing)(jing)(jing)后期(qi)(qi)、排卵(luan)期(qi)(qi)、黃體期(qi)(qi)、月經(jing)(jing)(jing)期(qi)(qi)四期(qi)(qi)周(zhou)期(qi)(qi)性治療(liao)(liao)，調(diao)(diao)整月經(jing)(jing)(jing)周(zhou)期(qi)(qi)，恢(hui)復正常(chang)卵(luan)巢功(gong)能(neng)(neng)(neng)，治療(liao)(liao)不(bu)孕癥(zheng)臨床每獲良(liang)效。

補(bu)腎調(diao)周治療(liao)慢性盆腔炎(yan)(yan):慢性盆腔炎(yan)(yan)是(shi)婦科的常見病，可見小腹一側或(huo)(huo)兩側作痛，腰(yao)酸帶下或(huo)(huo)多，色黃白質(zhi)黏稠，慢性盆腔炎(yan)(yan)瘀熱(re)濕虛的病理(li)變化(hua)是(shi)不孕(yun)的原(yuan)因。采用補(bu)腎調(diao)周的方法(fa)標本兼治，有助(zhu)于(yu)調(diao)節內分(fen)泌，增強免疫功(gong)能，促進炎(yan)(yan)癥(zheng)的吸收。臨(lin)床中要根據炎(yan)(yan)癥(zheng)的輕重(zhong)選擇清熱(re)利濕化(hua)瘀。

補(bu)腎調周(zhou)治療功能性痛(tong)經(jing):痛(tong)經(jing)除經(jing)行疼(teng)痛(tong)外，常是不孕的(de)原(yuan)因(yin)，疼(teng)痛(tong)發(fa)(fa)作時以通則不痛(tong)為治法(fa)，平時疼(teng)痛(tong)未(wei)發(fa)(fa)作，需(xu)從本論(lun)治，補(bu)腎調周(zhou)，重點(dian)放在(zai)月經(jing)后半期的(de)調治。首先(xian)卵子要順利排(pai)出，繼之要有良好的(de)黃(huang)體功能，維持陽氣的(de)旺(wang)盛，經(jing)血(xue)才能順暢排(pai)出。

從臟腑、氣血、陰陽調理月經

補腎(shen)(shen)調(diao)(diao)(diao)肝，顧護脾(pi)胃(wei):她認為(wei)(wei)，肝腎(shen)(shen)在月(yue)(yue)經(jing)(jing)(jing)(jing)(jing)病(bing)論(lun)治方面尤為(wei)(wei)重要。精(jing)(jing)(jing)氣(qi)(qi)是(shi)(shi)人(ren)體生(sheng)(sheng)(sheng)長(chang)發(fa)(fa)育及(ji)各種(zhong)功能(neng)(neng)活(huo)動(dong)的(de)(de)(de)(de)物(wu)(wu)質(zhi)基礎，包括(kuo)月(yue)(yue)經(jing)(jing)(jing)(jing)(jing)的(de)(de)(de)(de)生(sheng)(sheng)(sheng)理(li)活(huo)動(dong)。精(jing)(jing)(jing)能(neng)(neng)生(sheng)(sheng)(sheng)血(xue)，血(xue)能(neng)(neng)化精(jing)(jing)(jing)，精(jing)(jing)(jing)血(xue)同源(yuan)，同為(wei)(wei)月(yue)(yue)經(jing)(jing)(jing)(jing)(jing)產生(sheng)(sheng)(sheng)物(wu)(wu)質(zhi)基礎。同時，精(jing)(jing)(jing)能(neng)(neng)化氣(qi)(qi)，腎(shen)(shen)氣(qi)(qi)盛衰(shuai)主(zhu)(zhu)(zhu)宰(zai)天(tian)(tian)(tian)癸(gui)的(de)(de)(de)(de)生(sheng)(sheng)(sheng)理(li)活(huo)動(dong)，天(tian)(tian)(tian)癸(gui)是(shi)(shi)月(yue)(yue)經(jing)(jing)(jing)(jing)(jing)產生(sheng)(sheng)(sheng)的(de)(de)(de)(de)必(bi)不(bu)(bu)(bu)(bu)可少(shao)的(de)(de)(de)(de)物(wu)(wu)質(zhi)基礎。《傅(fu)青主(zhu)(zhu)(zhu)女科(ke)》云:“經(jing)(jing)(jing)(jing)(jing)水(shui)出諸腎(shen)(shen)。”“經(jing)(jing)(jing)(jing)(jing)原非血(xue)，乃天(tian)(tian)(tian)一(yi)之(zhi)(zhi)(zhi)水(shui)，出自腎(shen)(shen)中(zhong)。”腎(shen)(shen)是(shi)(shi)月(yue)(yue)經(jing)(jing)(jing)(jing)(jing)產生(sheng)(sheng)(sheng)的(de)(de)(de)(de)根(gen)本，腎(shen)(shen)氣(qi)(qi)的(de)(de)(de)(de)盛衰(shuai)主(zhu)(zhu)(zhu)宰(zai)著天(tian)(tian)(tian)癸(gui)的(de)(de)(de)(de)至與(yu)竭，只有(you)(you)腎(shen)(shen)氣(qi)(qi)健(jian)旺，才(cai)能(neng)(neng)使天(tian)(tian)(tian)癸(gui)成(cheng)熟，任通沖盛，月(yue)(yue)經(jing)(jing)(jing)(jing)(jing)正常(chang)；只有(you)(you)腎(shen)(shen)氣(qi)(qi)充(chong)盛，子宮(gong)才(cai)能(neng)(neng)發(fa)(fa)育正常(chang)，完(wan)成(cheng)月(yue)(yue)經(jing)(jing)(jing)(jing)(jing)、胎孕功能(neng)(neng)。她認為(wei)(wei)腎(shen)(shen)中(zhong)精(jing)(jing)(jing)血(xue)不(bu)(bu)(bu)(bu)充(chong)、腎(shen)(shen)中(zhong)之(zhi)(zhi)(zhi)氣(qi)(qi)不(bu)(bu)(bu)(bu)盛是(shi)(shi)導致月(yue)(yue)經(jing)(jing)(jing)(jing)(jing)病(bing)的(de)(de)(de)(de)根(gen)本原因，調(diao)(diao)(diao)經(jing)(jing)(jing)(jing)(jing)之(zhi)(zhi)(zhi)本在于腎(shen)(shen)。女子以(yi)肝為(wei)(wei)先(xian)天(tian)(tian)(tian)，肝藏血(xue)而(er)主(zhu)(zhu)(zhu)疏泄(xie)，主(zhu)(zhu)(zhu)升發(fa)(fa)。《素問·六節藏象(xiang)論(lun)》言:“肝者，罷(ba)極(ji)之(zhi)(zhi)(zhi)本，……以(yi)生(sheng)(sheng)(sheng)血(xue)氣(qi)(qi)。”肝又(you)(you)為(wei)(wei)沖任兩脈(mo)之(zhi)(zhi)(zhi)研系。肝氣(qi)(qi)條(tiao)達，氣(qi)(qi)機條(tiao)暢，則(ze)臟腑安和，氣(qi)(qi)血(xue)津液生(sheng)(sheng)(sheng)生(sheng)(sheng)(sheng)不(bu)(bu)(bu)(bu)息；肝血(xue)充(chong)足，則(ze)沖任脈(mo)通盛，月(yue)(yue)事得(de)以(yi)時下。反之(zhi)(zhi)(zhi)，氣(qi)(qi)郁不(bu)(bu)(bu)(bu)達，肝氣(qi)(qi)不(bu)(bu)(bu)(bu)得(de)疏泄(xie)，則(ze)氣(qi)(qi)血(xue)失(shi)調(diao)(diao)(diao)，勢必(bi)影響沖任而(er)引起月(yue)(yue)經(jing)(jing)(jing)(jing)(jing)病(bing)變。前人(ren)有(you)(you)“調(diao)(diao)(diao)經(jing)(jing)(jing)(jing)(jing)肝為(wei)(wei)先(xian)，舒肝經(jing)(jing)(jing)(jing)(jing)自調(diao)(diao)(diao)”及(ji)“調(diao)(diao)(diao)經(jing)(jing)(jing)(jing)(jing)不(bu)(bu)(bu)(bu)先(xian)理(li)氣(qi)(qi)，非其(qi)治也”之(zhi)(zhi)(zhi)說。脾(pi)主(zhu)(zhu)(zhu)運化水(shui)谷，脾(pi)氣(qi)(qi)升清，把水(shui)谷精(jing)(jing)(jing)微上輸心肺，化生(sheng)(sheng)(sheng)氣(qi)(qi)血(xue)，營養全身，下至胞宮(gong)，生(sheng)(sheng)(sheng)成(cheng)月(yue)(yue)經(jing)(jing)(jing)(jing)(jing)。脾(pi)又(you)(you)主(zhu)(zhu)(zhu)統血(xue)能(neng)(neng)統攝控制血(xue)液在經(jing)(jing)(jing)(jing)(jing)脈(mo)中(zhong)運行，使經(jing)(jing)(jing)(jing)(jing)行正常(chang)。而(er)先(xian)天(tian)(tian)(tian)之(zhi)(zhi)(zhi)精(jing)(jing)(jing)氣(qi)(qi)只有(you)(you)依靠后(hou)天(tian)(tian)(tian)水(shui)谷之(zhi)(zhi)(zhi)精(jing)(jing)(jing)氣(qi)(qi)的(de)(de)(de)(de)不(bu)(bu)(bu)(bu)斷充(chong)養，才(cai)能(neng)(neng)保持“實而(er)不(bu)(bu)(bu)(bu)滿”的(de)(de)(de)(de)充(chong)盈狀態而(er)發(fa)(fa)揮正常(chang)的(de)(de)(de)(de)生(sheng)(sheng)(sheng)理(li)功能(neng)(neng)。故臨床中(zhong)應注重后(hou)天(tian)(tian)(tian)脾(pi)胃(wei)的(de)(de)(de)(de)調(diao)(diao)(diao)理(li)，即使肝腎(shen)(shen)虧虛，亦應重視調(diao)(diao)(diao)理(li)脾(pi)胃(wei)，因為(wei)(wei)只有(you)(you)資助后(hou)天(tian)(tian)(tian)，才(cai)能(neng)(neng)滋(zi)養先(xian)天(tian)(tian)(tian)。

氣(qi)(qi)(qi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)同治，化瘀(yu)(yu)止血(xue)(xue)(xue)(xue)(xue)(xue)(xue):月(yue)經(jing)(jing)(jing)(jing)(jing)的(de)主要(yao)成分(fen)是血(xue)(xue)(xue)(xue)(xue)(xue)(xue)液，治經(jing)(jing)(jing)(jing)(jing)必(bi)治血(xue)(xue)(xue)(xue)(xue)(xue)(xue)，然氣(qi)(qi)(qi)為血(xue)(xue)(xue)(xue)(xue)(xue)(xue)帥，氣(qi)(qi)(qi)行(xing)(xing)則(ze)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)行(xing)(xing)，氣(qi)(qi)(qi)滯則(ze)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)凝，氣(qi)(qi)(qi)升(sheng)則(ze)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)升(sheng)，氣(qi)(qi)(qi)降(jiang)則(ze)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)降(jiang)，故(gu)治血(xue)(xue)(xue)(xue)(xue)(xue)(xue)必(bi)理氣(qi)(qi)(qi)，氣(qi)(qi)(qi)機(ji)疏(shu)利，則(ze)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)行(xing)(xing)正(zheng)(zheng)常(chang)，經(jing)(jing)(jing)(jing)(jing)候如(ru)期(qi)(qi)。若肝氣(qi)(qi)(qi)郁結(jie)，氣(qi)(qi)(qi)機(ji)郁滯，血(xue)(xue)(xue)(xue)(xue)(xue)(xue)行(xing)(xing)亦不(bu)(bu)(bu)暢，常(chang)導(dao)致月(yue)經(jing)(jing)(jing)(jing)(jing)不(bu)(bu)(bu)調(diao)，甚或經(jing)(jing)(jing)(jing)(jing)閉不(bu)(bu)(bu)行(xing)(xing)，或經(jing)(jing)(jing)(jing)(jing)行(xing)(xing)乳房脹痛，經(jing)(jing)(jing)(jing)(jing)行(xing)(xing)情志異常(chang)等(deng)證。治血(xue)(xue)(xue)(xue)(xue)(xue)(xue)者，她常(chang)用四(si)物湯(tang)加減，蓋(gai)四(si)物湯(tang)養(yang)(yang)中(zhong)(zhong)有(you)(you)行(xing)(xing)，補(bu)(bu)(bu)而(er)不(bu)(bu)(bu)滯，故(gu)為治療(liao)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)證的(de)專劑(ji)。活血(xue)(xue)(xue)(xue)(xue)(xue)(xue)常(chang)用當(dang)歸益(yi)(yi)母草、丹參(can)。當(dang)功善補(bu)(bu)(bu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)活血(xue)(xue)(xue)(xue)(xue)(xue)(xue)，補(bu)(bu)(bu)中(zhong)(zhong)有(you)(you)動，行(xing)(xing)中(zhong)(zhong)有(you)(you)補(bu)(bu)(bu)，血(xue)(xue)(xue)(xue)(xue)(xue)(xue)中(zhong)(zhong)之氣(qi)(qi)(qi)藥(yao)與圣(sheng)藥(yao)；益(yi)(yi)母草為婦(fu)科(ke)經(jing)(jing)(jing)(jing)(jing)產之要(yao)藥(yao)，藥(yao)性平(ping)和力緩，具有(you)(you)行(xing)(xing)瘀(yu)(yu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)而(er)不(bu)(bu)(bu)傷新(xin)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)，養(yang)(yang)新(xin)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)而(er)不(bu)(bu)(bu)留瘀(yu)(yu)滯的(de)妙用；丹參(can)生新(xin)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)而(er)補(bu)(bu)(bu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)虛(xu)，有(you)(you)祛瘀(yu)(yu)生新(xin)的(de)作用，很(hen)少(shao)使用峻猛(meng)攻逐耗損(sun)氣(qi)(qi)(qi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)之品，而(er)是多選(xuan)用祛瘀(yu)(yu)不(bu)(bu)(bu)傷正(zheng)(zheng)，既補(bu)(bu)(bu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)又活血(xue)(xue)(xue)(xue)(xue)(xue)(xue)的(de)調(diao)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)之品，寓消瘀(yu)(yu)于補(bu)(bu)(bu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)月(yue)經(jing)(jing)(jing)(jing)(jing)病(bing)常(chang)表(biao)現為異常(chang)的(de)出血(xue)(xue)(xue)(xue)(xue)(xue)(xue)，如(ru)月(yue)經(jing)(jing)(jing)(jing)(jing)過多、經(jing)(jing)(jing)(jing)(jing)期(qi)(qi)延(yan)長、崩漏、經(jing)(jing)(jing)(jing)(jing)間期(qi)(qi)出血(xue)(xue)(xue)(xue)(xue)(xue)(xue)、經(jing)(jing)(jing)(jing)(jing)行(xing)(xing)吐衄等(deng)。

調(diao)理月(yue)(yue)經(jing)(jing)(jing)，病證結合:中醫(yi)認為正常(chang)月(yue)(yue)經(jing)(jing)(jing)規律如月(yue)(yue)之盈(ying)虧，經(jing)(jing)(jing)水期(qi)(qi)(qi)(qi)(qi)，月(yue)(yue)滿(man)盈(ying)，滿(man)則溢，按周(zhou)(zhou)期(qi)(qi)(qi)(qi)(qi)循環(huan)不已，周(zhou)(zhou)而(er)復始，如環(huan)無端，周(zhou)(zhou)期(qi)(qi)(qi)(qi)(qi)變(bian)化。月(yue)(yue)經(jing)(jing)(jing)周(zhou)(zhou)期(qi)(qi)(qi)(qi)(qi)的(de)(de)(de)變(bian)化與陰(yin)(yin)(yin)(yin)陽(yang)(yang)二氣的(de)(de)(de)轉化關系密切。陰(yin)(yin)(yin)(yin)陽(yang)(yang)互根，陰(yin)(yin)(yin)(yin)極(ji)則陽(yang)(yang)生(sheng)，陽(yang)(yang)極(ji)則陰(yin)(yin)(yin)(yin)生(sheng)，陰(yin)(yin)(yin)(yin)消陽(yang)(yang)長，陽(yang)(yang)消陰(yin)(yin)(yin)(yin)長，由滿(man)而(er)溢，藏(zang)瀉有期(qi)(qi)(qi)(qi)(qi)，月(yue)(yue)經(jing)(jing)(jing)周(zhou)(zhou)期(qi)(qi)(qi)(qi)(qi)的(de)(de)(de)變(bian)化，亦即子宮(gong)(gong)的(de)(de)(de)一(yi)(yi)(yi)種陰(yin)(yin)(yin)(yin)陽(yang)(yang)轉化過程。她(ta)認為這與現代醫(yi)學所研究的(de)(de)(de)月(yue)(yue)經(jing)(jing)(jing)產生(sheng)的(de)(de)(de)機制不謀而(er)合，西醫(yi)認為月(yue)(yue)經(jing)(jing)(jing)是受下丘(qiu)腦一(yi)(yi)(yi)垂(chui)體一(yi)(yi)(yi)卵(luan)巢一(yi)(yi)(yi)子宮(gong)(gong)這一(yi)(yi)(yi)性(xing)腺軸的(de)(de)(de)調(diao)節，使(shi)子宮(gong)(gong)內膜發(fa)生(sheng)增(zeng)殖期(qi)(qi)(qi)(qi)(qi)、排卵(luan)期(qi)(qi)(qi)(qi)(qi)、分泌期(qi)(qi)(qi)(qi)(qi)、剝脫期(qi)(qi)(qi)(qi)(qi)的(de)(de)(de)周(zhou)(zhou)期(qi)(qi)(qi)(qi)(qi)性(xing)變(bian)化。因此，她(ta)在治(zhi)療上主張(zhang)隨月(yue)(yue)經(jing)(jing)(jing)周(zhou)(zhou)期(qi)(qi)(qi)(qi)(qi)的(de)(de)(de)陰(yin)(yin)(yin)(yin)陽(yang)(yang)消長，調(diao)補腎之陰(yin)(yin)(yin)(yin)陽(yang)(yang)，協調(diao)氣血(xue)之盛衰，使(shi)經(jing)(jing)(jing)期(qi)(qi)(qi)(qi)(qi)陰(yin)(yin)(yin)(yin)陽(yang)(yang)得以順(shun)利轉化。

科研成果

主持完(wan)成多項(xiang)科(ke)研(yan)(yan)項(xiang)目，其中主持完(wan)成的國家中醫藥管(guan)理局重點研(yan)(yan)究課題(ti)“中藥補腎活血湯對(dui)小鼠體外受精及早期胚胎發育的作用研(yan)(yan)究”獲江(jiang)蘇省科(ke)技進步三等獎(jiang)。