2 英文参考
menopausal disorders[中医药学名词审定委员会.中医药学名词(2004)]
perimenopausal disorders[中医药学名词审定委员会.中医药学名词(2010)]
menopausal syndrome[21世纪双语科技词典]
3 概述
绝经前后诸证(menopausal disorders[1]、perimenopausal disorders[2])为病名[3][4]。是指妇女在绝经前后,出现以烘热面赤汗出,烦躁易怒,头晕目眩,耳鸣心悸,失眠健忘,腰背酸痛,手足心热,伴有月经紊乱等为常见症的疾病[4][4][4]。
6 辨证分型
6.1 绝经前后诸证·肾阴虚证
绝经前后诸证·肾阴虚证(perimenopausal disorders with syndrome of kidney yin deficiency[4])是指肾阴亏虚,虚热内生,冲任失调,以绝经前后,烘热出汗,月经紊乱,月经提前量少或量多,或崩或漏,经色鲜红,伴腰膝酸软而痛,眩晕耳鸣,五心烦热,颧红,舌红,少苔,脉细数等为常见症的绝经前后诸证证候[4]。
6.2 绝经前后诸证·心肾不交证
绝经前后诸证·心肾不交证(perimenopausal disorders with syndrome of incoordination between heart and kidney[4])是指肾虚精亏,肾水不能上济心火,心火独亢,心肾不交,以经断前后,烘热汗出,心悸,心烦失眠,头晕耳鸣,腰膝酸软,潮热盗汗,舌红少苔,脉细数为常见症的绝经前后诸证证候[4]。
6.3 绝经前后诸证·肾阳虚证
绝经前后诸证·肾阳虚证(perimenopausal disorders with syndrome of kidney yang deficiency[4])是指肾阳虚惫,命门火衰,阳气不能外达,经脉失于温煦,以经断前后,经行量多,经色淡暗,或崩中漏下,面色晄白或黧黑,记忆力下降、浑身疼痛、神疲乏力,面浮肢肿,小便清长,夜尿多,舌淡苔白,脉弱等为常见症的绝经前后诸证证候[4]。
6.4 绝经前后诸证·肾阴阳两虚证
绝经前后诸证·肾阴阳两虚证(perimenopausal disorders with syndrome of deficiency of both kidney yin and kidney yang[4])是指肾阴阳俱虚,精亏血少,冲任失调,以经断前后,烘热汗出,月经紊乱,量少或多,乍寒乍热,头晕耳鸣,健忘,腰背冷痛,舌淡,苔薄,脉沉弱为常见症的绝经前后诸证证候[4]。
6.5 绝经前后诸证·心脾两虚证
绝经前后诸证·心脾两虚证(perimenopausal disorders with syndrome of deficiency of both heart and spleen[4])是指心脾两虚,心神失养,气血不足,以头晕心悸,失眠多梦,神倦健忘,经来量多,或淋漓不净,舌淡苔薄,脉虚缓无力为常见症的绝经前后诸证证候[4]。