2 英文參考
menopausal disorders[中醫藥學名詞審定委員會.中醫藥學名詞(2004)]
perimenopausal disorders[中醫藥學名詞審定委員會.中醫藥學名詞(2010)]
menopausal syndrome[21世紀雙語科技詞典]
3 概述
絕經前後諸證(menopausal disorders[1]、perimenopausal disorders[2])爲病名[3][4]。是指婦女在絕經前後,出現以烘熱面赤汗出,煩躁易怒,頭暈目眩,耳鳴心悸,失眠健忘,腰背痠痛,手足心熱,伴有月經紊亂等爲常見症的疾病[4][4][4]。
6 辨證分型
6.1 絕經前後諸證·腎陰虛證
絕經前後諸證·腎陰虛證(perimenopausal disorders with syndrome of kidney yin deficiency[4])是指腎陰虧虛,虛熱內生,衝任失調,以絕經前後,烘熱出汗,月經紊亂,月經提前量少或量多,或崩或漏,經色鮮紅,伴腰膝痠軟而痛,眩暈耳鳴,五心煩熱,顴紅,舌紅,少苔,脈細數等爲常見症的絕經前後諸證證候[4]。
6.2 絕經前後諸證·心腎不交證
絕經前後諸證·心腎不交證(perimenopausal disorders with syndrome of incoordination between heart and kidney[4])是指腎虛精虧,腎水不能上濟心火,心火獨亢,心腎不交,以經斷前後,烘熱汗出,心悸,心煩失眠,頭暈耳鳴,腰膝痠軟,潮熱盜汗,舌紅少苔,脈細數爲常見症的絕經前後諸證證候[4]。
6.3 絕經前後諸證·腎陽虛證
絕經前後諸證·腎陽虛證(perimenopausal disorders with syndrome of kidney yang deficiency[4])是指腎陽虛憊,命門火衰,陽氣不能外達,經脈失於溫煦,以經斷前後,經行量多,經色淡暗,或崩中漏下,面色晄白或黧黑,記憶力下降、渾身疼痛、神疲乏力,面浮肢腫,小便清長,夜尿多,舌淡苔白,脈弱等爲常見症的絕經前後諸證證候[4]。
6.4 絕經前後諸證·腎陰陽兩虛證
絕經前後諸證·腎陰陽兩虛證(perimenopausal disorders with syndrome of deficiency of both kidney yin and kidney yang[4])是指腎陰陽俱虛,精虧血少,衝任失調,以經斷前後,烘熱汗出,月經紊亂,量少或多,乍寒乍熱,頭暈耳鳴,健忘,腰背冷痛,舌淡,苔薄,脈沉弱爲常見症的絕經前後諸證證候[4]。
6.5 絕經前後諸證·心脾兩虛證
絕經前後諸證·心脾兩虛證(perimenopausal disorders with syndrome of deficiency of both heart and spleen[4])是指心脾兩虛,心神失養,氣血不足,以頭暈心悸,失眠多夢,神倦健忘,經來量多,或淋漓不淨,舌淡苔薄,脈虛緩無力爲常見症的絕經前後諸證證候[4]。