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人物簡介

楊桂云，女(nv)，湖北(bei)省(sheng)漢陽(yang)人。主任醫(yi)師(shi)，教(jiao)授(shou)。1983年畢業于上海中醫(yi)學院(yuan)，師(shi)從中醫(yi)婦科專家沈仲理教(jiao)授(shou)，畢業后在江蘇省(sheng)中醫(yi)藥研(yan)究(jiu)院(yuan)婦科工作。是全國第三、第四、第五(wu)、第六批名老中醫(yi)藥專家學術經(jing)驗(yan)繼承(cheng)工作指導老師(shi)。擅長(chang)治(zhi)療調治(zhi)月經(jing)失調類(lei)疾病、不孕不育(yu)癥、更年期(qi)綜(zong)合(he)征、子宮肌瘤等。

主要作品

出版著作

《中醫婦科學》

《中華家庭調補大全》

《中(zhong)成藥臨床手(shou)冊》

主要論文

1.池雷,楊桂云.益腎健脾法治(zhi)療無(wu)排卵性(xing)功能失調性(xing)子(zi)宮出血60例(li)[J].河(he)南中醫,2011,31(10):1148-1149.

2.楊桂云.補(bu)腎活血(xue)湯治療卵巢功能失調性不(bu)孕的臨(lin)床觀察[J].中西醫結合(he)學(xue)報,2004(02):138-139.

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

4.楊桂云,劉(liu)紅(hong)林.補腎活血方對(dui)子宮(gong)內膜異(yi)位癥不孕腹腔液微環境改善作用的實驗(yan)研究[J].中(zhong)醫藥學刊,2003(01):57-59.

5.楊(yang)桂云,王(wang)佩娟,賈曉斌,顧(gu)奎興,曹(cao)步凱,王(wang)曉麗,紀孝萍.補(bu)腎活血(xue)湯對小鼠體外受精及其(qi)早期胚胎(tai)發育(yu)的影響[J].中國中西醫結合雜志,2001(07):522-524.

6.楊桂云(yun),王佩娟(juan),賈曉斌,顧奎興,劉紅(hong)林.“補腎活血(xue)湯”對小鼠早期胚胎發育(yu)的(de)作用(yong)[J].江蘇中(zhong)醫,2000(11):50-51.

7.顧奎興(xing),楊桂云.中藥(yao)(yao)藥(yao)(yao)對在腫瘤臨床的(de)應用[J].江蘇藥(yao)(yao)學與臨床研究,1998(03):31-33.

8.楊桂云,顧奎興(xing).補(bu)腎活(huo)血(xue)法治療卵巢(chao)功(gong)能失調(diao)性不孕癥92例[J].南京(jing)中(zhong)醫藥大學學報,1998(03):56.

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

10.楊(yang)桂云.益(yi)腎為主治療室女崩漏的(de)臨床體會[J].江蘇中(zhong)醫(yi),1996(08):27-28.

11.楊桂(gui)云.中醫藥治療子宮肌瘤(liu)的(de)研究進展[J].河南中醫,1990,10(05):41-43.

12.楊(yang)桂云.閉(bi)經醫(yi)案拾(shi)零[J].江蘇中(zhong)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(bu)腎調(diao)(diao)周治療(liao)不(bu)孕癥(zheng):下丘腦一(yi)垂體一(yi)卵(luan)巢軸功能(neng)(neng)(neng)異常(chang)導致無排卵(luan)和黃體功能(neng)(neng)(neng)不(bu)健，表(biao)現為功能(neng)(neng)(neng)性子宮出血(xue)、閉經、不(bu)孕等(deng)病證。西醫常(chang)用誘發排卵(luan)，改善黃體功能(neng)(neng)(neng)的方法(fa)治療(liao)排卵(luan)功能(neng)(neng)(neng)障礙性不(bu)孕癥(zheng)。中醫認(ren)為，“種子之(zhi)法(fa)，即(ji)在于(yu)調(diao)(diao)經之(zhi)中”，“調(diao)(diao)經”是“種子”的重要手段，她(ta)通過分(fen)經后(hou)期(qi)(qi)、排卵(luan)期(qi)(qi)、黃體期(qi)(qi)、月經期(qi)(qi)四期(qi)(qi)周期(qi)(qi)性治療(liao)，調(diao)(diao)整月經周期(qi)(qi)，恢復正常(chang)卵(luan)巢功能(neng)(neng)(neng)，治療(liao)不(bu)孕癥(zheng)臨床(chuang)每獲良(liang)效(xiao)。

補(bu)腎調(diao)(diao)周治療慢(man)性(xing)盆(pen)腔(qiang)炎(yan):慢(man)性(xing)盆(pen)腔(qiang)炎(yan)是(shi)婦科的(de)(de)常見病(bing)，可見小腹一側(ce)或(huo)兩側(ce)作痛，腰酸帶下或(huo)多，色黃白質黏稠(chou)，慢(man)性(xing)盆(pen)腔(qiang)炎(yan)瘀熱濕虛的(de)(de)病(bing)理變化是(shi)不(bu)孕的(de)(de)原因。采(cai)用補(bu)腎調(diao)(diao)周的(de)(de)方法標(biao)本兼(jian)治，有助于調(diao)(diao)節內(nei)分泌(mi)，增強免疫功能，促進炎(yan)癥的(de)(de)吸收。臨床中要根(gen)據炎(yan)癥的(de)(de)輕重(zhong)選擇清熱利濕化瘀。

補腎調周治療功能性痛經(jing):痛經(jing)除經(jing)行疼痛外，常是不(bu)(bu)孕的原因，疼痛發作(zuo)時(shi)以(yi)通則不(bu)(bu)痛為治法(fa)，平(ping)時(shi)疼痛未發作(zuo)，需從本論治，補腎調周，重點放在月經(jing)后半期的調治。首先卵子要順(shun)利排(pai)出(chu)(chu)，繼之要有良好的黃體(ti)功能，維(wei)持(chi)陽氣的旺盛，經(jing)血才能順(shun)暢排(pai)出(chu)(chu)。

從臟腑、氣血、陰陽調理月經

補腎(shen)(shen)(shen)(shen)調(diao)(diao)肝(gan)(gan)(gan)，顧護(hu)脾胃(wei):她(ta)認為(wei)(wei)(wei)，肝(gan)(gan)(gan)腎(shen)(shen)(shen)(shen)在(zai)月(yue)(yue)經(jing)(jing)(jing)(jing)(jing)病(bing)論(lun)治方面(mian)尤(you)為(wei)(wei)(wei)重要。精(jing)氣(qi)(qi)(qi)是人(ren)(ren)體生(sheng)(sheng)長(chang)發(fa)育(yu)及(ji)各種功(gong)(gong)能(neng)(neng)(neng)活(huo)動(dong)的(de)(de)物(wu)質(zhi)基礎，包括(kuo)月(yue)(yue)經(jing)(jing)(jing)(jing)(jing)的(de)(de)生(sheng)(sheng)理(li)(li)(li)活(huo)動(dong)。精(jing)能(neng)(neng)(neng)生(sheng)(sheng)血(xue)，血(xue)能(neng)(neng)(neng)化(hua)精(jing)，精(jing)血(xue)同源，同為(wei)(wei)(wei)月(yue)(yue)經(jing)(jing)(jing)(jing)(jing)產生(sheng)(sheng)物(wu)質(zhi)基礎。同時，精(jing)能(neng)(neng)(neng)化(hua)氣(qi)(qi)(qi)，腎(shen)(shen)(shen)(shen)氣(qi)(qi)(qi)盛(sheng)衰(shuai)主(zhu)宰(zai)天(tian)(tian)(tian)癸(gui)的(de)(de)生(sheng)(sheng)理(li)(li)(li)活(huo)動(dong)，天(tian)(tian)(tian)癸(gui)是月(yue)(yue)經(jing)(jing)(jing)(jing)(jing)產生(sheng)(sheng)的(de)(de)必(bi)不(bu)可少的(de)(de)物(wu)質(zhi)基礎。《傅青主(zhu)女(nv)科》云:“經(jing)(jing)(jing)(jing)(jing)水(shui)出諸腎(shen)(shen)(shen)(shen)。”“經(jing)(jing)(jing)(jing)(jing)原非(fei)血(xue)，乃天(tian)(tian)(tian)一之(zhi)(zhi)水(shui)，出自腎(shen)(shen)(shen)(shen)中(zhong)(zhong)。”腎(shen)(shen)(shen)(shen)是月(yue)(yue)經(jing)(jing)(jing)(jing)(jing)產生(sheng)(sheng)的(de)(de)根本(ben)，腎(shen)(shen)(shen)(shen)氣(qi)(qi)(qi)的(de)(de)盛(sheng)衰(shuai)主(zhu)宰(zai)著天(tian)(tian)(tian)癸(gui)的(de)(de)至與竭，只(zhi)(zhi)有(you)腎(shen)(shen)(shen)(shen)氣(qi)(qi)(qi)健旺，才(cai)(cai)(cai)能(neng)(neng)(neng)使(shi)天(tian)(tian)(tian)癸(gui)成(cheng)熟，任(ren)(ren)通(tong)沖盛(sheng)，月(yue)(yue)經(jing)(jing)(jing)(jing)(jing)正常(chang)；只(zhi)(zhi)有(you)腎(shen)(shen)(shen)(shen)氣(qi)(qi)(qi)充(chong)(chong)盛(sheng)，子宮才(cai)(cai)(cai)能(neng)(neng)(neng)發(fa)育(yu)正常(chang)，完成(cheng)月(yue)(yue)經(jing)(jing)(jing)(jing)(jing)、胎孕功(gong)(gong)能(neng)(neng)(neng)。她(ta)認為(wei)(wei)(wei)腎(shen)(shen)(shen)(shen)中(zhong)(zhong)精(jing)血(xue)不(bu)充(chong)(chong)、腎(shen)(shen)(shen)(shen)中(zhong)(zhong)之(zhi)(zhi)氣(qi)(qi)(qi)不(bu)盛(sheng)是導(dao)致(zhi)月(yue)(yue)經(jing)(jing)(jing)(jing)(jing)病(bing)的(de)(de)根本(ben)原因(yin)，調(diao)(diao)經(jing)(jing)(jing)(jing)(jing)之(zhi)(zhi)本(ben)在(zai)于腎(shen)(shen)(shen)(shen)。女(nv)子以肝(gan)(gan)(gan)為(wei)(wei)(wei)先(xian)天(tian)(tian)(tian)，肝(gan)(gan)(gan)藏(zang)血(xue)而主(zhu)疏(shu)泄(xie)，主(zhu)升發(fa)。《素問·六節藏(zang)象(xiang)論(lun)》言:“肝(gan)(gan)(gan)者，罷極之(zhi)(zhi)本(ben)，……以生(sheng)(sheng)血(xue)氣(qi)(qi)(qi)。”肝(gan)(gan)(gan)又為(wei)(wei)(wei)沖任(ren)(ren)兩(liang)脈(mo)之(zhi)(zhi)研系。肝(gan)(gan)(gan)氣(qi)(qi)(qi)條(tiao)達，氣(qi)(qi)(qi)機條(tiao)暢，則(ze)臟腑安和，氣(qi)(qi)(qi)血(xue)津液生(sheng)(sheng)生(sheng)(sheng)不(bu)息；肝(gan)(gan)(gan)血(xue)充(chong)(chong)足(zu)，則(ze)沖任(ren)(ren)脈(mo)通(tong)盛(sheng)，月(yue)(yue)事得(de)以時下。反之(zhi)(zhi)，氣(qi)(qi)(qi)郁不(bu)達，肝(gan)(gan)(gan)氣(qi)(qi)(qi)不(bu)得(de)疏(shu)泄(xie)，則(ze)氣(qi)(qi)(qi)血(xue)失調(diao)(diao)，勢必(bi)影響(xiang)沖任(ren)(ren)而引起月(yue)(yue)經(jing)(jing)(jing)(jing)(jing)病(bing)變(bian)。前人(ren)(ren)有(you)“調(diao)(diao)經(jing)(jing)(jing)(jing)(jing)肝(gan)(gan)(gan)為(wei)(wei)(wei)先(xian)，舒肝(gan)(gan)(gan)經(jing)(jing)(jing)(jing)(jing)自調(diao)(diao)”及(ji)“調(diao)(diao)經(jing)(jing)(jing)(jing)(jing)不(bu)先(xian)理(li)(li)(li)氣(qi)(qi)(qi)，非(fei)其(qi)治也(ye)”之(zhi)(zhi)說(shuo)。脾主(zhu)運化(hua)水(shui)谷(gu)，脾氣(qi)(qi)(qi)升清，把(ba)水(shui)谷(gu)精(jing)微上(shang)輸(shu)心肺(fei)，化(hua)生(sheng)(sheng)氣(qi)(qi)(qi)血(xue)，營養全身，下至胞(bao)宮，生(sheng)(sheng)成(cheng)月(yue)(yue)經(jing)(jing)(jing)(jing)(jing)。脾又主(zhu)統(tong)血(xue)能(neng)(neng)(neng)統(tong)攝(she)控制血(xue)液在(zai)經(jing)(jing)(jing)(jing)(jing)脈(mo)中(zhong)(zhong)運行(xing)，使(shi)經(jing)(jing)(jing)(jing)(jing)行(xing)正常(chang)。而先(xian)天(tian)(tian)(tian)之(zhi)(zhi)精(jing)氣(qi)(qi)(qi)只(zhi)(zhi)有(you)依(yi)靠(kao)后(hou)天(tian)(tian)(tian)水(shui)谷(gu)之(zhi)(zhi)精(jing)氣(qi)(qi)(qi)的(de)(de)不(bu)斷充(chong)(chong)養，才(cai)(cai)(cai)能(neng)(neng)(neng)保(bao)持“實而不(bu)滿”的(de)(de)充(chong)(chong)盈狀(zhuang)態而發(fa)揮正常(chang)的(de)(de)生(sheng)(sheng)理(li)(li)(li)功(gong)(gong)能(neng)(neng)(neng)。故臨床中(zhong)(zhong)應注重后(hou)天(tian)(tian)(tian)脾胃(wei)的(de)(de)調(diao)(diao)理(li)(li)(li)，即使(shi)肝(gan)(gan)(gan)腎(shen)(shen)(shen)(shen)虧虛，亦應重視調(diao)(diao)理(li)(li)(li)脾胃(wei)，因(yin)為(wei)(wei)(wei)只(zhi)(zhi)有(you)資助后(hou)天(tian)(tian)(tian)，才(cai)(cai)(cai)能(neng)(neng)(neng)滋(zi)養先(xian)天(tian)(tian)(tian)。

氣(qi)(qi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)同治(zhi)(zhi)，化(hua)瘀(yu)(yu)(yu)(yu)止(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue):月(yue)經(jing)(jing)的主(zhu)要(yao)成分(fen)是(shi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)液，治(zhi)(zhi)經(jing)(jing)必治(zhi)(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)，然(ran)氣(qi)(qi)為(wei)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)帥，氣(qi)(qi)行(xing)(xing)(xing)則血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)行(xing)(xing)(xing)，氣(qi)(qi)滯(zhi)(zhi)則血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)凝，氣(qi)(qi)升則血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)升，氣(qi)(qi)降則血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)降，故治(zhi)(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)必理氣(qi)(qi)，氣(qi)(qi)機疏利，則血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)行(xing)(xing)(xing)正常，經(jing)(jing)候如(ru)期(qi)(qi)。若肝(gan)氣(qi)(qi)郁(yu)結，氣(qi)(qi)機郁(yu)滯(zhi)(zhi)，血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)行(xing)(xing)(xing)亦不(bu)(bu)(bu)暢，常導致月(yue)經(jing)(jing)不(bu)(bu)(bu)調，甚或(huo)(huo)經(jing)(jing)閉(bi)不(bu)(bu)(bu)行(xing)(xing)(xing)，或(huo)(huo)經(jing)(jing)行(xing)(xing)(xing)乳房脹痛，經(jing)(jing)行(xing)(xing)(xing)情(qing)志異(yi)常等證。治(zhi)(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)者，她常用(yong)(yong)四物湯(tang)(tang)加減，蓋四物湯(tang)(tang)養(yang)中(zhong)有行(xing)(xing)(xing)，補而(er)不(bu)(bu)(bu)滯(zhi)(zhi)，故為(wei)治(zhi)(zhi)療血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)證的專劑。活(huo)(huo)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)常用(yong)(yong)當歸(gui)益母草(cao)、丹參。當功(gong)善補血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)活(huo)(huo)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)，補中(zhong)有動，行(xing)(xing)(xing)中(zhong)有補，血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)中(zhong)之氣(qi)(qi)藥(yao)(yao)與圣藥(yao)(yao)；益母草(cao)為(wei)婦科(ke)經(jing)(jing)產之要(yao)藥(yao)(yao)，藥(yao)(yao)性平和力緩(huan)，具有行(xing)(xing)(xing)瘀(yu)(yu)(yu)(yu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)而(er)不(bu)(bu)(bu)傷新(xin)(xin)(xin)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)，養(yang)新(xin)(xin)(xin)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)而(er)不(bu)(bu)(bu)留瘀(yu)(yu)(yu)(yu)滯(zhi)(zhi)的妙用(yong)(yong)；丹參生新(xin)(xin)(xin)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)而(er)補血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)虛，有祛(qu)瘀(yu)(yu)(yu)(yu)生新(xin)(xin)(xin)的作(zuo)用(yong)(yong)，很少(shao)使用(yong)(yong)峻猛(meng)攻逐耗損氣(qi)(qi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)之品，而(er)是(shi)多(duo)選(xuan)用(yong)(yong)祛(qu)瘀(yu)(yu)(yu)(yu)不(bu)(bu)(bu)傷正，既補血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)又活(huo)(huo)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)的調血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)之品，寓消瘀(yu)(yu)(yu)(yu)于補血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)月(yue)經(jing)(jing)病常表(biao)現為(wei)異(yi)常的出(chu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)，如(ru)月(yue)經(jing)(jing)過多(duo)、經(jing)(jing)期(qi)(qi)延長(chang)、崩漏、經(jing)(jing)間期(qi)(qi)出(chu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)、經(jing)(jing)行(xing)(xing)(xing)吐衄等。

調理月經(jing)，病證結合(he):中醫認(ren)為(wei)正常月經(jing)規律(lv)如(ru)月之盈虧，經(jing)水期(qi)(qi)，月滿盈，滿則溢，按周(zhou)期(qi)(qi)循環不已，周(zhou)而(er)(er)復始，如(ru)環無(wu)端，周(zhou)期(qi)(qi)變化(hua)。月經(jing)周(zhou)期(qi)(qi)的(de)變化(hua)與(yu)陰(yin)(yin)(yin)(yin)陽(yang)(yang)(yang)二氣(qi)的(de)轉(zhuan)化(hua)關系密切。陰(yin)(yin)(yin)(yin)陽(yang)(yang)(yang)互根，陰(yin)(yin)(yin)(yin)極(ji)(ji)則陽(yang)(yang)(yang)生，陽(yang)(yang)(yang)極(ji)(ji)則陰(yin)(yin)(yin)(yin)生，陰(yin)(yin)(yin)(yin)消(xiao)陽(yang)(yang)(yang)長(chang)(chang)，陽(yang)(yang)(yang)消(xiao)陰(yin)(yin)(yin)(yin)長(chang)(chang)，由滿而(er)(er)溢，藏瀉有期(qi)(qi)，月經(jing)周(zhou)期(qi)(qi)的(de)變化(hua)，亦即(ji)子宮的(de)一種陰(yin)(yin)(yin)(yin)陽(yang)(yang)(yang)轉(zhuan)化(hua)過程(cheng)。她(ta)認(ren)為(wei)這(zhe)與(yu)現(xian)代醫學所(suo)研究的(de)月經(jing)產生的(de)機制不謀而(er)(er)合(he)，西醫認(ren)為(wei)月經(jing)是受下丘腦一垂體一卵巢一子宮這(zhe)一性(xing)腺(xian)軸的(de)調節(jie)，使子宮內膜發生增殖(zhi)期(qi)(qi)、排卵期(qi)(qi)、分泌期(qi)(qi)、剝脫期(qi)(qi)的(de)周(zhou)期(qi)(qi)性(xing)變化(hua)。因(yin)此，她(ta)在治療上主張隨月經(jing)周(zhou)期(qi)(qi)的(de)陰(yin)(yin)(yin)(yin)陽(yang)(yang)(yang)消(xiao)長(chang)(chang)，調補腎(shen)之陰(yin)(yin)(yin)(yin)陽(yang)(yang)(yang)，協(xie)調氣(qi)血(xue)之盛衰，使經(jing)期(qi)(qi)陰(yin)(yin)(yin)(yin)陽(yang)(yang)(yang)得以(yi)順利轉(zhuan)化(hua)。

科研成果

主持完成多項科研項目(mu)，其中(zhong)主持完成的國家中(zhong)醫藥管理局重(zhong)點研究課題(ti)“中(zhong)藥補腎活血湯對小鼠體(ti)外受精及早(zao)期胚胎發育(yu)的作用研究”獲(huo)江蘇省科技(ji)進步(bu)三等獎。