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人物簡介

楊桂云，女，湖北省漢陽人(ren)。主任醫(yi)師(shi)，教(jiao)授。1983年(nian)(nian)畢業于(yu)上海(hai)中(zhong)醫(yi)學(xue)(xue)院，師(shi)從中(zhong)醫(yi)婦(fu)科專家(jia)沈(shen)仲理教(jiao)授，畢業后在江蘇省中(zhong)醫(yi)藥(yao)研究院婦(fu)科工(gong)作。是(shi)全(quan)國第三(san)、第四、第五、第六批名老(lao)中(zhong)醫(yi)藥(yao)專家(jia)學(xue)(xue)術經驗繼承工(gong)作指(zhi)導老(lao)師(shi)。擅長治(zhi)療調(diao)治(zhi)月(yue)經失調(diao)類疾(ji)病、不(bu)孕不(bu)育癥、更年(nian)(nian)期(qi)綜合征、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》

《中成藥臨床手冊》

主要論文

1.池雷,楊桂云.益腎健脾法治療無排(pai)卵(luan)性功能失調性子(zi)宮(gong)出血(xue)60例[J].河南中醫,2011,31(10):1148-1149.

2.楊桂云.補腎(shen)活(huo)血湯治療(liao)卵巢功(gong)能失調(diao)性不孕的臨床觀察[J].中(zhong)西醫結合(he)學(xue)報(bao),2004(02):138-139.

3.楊(yang)桂云.不(bu)孕癥的中(zhong)醫調周治(zhi)療及其作用機理(li)初探[J].江(jiang)蘇(su)中(zhong)醫藥,2004(03):17-20.

4.楊桂云,劉紅林(lin).補腎(shen)活血方(fang)對子宮內膜異位(wei)癥不孕(yun)腹腔(qiang)液微環境(jing)改善作用的實驗研究(jiu)[J].中(zhong)醫(yi)藥學刊,2003(01):57-59.

5.楊桂(gui)云,王佩娟,賈曉斌(bin),顧奎(kui)興(xing),曹步凱,王曉麗,紀孝(xiao)萍.補腎活血湯(tang)對(dui)小鼠體外受精及其早期胚胎(tai)發育的影響[J].中國中西醫結合雜志,2001(07):522-524.

6.楊桂云(yun),王佩(pei)娟,賈曉(xiao)斌,顧奎興,劉紅林.“補(bu)腎活血湯”對小鼠早(zao)期胚(pei)胎發育的作(zuo)用[J].江蘇中醫(yi),2000(11):50-51.

7.顧奎興,楊(yang)桂云.中藥藥對(dui)在腫(zhong)瘤(liu)臨床(chuang)的(de)應(ying)用[J].江(jiang)蘇藥學與臨床(chuang)研究,1998(03):31-33.

8.楊桂云(yun),顧奎興.補腎活(huo)血法治療卵巢功能失(shi)調性不孕癥(zheng)92例[J].南京中醫藥大學學報(bao),1998(03):56.

9.顧(gu)奎興(xing),楊桂云(yun).相反相畏藥對在腫瘤臨床的應用舉隅(yu)[J].江蘇中醫(yi),1998(03):36-38.

10.楊桂云.益腎(shen)為(wei)主治療室女崩漏的(de)臨床體會[J].江蘇(su)中醫,1996(08):27-28.

11.楊桂云.中(zhong)(zhong)醫藥治療子宮肌瘤的研究進展[J].河南中(zhong)(zhong)醫,1990,10(05):41-43.

12.楊(yang)桂(gui)云.閉經醫案拾零[J].江(jiang)蘇中醫,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)腎調周(zhou)(zhou)(zhou)治療不(bu)孕癥(zheng):下(xia)丘腦一垂體一卵(luan)(luan)(luan)(luan)巢(chao)軸功能(neng)(neng)異常(chang)導致無(wu)排(pai)卵(luan)(luan)(luan)(luan)和黃體功能(neng)(neng)不(bu)健，表現(xian)為功能(neng)(neng)性子(zi)宮(gong)出(chu)血、閉經(jing)、不(bu)孕等病(bing)證(zheng)。西(xi)醫常(chang)用誘(you)發排(pai)卵(luan)(luan)(luan)(luan)，改善黃體功能(neng)(neng)的(de)方(fang)法(fa)治療排(pai)卵(luan)(luan)(luan)(luan)功能(neng)(neng)障礙性不(bu)孕癥(zheng)。中醫認(ren)為，“種(zhong)子(zi)之法(fa)，即(ji)在于(yu)調經(jing)之中”，“調經(jing)”是“種(zhong)子(zi)”的(de)重要手段，她通過分經(jing)后期(qi)、排(pai)卵(luan)(luan)(luan)(luan)期(qi)、黃體期(qi)、月(yue)經(jing)期(qi)四期(qi)周(zhou)(zhou)(zhou)期(qi)性治療，調整(zheng)月(yue)經(jing)周(zhou)(zhou)(zhou)期(qi)，恢復正(zheng)常(chang)卵(luan)(luan)(luan)(luan)巢(chao)功能(neng)(neng)，治療不(bu)孕癥(zheng)臨床每獲良效。

補腎調周治(zhi)療(liao)慢性(xing)盆(pen)腔(qiang)炎(yan):慢性(xing)盆(pen)腔(qiang)炎(yan)是婦(fu)科的(de)常見病，可見小腹一(yi)側或兩側作痛，腰酸帶下或多，色黃白質黏(nian)稠，慢性(xing)盆(pen)腔(qiang)炎(yan)瘀(yu)熱(re)(re)濕(shi)虛(xu)的(de)病理變化(hua)是不孕的(de)原因。采用補腎調周的(de)方法標(biao)本兼治(zhi)，有助于調節內分(fen)泌，增強免(mian)疫功能，促(cu)進炎(yan)癥的(de)吸收。臨床中要根據(ju)炎(yan)癥的(de)輕重選擇清熱(re)(re)利濕(shi)化(hua)瘀(yu)。

補腎調(diao)周治(zhi)(zhi)療功能(neng)性(xing)痛(tong)經:痛(tong)經除經行疼(teng)(teng)痛(tong)外，常是(shi)不孕的(de)原因(yin)，疼(teng)(teng)痛(tong)發作(zuo)時以通則不痛(tong)為治(zhi)(zhi)法，平(ping)時疼(teng)(teng)痛(tong)未(wei)發作(zuo)，需從本(ben)論(lun)治(zhi)(zhi)，補腎調(diao)周，重點放在(zai)月(yue)經后半期(qi)的(de)調(diao)治(zhi)(zhi)。首(shou)先卵子要順利排(pai)出，繼之要有良好的(de)黃體功能(neng)，維(wei)持陽氣(qi)的(de)旺盛，經血才能(neng)順暢排(pai)出。

從臟腑、氣血、陰陽調理月經

補(bu)腎(shen)(shen)(shen)(shen)調(diao)(diao)(diao)(diao)肝，顧(gu)護脾胃:她(ta)(ta)認(ren)為，肝腎(shen)(shen)(shen)(shen)在月(yue)(yue)經(jing)(jing)病(bing)論治方面尤為重要。精(jing)(jing)(jing)氣(qi)(qi)是(shi)(shi)(shi)人體(ti)生(sheng)(sheng)長發育及各種功(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)活動的物(wu)質(zhi)基(ji)礎，包括月(yue)(yue)經(jing)(jing)的生(sheng)(sheng)理(li)活動。精(jing)(jing)(jing)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)生(sheng)(sheng)血(xue)(xue)(xue)，血(xue)(xue)(xue)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)化(hua)精(jing)(jing)(jing)，精(jing)(jing)(jing)血(xue)(xue)(xue)同源(yuan)，同為月(yue)(yue)經(jing)(jing)產(chan)生(sheng)(sheng)物(wu)質(zhi)基(ji)礎。同時(shi)，精(jing)(jing)(jing)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)化(hua)氣(qi)(qi)，腎(shen)(shen)(shen)(shen)氣(qi)(qi)盛衰主(zhu)宰天(tian)癸(gui)的生(sheng)(sheng)理(li)活動，天(tian)癸(gui)是(shi)(shi)(shi)月(yue)(yue)經(jing)(jing)產(chan)生(sheng)(sheng)的必不(bu)(bu)(bu)(bu)可少的物(wu)質(zhi)基(ji)礎。《傅青主(zhu)女科》云:“經(jing)(jing)水(shui)出(chu)諸腎(shen)(shen)(shen)(shen)。”“經(jing)(jing)原(yuan)非血(xue)(xue)(xue)，乃(nai)天(tian)一之(zhi)(zhi)水(shui)，出(chu)自腎(shen)(shen)(shen)(shen)中(zhong)(zhong)(zhong)。”腎(shen)(shen)(shen)(shen)是(shi)(shi)(shi)月(yue)(yue)經(jing)(jing)產(chan)生(sheng)(sheng)的根(gen)本，腎(shen)(shen)(shen)(shen)氣(qi)(qi)的盛衰主(zhu)宰著天(tian)癸(gui)的至與竭，只有(you)(you)腎(shen)(shen)(shen)(shen)氣(qi)(qi)健旺，才能(neng)(neng)(neng)(neng)(neng)(neng)(neng)使天(tian)癸(gui)成熟，任(ren)通沖(chong)(chong)盛，月(yue)(yue)經(jing)(jing)正常(chang)；只有(you)(you)腎(shen)(shen)(shen)(shen)氣(qi)(qi)充盛，子(zi)宮才能(neng)(neng)(neng)(neng)(neng)(neng)(neng)發育正常(chang)，完成月(yue)(yue)經(jing)(jing)、胎孕功(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)。她(ta)(ta)認(ren)為腎(shen)(shen)(shen)(shen)中(zhong)(zhong)(zhong)精(jing)(jing)(jing)血(xue)(xue)(xue)不(bu)(bu)(bu)(bu)充、腎(shen)(shen)(shen)(shen)中(zhong)(zhong)(zhong)之(zhi)(zhi)氣(qi)(qi)不(bu)(bu)(bu)(bu)盛是(shi)(shi)(shi)導(dao)致月(yue)(yue)經(jing)(jing)病(bing)的根(gen)本原(yuan)因，調(diao)(diao)(diao)(diao)經(jing)(jing)之(zhi)(zhi)本在于腎(shen)(shen)(shen)(shen)。女子(zi)以肝為先(xian)天(tian)，肝藏(zang)血(xue)(xue)(xue)而(er)主(zhu)疏泄(xie)，主(zhu)升(sheng)發。《素問·六節藏(zang)象(xiang)論》言:“肝者，罷(ba)極之(zhi)(zhi)本，……以生(sheng)(sheng)血(xue)(xue)(xue)氣(qi)(qi)。”肝又(you)為沖(chong)(chong)任(ren)兩脈(mo)之(zhi)(zhi)研(yan)系。肝氣(qi)(qi)條(tiao)(tiao)達，氣(qi)(qi)機(ji)條(tiao)(tiao)暢，則(ze)(ze)臟腑安和，氣(qi)(qi)血(xue)(xue)(xue)津液生(sheng)(sheng)生(sheng)(sheng)不(bu)(bu)(bu)(bu)息；肝血(xue)(xue)(xue)充足(zu)，則(ze)(ze)沖(chong)(chong)任(ren)脈(mo)通盛，月(yue)(yue)事(shi)得(de)(de)以時(shi)下。反之(zhi)(zhi)，氣(qi)(qi)郁不(bu)(bu)(bu)(bu)達，肝氣(qi)(qi)不(bu)(bu)(bu)(bu)得(de)(de)疏泄(xie)，則(ze)(ze)氣(qi)(qi)血(xue)(xue)(xue)失調(diao)(diao)(diao)(diao)，勢必影響(xiang)沖(chong)(chong)任(ren)而(er)引起月(yue)(yue)經(jing)(jing)病(bing)變。前人有(you)(you)“調(diao)(diao)(diao)(diao)經(jing)(jing)肝為先(xian)，舒肝經(jing)(jing)自調(diao)(diao)(diao)(diao)”及“調(diao)(diao)(diao)(diao)經(jing)(jing)不(bu)(bu)(bu)(bu)先(xian)理(li)氣(qi)(qi)，非其治也”之(zhi)(zhi)說。脾主(zhu)運化(hua)水(shui)谷(gu)，脾氣(qi)(qi)升(sheng)清，把(ba)水(shui)谷(gu)精(jing)(jing)(jing)微(wei)上(shang)輸心肺，化(hua)生(sheng)(sheng)氣(qi)(qi)血(xue)(xue)(xue)，營養(yang)全身，下至胞宮，生(sheng)(sheng)成月(yue)(yue)經(jing)(jing)。脾又(you)主(zhu)統(tong)血(xue)(xue)(xue)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)統(tong)攝控制(zhi)血(xue)(xue)(xue)液在經(jing)(jing)脈(mo)中(zhong)(zhong)(zhong)運行(xing)，使經(jing)(jing)行(xing)正常(chang)。而(er)先(xian)天(tian)之(zhi)(zhi)精(jing)(jing)(jing)氣(qi)(qi)只有(you)(you)依靠后(hou)(hou)天(tian)水(shui)谷(gu)之(zhi)(zhi)精(jing)(jing)(jing)氣(qi)(qi)的不(bu)(bu)(bu)(bu)斷充養(yang)，才能(neng)(neng)(neng)(neng)(neng)(neng)(neng)保持(chi)“實而(er)不(bu)(bu)(bu)(bu)滿(man)”的充盈狀態(tai)而(er)發揮(hui)正常(chang)的生(sheng)(sheng)理(li)功(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)。故臨床中(zhong)(zhong)(zhong)應注重后(hou)(hou)天(tian)脾胃的調(diao)(diao)(diao)(diao)理(li)，即使肝腎(shen)(shen)(shen)(shen)虧(kui)虛，亦(yi)應重視調(diao)(diao)(diao)(diao)理(li)脾胃，因為只有(you)(you)資助后(hou)(hou)天(tian)，才能(neng)(neng)(neng)(neng)(neng)(neng)(neng)滋養(yang)先(xian)天(tian)。

氣(qi)(qi)(qi)(qi)血(xue)(xue)(xue)(xue)(xue)(xue)同治(zhi)，化瘀(yu)止血(xue)(xue)(xue)(xue)(xue)(xue):月經的主要成分(fen)是血(xue)(xue)(xue)(xue)(xue)(xue)液，治(zhi)經必治(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)，然(ran)氣(qi)(qi)(qi)(qi)為血(xue)(xue)(xue)(xue)(xue)(xue)帥(shuai)，氣(qi)(qi)(qi)(qi)行(xing)則(ze)血(xue)(xue)(xue)(xue)(xue)(xue)行(xing)，氣(qi)(qi)(qi)(qi)滯則(ze)血(xue)(xue)(xue)(xue)(xue)(xue)凝，氣(qi)(qi)(qi)(qi)升則(ze)血(xue)(xue)(xue)(xue)(xue)(xue)升，氣(qi)(qi)(qi)(qi)降(jiang)則(ze)血(xue)(xue)(xue)(xue)(xue)(xue)降(jiang)，故(gu)治(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)必理氣(qi)(qi)(qi)(qi)，氣(qi)(qi)(qi)(qi)機疏利，則(ze)血(xue)(xue)(xue)(xue)(xue)(xue)行(xing)正(zheng)常(chang)(chang)，經候如期(qi)。若肝氣(qi)(qi)(qi)(qi)郁結，氣(qi)(qi)(qi)(qi)機郁滯，血(xue)(xue)(xue)(xue)(xue)(xue)行(xing)亦不暢，常(chang)(chang)導致月經不調(diao)，甚或經閉不行(xing)，或經行(xing)乳房脹痛，經行(xing)情志(zhi)異常(chang)(chang)等證(zheng)(zheng)。治(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)者，她常(chang)(chang)用四(si)物(wu)湯加減，蓋四(si)物(wu)湯養中(zhong)有(you)行(xing)，補(bu)(bu)(bu)而(er)不滯，故(gu)為治(zhi)療血(xue)(xue)(xue)(xue)(xue)(xue)證(zheng)(zheng)的專劑。活(huo)血(xue)(xue)(xue)(xue)(xue)(xue)常(chang)(chang)用當歸益母草、丹參。當功善補(bu)(bu)(bu)血(xue)(xue)(xue)(xue)(xue)(xue)活(huo)血(xue)(xue)(xue)(xue)(xue)(xue)，補(bu)(bu)(bu)中(zhong)有(you)動，行(xing)中(zhong)有(you)補(bu)(bu)(bu)，血(xue)(xue)(xue)(xue)(xue)(xue)中(zhong)之(zhi)氣(qi)(qi)(qi)(qi)藥(yao)與圣藥(yao)；益母草為婦(fu)科經產之(zhi)要藥(yao)，藥(yao)性(xing)平和力緩，具有(you)行(xing)瘀(yu)血(xue)(xue)(xue)(xue)(xue)(xue)而(er)不傷新(xin)(xin)血(xue)(xue)(xue)(xue)(xue)(xue)，養新(xin)(xin)血(xue)(xue)(xue)(xue)(xue)(xue)而(er)不留(liu)瘀(yu)滯的妙用；丹參生新(xin)(xin)血(xue)(xue)(xue)(xue)(xue)(xue)而(er)補(bu)(bu)(bu)血(xue)(xue)(xue)(xue)(xue)(xue)虛，有(you)祛瘀(yu)生新(xin)(xin)的作用，很少(shao)使用峻猛攻逐耗損(sun)氣(qi)(qi)(qi)(qi)血(xue)(xue)(xue)(xue)(xue)(xue)之(zhi)品，而(er)是多(duo)選用祛瘀(yu)不傷正(zheng)，既(ji)補(bu)(bu)(bu)血(xue)(xue)(xue)(xue)(xue)(xue)又(you)活(huo)血(xue)(xue)(xue)(xue)(xue)(xue)的調(diao)血(xue)(xue)(xue)(xue)(xue)(xue)之(zhi)品，寓消瘀(yu)于補(bu)(bu)(bu)血(xue)(xue)(xue)(xue)(xue)(xue)月經病常(chang)(chang)表(biao)現為異常(chang)(chang)的出(chu)血(xue)(xue)(xue)(xue)(xue)(xue)，如月經過多(duo)、經期(qi)延(yan)長、崩漏(lou)、經間期(qi)出(chu)血(xue)(xue)(xue)(xue)(xue)(xue)、經行(xing)吐衄等。

調(diao)理月(yue)(yue)(yue)經(jing)(jing)，病證(zheng)結合:中醫(yi)認為正常月(yue)(yue)(yue)經(jing)(jing)規(gui)律如月(yue)(yue)(yue)之(zhi)(zhi)盈(ying)虧，經(jing)(jing)水期，月(yue)(yue)(yue)滿(man)(man)盈(ying)，滿(man)(man)則(ze)溢(yi)，按周(zhou)(zhou)期循(xun)環(huan)不已，周(zhou)(zhou)而復始，如環(huan)無端，周(zhou)(zhou)期變(bian)化(hua)。月(yue)(yue)(yue)經(jing)(jing)周(zhou)(zhou)期的變(bian)化(hua)與(yu)陰(yin)陽(yang)(yang)二氣的轉化(hua)關系密(mi)切(qie)。陰(yin)陽(yang)(yang)互根，陰(yin)極則(ze)陽(yang)(yang)生，陽(yang)(yang)極則(ze)陰(yin)生，陰(yin)消陽(yang)(yang)長，陽(yang)(yang)消陰(yin)長，由滿(man)(man)而溢(yi)，藏瀉有(you)期，月(yue)(yue)(yue)經(jing)(jing)周(zhou)(zhou)期的變(bian)化(hua)，亦即子宮(gong)的一(yi)種陰(yin)陽(yang)(yang)轉化(hua)過程。她(ta)認為這與(yu)現代醫(yi)學所研(yan)究的月(yue)(yue)(yue)經(jing)(jing)產(chan)生的機制不謀(mou)而合，西醫(yi)認為月(yue)(yue)(yue)經(jing)(jing)是(shi)受下丘腦一(yi)垂體(ti)一(yi)卵(luan)巢一(yi)子宮(gong)這一(yi)性(xing)腺軸(zhou)的調(diao)節，使(shi)子宮(gong)內膜發生增殖(zhi)期、排卵(luan)期、分(fen)泌期、剝脫(tuo)期的周(zhou)(zhou)期性(xing)變(bian)化(hua)。因此，她(ta)在(zai)治療上主張隨月(yue)(yue)(yue)經(jing)(jing)周(zhou)(zhou)期的陰(yin)陽(yang)(yang)消長，調(diao)補(bu)腎之(zhi)(zhi)陰(yin)陽(yang)(yang)，協調(diao)氣血(xue)之(zhi)(zhi)盛衰，使(shi)經(jing)(jing)期陰(yin)陽(yang)(yang)得以順(shun)利轉化(hua)。

科研成果

主持完成多項科研項目，其中主持完成的(de)(de)國家中醫藥管理局重點研究(jiu)課題“中藥補(bu)腎(shen)活血湯對小鼠(shu)體外(wai)受(shou)精(jing)及早期胚胎(tai)發育的(de)(de)作用(yong)研究(jiu)”獲江蘇(su)省科技(ji)進步(bu)三等獎。