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人物簡介

楊桂云，女(nv)，湖北省(sheng)漢陽人。主任醫(yi)師(shi)，教(jiao)授(shou)。1983年畢業(ye)(ye)于(yu)上海中(zhong)醫(yi)學院，師(shi)從中(zhong)醫(yi)婦科(ke)(ke)專家(jia)沈仲理教(jiao)授(shou)，畢業(ye)(ye)后(hou)在江蘇省(sheng)中(zhong)醫(yi)藥研(yan)究院婦科(ke)(ke)工作(zuo)。是全國第三、第四(si)、第五、第六批名老中(zhong)醫(yi)藥專家(jia)學術經驗繼承工作(zuo)指(zhi)導老師(shi)。擅長治療(liao)調治月經失調類疾病、不孕不育(yu)癥、更年期綜合征(zheng)、子宮(gong)肌瘤等。

主要作品

出版著作

《中醫婦科學》

《中華(hua)家庭調補(bu)大全》

《中成(cheng)藥臨(lin)床手冊》

主要論文

1.池雷,楊桂(gui)云(yun).益(yi)腎健脾法治療無排卵性功能失調性子(zi)宮出(chu)血60例[J].河(he)南中(zhong)醫,2011,31(10):1148-1149.

2.楊桂云.補腎活血(xue)湯(tang)治療卵(luan)巢功能(neng)失(shi)調性(xing)不(bu)孕的臨床觀察[J].中西(xi)醫結合學報,2004(02):138-139.

3.楊(yang)桂云(yun).不孕癥(zheng)的(de)中醫調周治(zhi)療及其作用機(ji)理初探(tan)[J].江(jiang)蘇中醫藥(yao),2004(03):17-20.

4.楊(yang)桂云,劉紅林.補腎活血方對子(zi)宮內(nei)膜異(yi)位(wei)癥不孕腹腔液微(wei)環境改(gai)善作(zuo)用(yong)的實驗研究[J].中(zhong)醫藥(yao)學刊,2003(01):57-59.

5.楊桂云(yun),王佩娟,賈曉斌,顧(gu)奎興,曹步凱,王曉麗,紀孝萍.補腎活血(xue)湯對小鼠體外受精及(ji)其早期胚(pei)胎發育的影響[J].中國中西醫結合雜(za)志,2001(07):522-524.

6.楊(yang)桂云(yun),王佩娟,賈(jia)曉斌,顧奎(kui)興,劉紅(hong)林.“補腎活(huo)血湯(tang)”對小鼠(shu)早期胚(pei)胎發育(yu)的(de)作用(yong)[J].江(jiang)蘇(su)中醫,2000(11):50-51.

7.顧奎(kui)興,楊桂云.中藥(yao)藥(yao)對在腫瘤臨床的應用(yong)[J].江蘇藥(yao)學與臨床研(yan)究(jiu),1998(03):31-33.

8.楊桂云,顧奎興.補腎活血法治療卵巢功能失(shi)調性不孕(yun)癥92例[J].南(nan)京中(zhong)醫藥大學學報,1998(03):56.

9.顧奎興,楊桂云.相(xiang)反相(xiang)畏藥對在腫瘤臨(lin)床(chuang)的應用舉隅[J].江蘇中醫,1998(03):36-38.

10.楊桂云(yun).益腎為主治療室(shi)女崩(beng)漏的臨床(chuang)體會[J].江蘇中醫,1996(08):27-28.

11.楊(yang)桂云.中醫(yi)藥治療子宮(gong)肌瘤的(de)研究進展[J].河(he)南中醫(yi),1990,10(05):41-43.

12.楊桂云.閉經醫(yi)案拾(shi)零(ling)[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)(diao)周(zhou)治(zhi)療不(bu)(bu)孕癥(zheng)(zheng):下丘腦一(yi)垂體一(yi)卵巢軸功(gong)(gong)能(neng)異常(chang)導致無(wu)排(pai)卵和黃(huang)體功(gong)(gong)能(neng)不(bu)(bu)健，表現為(wei)功(gong)(gong)能(neng)性(xing)子宮出血、閉(bi)經(jing)(jing)(jing)(jing)、不(bu)(bu)孕等(deng)病證。西醫常(chang)用誘發排(pai)卵，改善(shan)黃(huang)體功(gong)(gong)能(neng)的方法(fa)治(zhi)療排(pai)卵功(gong)(gong)能(neng)障(zhang)礙性(xing)不(bu)(bu)孕癥(zheng)(zheng)。中(zhong)醫認為(wei)，“種(zhong)子之(zhi)法(fa)，即在于調(diao)(diao)(diao)經(jing)(jing)(jing)(jing)之(zhi)中(zhong)”，“調(diao)(diao)(diao)經(jing)(jing)(jing)(jing)”是“種(zhong)子”的重要手段，她通過(guo)分經(jing)(jing)(jing)(jing)后期(qi)、排(pai)卵期(qi)、黃(huang)體期(qi)、月經(jing)(jing)(jing)(jing)期(qi)四期(qi)周(zhou)期(qi)性(xing)治(zhi)療，調(diao)(diao)(diao)整月經(jing)(jing)(jing)(jing)周(zhou)期(qi)，恢復正常(chang)卵巢功(gong)(gong)能(neng)，治(zhi)療不(bu)(bu)孕癥(zheng)(zheng)臨床每獲良(liang)效。

補腎調周治療慢性盆(pen)腔(qiang)炎(yan)(yan):慢性盆(pen)腔(qiang)炎(yan)(yan)是婦科的(de)(de)常見(jian)病(bing)，可見(jian)小(xiao)腹一側或兩側作痛，腰酸帶(dai)下或多，色黃(huang)白質(zhi)黏稠，慢性盆(pen)腔(qiang)炎(yan)(yan)瘀(yu)熱濕虛的(de)(de)病(bing)理變化是不孕的(de)(de)原因(yin)。采(cai)用補腎調周的(de)(de)方法(fa)標本兼治，有(you)助于(yu)調節內(nei)分(fen)泌(mi)，增強免疫功能，促(cu)進炎(yan)(yan)癥的(de)(de)吸收。臨床中要根據炎(yan)(yan)癥的(de)(de)輕(qing)重選擇清熱利(li)濕化瘀(yu)。

補(bu)腎(shen)調(diao)周(zhou)治(zhi)(zhi)療功能性痛(tong)經(jing):痛(tong)經(jing)除(chu)經(jing)行疼痛(tong)外，常是(shi)不(bu)孕的(de)原因，疼痛(tong)發作(zuo)時(shi)以通則(ze)不(bu)痛(tong)為治(zhi)(zhi)法，平時(shi)疼痛(tong)未發作(zuo)，需從本論(lun)治(zhi)(zhi)，補(bu)腎(shen)調(diao)周(zhou)，重(zhong)點(dian)放在月經(jing)后半期的(de)調(diao)治(zhi)(zhi)。首(shou)先卵子要(yao)順利(li)排(pai)出(chu)，繼之要(yao)有良好(hao)的(de)黃體(ti)功能，維持(chi)陽氣的(de)旺盛，經(jing)血才能順暢排(pai)出(chu)。

從臟腑、氣血、陰陽調理月經

補腎(shen)調(diao)(diao)(diao)肝(gan)，顧護(hu)脾(pi)(pi)(pi)胃:她認(ren)(ren)為，肝(gan)腎(shen)在(zai)月(yue)經(jing)(jing)(jing)病(bing)論(lun)治(zhi)方面(mian)尤為重(zhong)要。精(jing)(jing)氣(qi)(qi)(qi)(qi)是(shi)人體(ti)生(sheng)(sheng)(sheng)(sheng)長發(fa)育及(ji)(ji)各種功(gong)能(neng)(neng)活(huo)動(dong)的(de)(de)(de)物(wu)質基(ji)礎，包括月(yue)經(jing)(jing)(jing)的(de)(de)(de)生(sheng)(sheng)(sheng)(sheng)理(li)(li)(li)活(huo)動(dong)。精(jing)(jing)能(neng)(neng)生(sheng)(sheng)(sheng)(sheng)血(xue)(xue)，血(xue)(xue)能(neng)(neng)化(hua)精(jing)(jing)，精(jing)(jing)血(xue)(xue)同(tong)源，同(tong)為月(yue)經(jing)(jing)(jing)產生(sheng)(sheng)(sheng)(sheng)物(wu)質基(ji)礎。同(tong)時，精(jing)(jing)能(neng)(neng)化(hua)氣(qi)(qi)(qi)(qi)，腎(shen)氣(qi)(qi)(qi)(qi)盛(sheng)衰主(zhu)宰(zai)天癸的(de)(de)(de)生(sheng)(sheng)(sheng)(sheng)理(li)(li)(li)活(huo)動(dong)，天癸是(shi)月(yue)經(jing)(jing)(jing)產生(sheng)(sheng)(sheng)(sheng)的(de)(de)(de)必(bi)不(bu)(bu)(bu)可少的(de)(de)(de)物(wu)質基(ji)礎。《傅青(qing)主(zhu)女科》云:“經(jing)(jing)(jing)水(shui)出(chu)諸腎(shen)。”“經(jing)(jing)(jing)原(yuan)非血(xue)(xue)，乃天一(yi)之(zhi)(zhi)(zhi)水(shui)，出(chu)自腎(shen)中(zhong)(zhong)。”腎(shen)是(shi)月(yue)經(jing)(jing)(jing)產生(sheng)(sheng)(sheng)(sheng)的(de)(de)(de)根本，腎(shen)氣(qi)(qi)(qi)(qi)的(de)(de)(de)盛(sheng)衰主(zhu)宰(zai)著天癸的(de)(de)(de)至與竭，只有(you)(you)腎(shen)氣(qi)(qi)(qi)(qi)健旺，才(cai)能(neng)(neng)使天癸成(cheng)熟，任通沖(chong)盛(sheng)，月(yue)經(jing)(jing)(jing)正(zheng)常；只有(you)(you)腎(shen)氣(qi)(qi)(qi)(qi)充盛(sheng)，子(zi)宮才(cai)能(neng)(neng)發(fa)育正(zheng)常，完成(cheng)月(yue)經(jing)(jing)(jing)、胎孕功(gong)能(neng)(neng)。她認(ren)(ren)為腎(shen)中(zhong)(zhong)精(jing)(jing)血(xue)(xue)不(bu)(bu)(bu)充、腎(shen)中(zhong)(zhong)之(zhi)(zhi)(zhi)氣(qi)(qi)(qi)(qi)不(bu)(bu)(bu)盛(sheng)是(shi)導致(zhi)月(yue)經(jing)(jing)(jing)病(bing)的(de)(de)(de)根本原(yuan)因，調(diao)(diao)(diao)經(jing)(jing)(jing)之(zhi)(zhi)(zhi)本在(zai)于腎(shen)。女子(zi)以(yi)(yi)肝(gan)為先(xian)(xian)天，肝(gan)藏(zang)血(xue)(xue)而(er)(er)(er)主(zhu)疏泄，主(zhu)升(sheng)發(fa)。《素問·六節藏(zang)象(xiang)論(lun)》言:“肝(gan)者，罷極之(zhi)(zhi)(zhi)本，……以(yi)(yi)生(sheng)(sheng)(sheng)(sheng)血(xue)(xue)氣(qi)(qi)(qi)(qi)。”肝(gan)又(you)(you)為沖(chong)任兩(liang)脈之(zhi)(zhi)(zhi)研系(xi)。肝(gan)氣(qi)(qi)(qi)(qi)條達，氣(qi)(qi)(qi)(qi)機條暢，則臟腑安和，氣(qi)(qi)(qi)(qi)血(xue)(xue)津液生(sheng)(sheng)(sheng)(sheng)生(sheng)(sheng)(sheng)(sheng)不(bu)(bu)(bu)息(xi)；肝(gan)血(xue)(xue)充足，則沖(chong)任脈通盛(sheng)，月(yue)事(shi)得以(yi)(yi)時下。反之(zhi)(zhi)(zhi)，氣(qi)(qi)(qi)(qi)郁不(bu)(bu)(bu)達，肝(gan)氣(qi)(qi)(qi)(qi)不(bu)(bu)(bu)得疏泄，則氣(qi)(qi)(qi)(qi)血(xue)(xue)失調(diao)(diao)(diao)，勢(shi)必(bi)影響沖(chong)任而(er)(er)(er)引起月(yue)經(jing)(jing)(jing)病(bing)變。前人有(you)(you)“調(diao)(diao)(diao)經(jing)(jing)(jing)肝(gan)為先(xian)(xian)，舒(shu)肝(gan)經(jing)(jing)(jing)自調(diao)(diao)(diao)”及(ji)(ji)“調(diao)(diao)(diao)經(jing)(jing)(jing)不(bu)(bu)(bu)先(xian)(xian)理(li)(li)(li)氣(qi)(qi)(qi)(qi)，非其(qi)治(zhi)也”之(zhi)(zhi)(zhi)說。脾(pi)(pi)(pi)主(zhu)運化(hua)水(shui)谷(gu)，脾(pi)(pi)(pi)氣(qi)(qi)(qi)(qi)升(sheng)清，把水(shui)谷(gu)精(jing)(jing)微上輸心肺，化(hua)生(sheng)(sheng)(sheng)(sheng)氣(qi)(qi)(qi)(qi)血(xue)(xue)，營養全身，下至胞宮，生(sheng)(sheng)(sheng)(sheng)成(cheng)月(yue)經(jing)(jing)(jing)。脾(pi)(pi)(pi)又(you)(you)主(zhu)統(tong)血(xue)(xue)能(neng)(neng)統(tong)攝控制(zhi)血(xue)(xue)液在(zai)經(jing)(jing)(jing)脈中(zhong)(zhong)運行(xing)，使經(jing)(jing)(jing)行(xing)正(zheng)常。而(er)(er)(er)先(xian)(xian)天之(zhi)(zhi)(zhi)精(jing)(jing)氣(qi)(qi)(qi)(qi)只有(you)(you)依(yi)靠后(hou)天水(shui)谷(gu)之(zhi)(zhi)(zhi)精(jing)(jing)氣(qi)(qi)(qi)(qi)的(de)(de)(de)不(bu)(bu)(bu)斷充養，才(cai)能(neng)(neng)保持(chi)“實(shi)而(er)(er)(er)不(bu)(bu)(bu)滿”的(de)(de)(de)充盈狀態而(er)(er)(er)發(fa)揮正(zheng)常的(de)(de)(de)生(sheng)(sheng)(sheng)(sheng)理(li)(li)(li)功(gong)能(neng)(neng)。故臨床中(zhong)(zhong)應注重(zhong)后(hou)天脾(pi)(pi)(pi)胃的(de)(de)(de)調(diao)(diao)(diao)理(li)(li)(li)，即(ji)使肝(gan)腎(shen)虧虛，亦(yi)應重(zhong)視(shi)調(diao)(diao)(diao)理(li)(li)(li)脾(pi)(pi)(pi)胃，因為只有(you)(you)資助(zhu)后(hou)天，才(cai)能(neng)(neng)滋養先(xian)(xian)天。

氣(qi)(qi)血(xue)(xue)(xue)(xue)同治，化(hua)瘀(yu)止血(xue)(xue)(xue)(xue):月(yue)經(jing)(jing)(jing)(jing)的主要成分是血(xue)(xue)(xue)(xue)液，治經(jing)(jing)(jing)(jing)必治血(xue)(xue)(xue)(xue)，然氣(qi)(qi)為(wei)血(xue)(xue)(xue)(xue)帥，氣(qi)(qi)行(xing)(xing)則(ze)血(xue)(xue)(xue)(xue)行(xing)(xing)，氣(qi)(qi)滯(zhi)(zhi)則(ze)血(xue)(xue)(xue)(xue)凝，氣(qi)(qi)升(sheng)(sheng)則(ze)血(xue)(xue)(xue)(xue)升(sheng)(sheng)，氣(qi)(qi)降(jiang)則(ze)血(xue)(xue)(xue)(xue)降(jiang)，故治血(xue)(xue)(xue)(xue)必理氣(qi)(qi)，氣(qi)(qi)機疏利(li)，則(ze)血(xue)(xue)(xue)(xue)行(xing)(xing)正常(chang)(chang)，經(jing)(jing)(jing)(jing)候如期(qi)。若(ruo)肝氣(qi)(qi)郁結，氣(qi)(qi)機郁滯(zhi)(zhi)，血(xue)(xue)(xue)(xue)行(xing)(xing)亦不(bu)(bu)(bu)暢，常(chang)(chang)導致月(yue)經(jing)(jing)(jing)(jing)不(bu)(bu)(bu)調，甚(shen)或經(jing)(jing)(jing)(jing)閉不(bu)(bu)(bu)行(xing)(xing)，或經(jing)(jing)(jing)(jing)行(xing)(xing)乳房脹痛，經(jing)(jing)(jing)(jing)行(xing)(xing)情(qing)志異常(chang)(chang)等證。治血(xue)(xue)(xue)(xue)者(zhe)，她常(chang)(chang)用(yong)四物湯(tang)加減，蓋四物湯(tang)養中(zhong)有行(xing)(xing)，補(bu)而(er)(er)不(bu)(bu)(bu)滯(zhi)(zhi)，故為(wei)治療血(xue)(xue)(xue)(xue)證的專劑。活(huo)血(xue)(xue)(xue)(xue)常(chang)(chang)用(yong)當歸益母草(cao)、丹(dan)參。當功善補(bu)血(xue)(xue)(xue)(xue)活(huo)血(xue)(xue)(xue)(xue)，補(bu)中(zhong)有動，行(xing)(xing)中(zhong)有補(bu)，血(xue)(xue)(xue)(xue)中(zhong)之氣(qi)(qi)藥與圣藥；益母草(cao)為(wei)婦科經(jing)(jing)(jing)(jing)產之要藥，藥性(xing)平(ping)和力緩，具有行(xing)(xing)瘀(yu)血(xue)(xue)(xue)(xue)而(er)(er)不(bu)(bu)(bu)傷新血(xue)(xue)(xue)(xue)，養新血(xue)(xue)(xue)(xue)而(er)(er)不(bu)(bu)(bu)留瘀(yu)滯(zhi)(zhi)的妙用(yong)；丹(dan)參生新血(xue)(xue)(xue)(xue)而(er)(er)補(bu)血(xue)(xue)(xue)(xue)虛，有祛(qu)瘀(yu)生新的作用(yong)，很少使用(yong)峻猛攻逐耗損(sun)氣(qi)(qi)血(xue)(xue)(xue)(xue)之品，而(er)(er)是多(duo)選(xuan)用(yong)祛(qu)瘀(yu)不(bu)(bu)(bu)傷正，既補(bu)血(xue)(xue)(xue)(xue)又活(huo)血(xue)(xue)(xue)(xue)的調血(xue)(xue)(xue)(xue)之品，寓消(xiao)瘀(yu)于補(bu)血(xue)(xue)(xue)(xue)月(yue)經(jing)(jing)(jing)(jing)病常(chang)(chang)表現為(wei)異常(chang)(chang)的出血(xue)(xue)(xue)(xue)，如月(yue)經(jing)(jing)(jing)(jing)過多(duo)、經(jing)(jing)(jing)(jing)期(qi)延長、崩漏、經(jing)(jing)(jing)(jing)間期(qi)出血(xue)(xue)(xue)(xue)、經(jing)(jing)(jing)(jing)行(xing)(xing)吐(tu)衄等。

調理月(yue)(yue)(yue)經(jing)(jing)，病證結合(he):中醫認為(wei)正常月(yue)(yue)(yue)經(jing)(jing)規律(lv)如月(yue)(yue)(yue)之(zhi)(zhi)盈虧，經(jing)(jing)水期(qi)(qi)(qi)(qi)(qi)(qi)，月(yue)(yue)(yue)滿(man)盈，滿(man)則(ze)溢，按(an)周(zhou)期(qi)(qi)(qi)(qi)(qi)(qi)循環不已，周(zhou)而(er)復始，如環無(wu)端，周(zhou)期(qi)(qi)(qi)(qi)(qi)(qi)變(bian)(bian)(bian)化(hua)(hua)。月(yue)(yue)(yue)經(jing)(jing)周(zhou)期(qi)(qi)(qi)(qi)(qi)(qi)的(de)(de)(de)(de)變(bian)(bian)(bian)化(hua)(hua)與陰(yin)(yin)陽(yang)二氣的(de)(de)(de)(de)轉(zhuan)化(hua)(hua)關系(xi)密切。陰(yin)(yin)陽(yang)互根，陰(yin)(yin)極(ji)則(ze)陽(yang)生(sheng)，陽(yang)極(ji)則(ze)陰(yin)(yin)生(sheng)，陰(yin)(yin)消(xiao)(xiao)陽(yang)長，陽(yang)消(xiao)(xiao)陰(yin)(yin)長，由滿(man)而(er)溢，藏(zang)瀉(xie)有(you)期(qi)(qi)(qi)(qi)(qi)(qi)，月(yue)(yue)(yue)經(jing)(jing)周(zhou)期(qi)(qi)(qi)(qi)(qi)(qi)的(de)(de)(de)(de)變(bian)(bian)(bian)化(hua)(hua)，亦(yi)即(ji)子(zi)宮的(de)(de)(de)(de)一(yi)種陰(yin)(yin)陽(yang)轉(zhuan)化(hua)(hua)過程。她認為(wei)這(zhe)與現代醫學所研(yan)究的(de)(de)(de)(de)月(yue)(yue)(yue)經(jing)(jing)產生(sheng)的(de)(de)(de)(de)機制不謀而(er)合(he)，西醫認為(wei)月(yue)(yue)(yue)經(jing)(jing)是(shi)受(shou)下丘腦一(yi)垂體(ti)一(yi)卵(luan)巢一(yi)子(zi)宮這(zhe)一(yi)性腺軸的(de)(de)(de)(de)調節，使子(zi)宮內膜(mo)發(fa)生(sheng)增殖期(qi)(qi)(qi)(qi)(qi)(qi)、排卵(luan)期(qi)(qi)(qi)(qi)(qi)(qi)、分泌期(qi)(qi)(qi)(qi)(qi)(qi)、剝(bo)脫(tuo)期(qi)(qi)(qi)(qi)(qi)(qi)的(de)(de)(de)(de)周(zhou)期(qi)(qi)(qi)(qi)(qi)(qi)性變(bian)(bian)(bian)化(hua)(hua)。因此，她在治療上(shang)主張隨月(yue)(yue)(yue)經(jing)(jing)周(zhou)期(qi)(qi)(qi)(qi)(qi)(qi)的(de)(de)(de)(de)陰(yin)(yin)陽(yang)消(xiao)(xiao)長，調補腎之(zhi)(zhi)陰(yin)(yin)陽(yang)，協調氣血之(zhi)(zhi)盛衰，使經(jing)(jing)期(qi)(qi)(qi)(qi)(qi)(qi)陰(yin)(yin)陽(yang)得以順利轉(zhuan)化(hua)(hua)。

科研成果

主(zhu)持(chi)完成(cheng)多項科(ke)研項目，其中(zhong)(zhong)主(zhu)持(chi)完成(cheng)的國家中(zhong)(zhong)醫藥管理(li)局重點研究(jiu)課題“中(zhong)(zhong)藥補(bu)腎(shen)活血湯對小鼠體外受精及早(zao)期胚胎發育的作(zuo)用研究(jiu)”獲江蘇省科(ke)技(ji)進(jin)步三等獎。