Objective to Investigate the Pathogenesis and Treatment of Pain and Anxiety in Endometriosis from “Liver Governs Free Coursing”

文茜 夏
In: Advances in Clinical Medicine · 2023 · vol. 13(10) , pp. 15341–15347 · doi:10.12677/acm.2023.13102147 · W4387119201
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This paper explores the pathogenesis and treatment of pain and anxiety in endometriosis using the traditional Chinese medicine concept of "liver governs free coursing."

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This paper explores the pathogenesis and treatment of pain and anxiety in endometriosis through the Traditional Chinese Medicine concept of “Liver Governs Free Coursing.” It posits that the physiological functions of harmonizing qi and blood, regulating emotions, and managing reproduction align with the clinical manifestations of patients suffering from endometriosis-related pain and anxiety. The authors review existing literature to demonstrate that therapeutic approaches such as exercise, Chinese herbal medicine, and psychological adjustment are closely linked to this theoretical framework and offer efficacy in addressing both somatic and psychiatric symptoms. This paper is centrally about endometriosis — specifically focusing on the integration of Traditional Chinese Medicine theory to explain and treat the comorbid presentation of chronic pelvic pain and anxiety disorders.

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Objective

to Investigate the Pathogenesis and Treatment of Pain and Anxiety in Endometriosis from “Liver Governs Free Coursing”

Objective

to Investigate the Pathogenesis and Treatment of Pain and Anxiety in Endometriosis from “Liver Governs Free Coursing” DOI: 10.12677/ACM.2023.13102147, PDF, 被引量 作者: 夏文茜：黑龙江中医药大学研究生学院，黑龙江 哈尔滨；杨东霞*：黑龙江中医药大学附属第二医院妇二科，黑龙江 哈尔滨 关键词: 肝主疏泄；子宫内膜异位症；疼痛；焦虑；Liver Governs Free Coursing； Endometriosis； Pain； Anxiety 作者: 夏文茜：黑龙江中医药大学研究生学院，黑龙江 哈尔滨；杨东霞*：黑龙江中医药大学附属第二医院妇二科，黑龙江 哈尔滨 关键词: 肝主疏泄；子宫内膜异位症；疼痛；焦虑；Liver Governs Free Coursing； Endometriosis； Pain； Anxiety 摘要: “肝主疏泄”一词首见于清陈梦雷对《素问》的注释，可概括为肝主疏调气血、调节情志、调理生殖、通利水道等，其生理病理表现与EMS疼痛伴焦虑状态患者的临床表现相一致。现临床上治疗EMS疼痛伴焦虑状态的治疗方案包括运动、中医药、心理调节等，都与肝主疏泄理论息息相关，从“肝主疏泄”理论论治EMS疗效良好且能同时治疗躯体及精神疾患，值得进一步深入探究。

Abstract

“Liver governs free coursing” was first mentioned in the commentary of Chen Menglei on the Plain Questions in the Qing Dynasty, which can be summarized as harmonize qi and blood, reproduction, regulate the waterways, its physiopathological characteristics is consistent with the clinical mani-festations of patients with Endometriosis pain with anxiety. Clinical treatment options for Endome-triosis pain with anxiety include exercise, Chinese medicine, and psychological adjustment, all of which are closely related to the theory of “liver governs free coursing”, treating EMS with good effi-cacy and treating both somatic and psychiatric disorders, and deserves further in-depth investiga-tion. 文章引用：夏文茜, 杨东霞. 从“肝主疏泄”探讨子宫内膜异位症疼痛伴焦虑的因机证治[J]. 临床医学进展, 2023, 13(10): 15341-15347. https://doi.org/10.12677/ACM.2023.13102147 | [1] | 中国中西医结合学会妇产科专业委员会. 子宫内膜异位症中西医结合诊治指南[J]. 中国中西医结合杂志, 2019, 39(10): 1169-1176. | | [2] | Falcone, T. and Flyckt, R. (2018) Clinical Management of Endometriosis. 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