【摘要】痛经，属“月经不调”范畴，中医又称“经行腹痛”，分为原发性痛经和继发性痛经。病位在胞宫、冲任，变化在气血，其病机“或滞或虚”，治疗上“或通或荣”。卫师辨病辨证，内服外用，以气血为立论基础，痛经临床实证居多，卫师认为“气血不通”贯穿病机始终，多因气血寒热瘀滞，治疗当以“通气血”为主。

    【关键词】痛经;气血;四物汤

    【中图分类号】R272.6【文献标志码】 A【文章编号】1007-8517(2019)9-0071-03

    Professor Wei Aiwu’s Experience in Treating Dysmenorrhea

    ZHANG Feifei1WEI Aiwu2*

    1.2016 Master of Clinical Medicine， Henan University of Traditional Chinese Medicine， Zhengzhou 450000， China

    2.Department of Reproductive Medicine， the First Affiliated Hospital of Henan University of Traditional Chinese Medicine ......