痛經的預防與治療

Prevention and Treatment of Dysmenorrhea in Traditional Chinese Medicine

10.6516/TJTCM.201003_13(1).0009

呂萬安(Wan-An Lu)

原發性痛經 ； 繼發性痛經 ； primary dysmenorrheal ； secondary dysmenorrhea

中醫藥研究論叢

13卷1期（2010 / 03 / 01）

101 - 109

繁體中文

近年來婦女健康議題日益受到大家的重視，行政院衛生署更訂定婦女健康政策，促使台灣婦女對健康自覺的提昇。臨床上月經疼痛通常分為原發性及繼發性兩種，原發性是指沒有任何骨盆腔疾病情況下發生的經痛，繼發性則是指因為其他疾病所引起的經痛，又稱之為病理性經痛，也就是骨盆腔疾病所導致的疼痛，例如骨盆腔發炎、子宮肌腺瘤，子宮內膜異位，卵巢囊腫，多囊性卵巢、臂，盆腔黏連等等。根據統計，大約有百分之十的婦女在十幾歲到二十幾歲之間，都有嚴重痛經的經驗。痛經是女性向學校或是公司請假最常見的原因。回顧歷代中醫典籍，距今兩千年前就已經有關於婦女痛經的描述與治療方法的記載，至今仍為大家所使用與重視，對於未來婦女的健康具有非常重要的角色。

The female health issues have, increasingly, been paying much attention recently. Additionally, due to remind the awaking of female health form female population in Taiwan, the Department of Health (DOH) in the Executive Yuan legislate some policies for female health. Dysmenorrhea could be divided into primary dysmenorrhea and secondary dysmenorrhea in clinic. The primary dysmenorrhea occurred without pelvic disease condition and the secondary dysmenorrhea always happened with pelvic disease, so as to be called pathological dysmenorrheal. The uncomfortable syndrome in the periods of menses was owing to the pelvic diseases such as pelvic inflammation, adenomyoma, endometriosis, ovarian cyst, poly cystic ovary, pelvic adhesion. About 10% female haven the experience of dysmenorrhea when she was lie in between ten years old and thirty years olds according the statistics report. The most cause of female as king for leave was dysmenorrhea in school or company. There were already description and treatment about dysmenorrhea of female in the traditional Chinese medicine books before 2000 years ago in the documents of retrospection. The method of prevention and treatment of female dysmenorrhea was used and valued up today, so as to the Chinese herbs medicine possessed positive effect for the female health and these were very impotent role in the future.