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人物簡介

楊桂(gui)云，女，湖(hu)北省漢陽人(ren)。主任醫(yi)(yi)師(shi)(shi)，教(jiao)授。1983年畢(bi)業(ye)(ye)于上海(hai)中(zhong)醫(yi)(yi)學院(yuan)，師(shi)(shi)從中(zhong)醫(yi)(yi)婦科專(zhuan)家沈仲理教(jiao)授，畢(bi)業(ye)(ye)后在江蘇省中(zhong)醫(yi)(yi)藥(yao)研究院(yuan)婦科工(gong)作。是全國第(di)三、第(di)四、第(di)五、第(di)六批(pi)名老中(zhong)醫(yi)(yi)藥(yao)專(zhuan)家學術經驗繼承工(gong)作指(zhi)導老師(shi)(shi)。擅長治療調(diao)治月(yue)經失(shi)調(diao)類(lei)疾病、不孕不育癥、更年期綜合征、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(lin)床手(shou)冊》

主要論文

1.池雷,楊桂云.益腎健(jian)脾法(fa)治療無(wu)排(pai)卵性功能失(shi)調性子宮出血60例[J].河南(nan)中醫,2011,31(10):1148-1149.

2.楊桂云(yun).補腎活血湯治(zhi)療卵巢功能失調性不孕(yun)的臨床觀(guan)察[J].中西醫結合(he)學報,2004(02):138-139.

3.楊桂云.不孕(yun)癥(zheng)的中(zhong)醫(yi)調周治療及其作(zuo)用機理(li)初探[J].江蘇(su)中(zhong)醫(yi)藥,2004(03):17-20.

4.楊桂(gui)云,劉紅林.補腎活血方對子(zi)宮內膜異(yi)位癥不孕腹腔液微環境改(gai)善作用的實(shi)驗研究[J].中醫藥學(xue)刊,2003(01):57-59.

5.楊桂云,王佩娟,賈曉斌,顧奎興(xing),曹步凱(kai),王曉麗,紀孝萍(ping).補腎活血(xue)湯對(dui)小鼠體外受(shou)精及其早期胚胎發育的影響[J].中國中西醫結合雜志,2001(07):522-524.

6.楊桂云(yun),王(wang)佩娟,賈曉斌,顧奎興,劉(liu)紅林.“補腎活血湯”對小鼠早(zao)期胚胎發育的作(zuo)用[J].江蘇中醫(yi),2000(11):50-51.

7.顧(gu)奎興,楊(yang)桂(gui)云(yun).中藥藥對在(zai)腫瘤(liu)臨(lin)床的應(ying)用[J].江蘇藥學(xue)與臨(lin)床研究,1998(03):31-33.

8.楊桂(gui)云,顧奎興(xing).補腎(shen)活血法治療卵(luan)巢功(gong)能(neng)失調性不孕癥(zheng)92例(li)[J].南京(jing)中醫(yi)藥(yao)大(da)學學報,1998(03):56.

9.顧奎(kui)興,楊桂云(yun).相(xiang)反相(xiang)畏藥對在腫瘤臨(lin)床的應用舉(ju)隅[J].江(jiang)蘇中(zhong)醫(yi),1998(03):36-38.

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

11.楊(yang)桂(gui)云.中醫藥治療子宮肌瘤(liu)的研究進展[J].河南中醫,1990,10(05):41-43.

12.楊桂云.閉經醫(yi)案拾(shi)零[J].江蘇中醫(yi),1989(08):15-16.

貢獻影響

學術思想

婦科疾病以補腎調周為先

補腎(shen)調周(zhou)治(zhi)療(liao)不孕癥(zheng)(zheng):下(xia)丘腦一垂體(ti)一卵(luan)(luan)巢軸功(gong)(gong)能(neng)異常導(dao)致無(wu)排(pai)(pai)卵(luan)(luan)和黃體(ti)功(gong)(gong)能(neng)不健，表現為功(gong)(gong)能(neng)性子(zi)宮出血、閉經(jing)、不孕等病證。西醫常用誘發排(pai)(pai)卵(luan)(luan)，改善(shan)黃體(ti)功(gong)(gong)能(neng)的(de)方法治(zhi)療(liao)排(pai)(pai)卵(luan)(luan)功(gong)(gong)能(neng)障礙性不孕癥(zheng)(zheng)。中醫認為，“種(zhong)子(zi)之(zhi)法，即在于(yu)調經(jing)之(zhi)中”，“調經(jing)”是“種(zhong)子(zi)”的(de)重要手段，她(ta)通過分經(jing)后期(qi)(qi)(qi)、排(pai)(pai)卵(luan)(luan)期(qi)(qi)(qi)、黃體(ti)期(qi)(qi)(qi)、月(yue)經(jing)期(qi)(qi)(qi)四期(qi)(qi)(qi)周(zhou)期(qi)(qi)(qi)性治(zhi)療(liao)，調整(zheng)月(yue)經(jing)周(zhou)期(qi)(qi)(qi)，恢復正常卵(luan)(luan)巢功(gong)(gong)能(neng)，治(zhi)療(liao)不孕癥(zheng)(zheng)臨(lin)床每獲(huo)良效。

補(bu)腎調周治療慢(man)性盆(pen)腔炎:慢(man)性盆(pen)腔炎是婦(fu)科的(de)常見(jian)(jian)病，可見(jian)(jian)小腹一側或(huo)兩側作痛(tong)，腰(yao)酸帶下或(huo)多，色黃白質(zhi)黏稠，慢(man)性盆(pen)腔炎瘀熱濕虛的(de)病理變化是不孕的(de)原因。采用補(bu)腎調周的(de)方(fang)法(fa)標(biao)本兼治，有助(zhu)于調節內分泌，增強(qiang)免疫功能(neng)，促(cu)進炎癥(zheng)的(de)吸收(shou)。臨床(chuang)中要根(gen)據(ju)炎癥(zheng)的(de)輕重選擇清(qing)熱利(li)濕化瘀。

補(bu)腎(shen)調(diao)周(zhou)治(zhi)(zhi)療功(gong)能(neng)(neng)性痛(tong)經(jing)(jing)(jing):痛(tong)經(jing)(jing)(jing)除經(jing)(jing)(jing)行疼痛(tong)外，常是(shi)不孕的(de)原因(yin)，疼痛(tong)發(fa)作時以通則不痛(tong)為治(zhi)(zhi)法，平(ping)時疼痛(tong)未發(fa)作，需從本論(lun)治(zhi)(zhi)，補(bu)腎(shen)調(diao)周(zhou)，重(zhong)點放在月(yue)經(jing)(jing)(jing)后半期的(de)調(diao)治(zhi)(zhi)。首先(xian)卵子要順(shun)利(li)排出，繼(ji)之要有良好的(de)黃體功(gong)能(neng)(neng)，維持陽(yang)氣的(de)旺(wang)盛，經(jing)(jing)(jing)血才能(neng)(neng)順(shun)暢排出。

從臟腑、氣血、陰陽調理月經

補腎(shen)(shen)(shen)(shen)(shen)調(diao)肝(gan)(gan)(gan)(gan)，顧護脾胃(wei):她(ta)(ta)認為，肝(gan)(gan)(gan)(gan)腎(shen)(shen)(shen)(shen)(shen)在(zai)月(yue)(yue)(yue)經(jing)(jing)(jing)(jing)病論治(zhi)(zhi)方(fang)面尤為重要。精(jing)(jing)(jing)(jing)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)是人體生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)長(chang)發(fa)(fa)育及(ji)各種功(gong)能(neng)(neng)活動的(de)(de)(de)(de)(de)(de)物(wu)質(zhi)基礎(chu)，包括月(yue)(yue)(yue)經(jing)(jing)(jing)(jing)的(de)(de)(de)(de)(de)(de)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)理(li)活動。精(jing)(jing)(jing)(jing)能(neng)(neng)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)血(xue)(xue)(xue)，血(xue)(xue)(xue)能(neng)(neng)化(hua)(hua)精(jing)(jing)(jing)(jing)，精(jing)(jing)(jing)(jing)血(xue)(xue)(xue)同(tong)(tong)源，同(tong)(tong)為月(yue)(yue)(yue)經(jing)(jing)(jing)(jing)產(chan)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)物(wu)質(zhi)基礎(chu)。同(tong)(tong)時，精(jing)(jing)(jing)(jing)能(neng)(neng)化(hua)(hua)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)，腎(shen)(shen)(shen)(shen)(shen)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)盛(sheng)衰主(zhu)宰天(tian)(tian)癸的(de)(de)(de)(de)(de)(de)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)理(li)活動，天(tian)(tian)癸是月(yue)(yue)(yue)經(jing)(jing)(jing)(jing)產(chan)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)的(de)(de)(de)(de)(de)(de)必不(bu)可少的(de)(de)(de)(de)(de)(de)物(wu)質(zhi)基礎(chu)。《傅青主(zhu)女(nv)科》云:“經(jing)(jing)(jing)(jing)水出諸腎(shen)(shen)(shen)(shen)(shen)。”“經(jing)(jing)(jing)(jing)原(yuan)非(fei)(fei)血(xue)(xue)(xue)，乃天(tian)(tian)一之(zhi)(zhi)水，出自腎(shen)(shen)(shen)(shen)(shen)中(zhong)。”腎(shen)(shen)(shen)(shen)(shen)是月(yue)(yue)(yue)經(jing)(jing)(jing)(jing)產(chan)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)的(de)(de)(de)(de)(de)(de)根本，腎(shen)(shen)(shen)(shen)(shen)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)的(de)(de)(de)(de)(de)(de)盛(sheng)衰主(zhu)宰著天(tian)(tian)癸的(de)(de)(de)(de)(de)(de)至與竭，只(zhi)有(you)腎(shen)(shen)(shen)(shen)(shen)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)健旺，才(cai)(cai)能(neng)(neng)使天(tian)(tian)癸成(cheng)熟，任通(tong)沖盛(sheng)，月(yue)(yue)(yue)經(jing)(jing)(jing)(jing)正(zheng)常；只(zhi)有(you)腎(shen)(shen)(shen)(shen)(shen)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)充盛(sheng)，子宮(gong)才(cai)(cai)能(neng)(neng)發(fa)(fa)育正(zheng)常，完成(cheng)月(yue)(yue)(yue)經(jing)(jing)(jing)(jing)、胎孕功(gong)能(neng)(neng)。她(ta)(ta)認為腎(shen)(shen)(shen)(shen)(shen)中(zhong)精(jing)(jing)(jing)(jing)血(xue)(xue)(xue)不(bu)充、腎(shen)(shen)(shen)(shen)(shen)中(zhong)之(zhi)(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)不(bu)盛(sheng)是導致月(yue)(yue)(yue)經(jing)(jing)(jing)(jing)病的(de)(de)(de)(de)(de)(de)根本原(yuan)因，調(diao)經(jing)(jing)(jing)(jing)之(zhi)(zhi)本在(zai)于腎(shen)(shen)(shen)(shen)(shen)。女(nv)子以(yi)(yi)肝(gan)(gan)(gan)(gan)為先(xian)天(tian)(tian)，肝(gan)(gan)(gan)(gan)藏(zang)血(xue)(xue)(xue)而(er)主(zhu)疏泄，主(zhu)升(sheng)發(fa)(fa)。《素問(wen)·六節(jie)藏(zang)象(xiang)論》言:“肝(gan)(gan)(gan)(gan)者，罷極(ji)之(zhi)(zhi)本，……以(yi)(yi)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)血(xue)(xue)(xue)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)。”肝(gan)(gan)(gan)(gan)又(you)為沖任兩脈(mo)之(zhi)(zhi)研系。肝(gan)(gan)(gan)(gan)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)條達(da)，氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)機條暢(chang)，則臟腑安和，氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)血(xue)(xue)(xue)津液生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)不(bu)息；肝(gan)(gan)(gan)(gan)血(xue)(xue)(xue)充足，則沖任脈(mo)通(tong)盛(sheng)，月(yue)(yue)(yue)事得以(yi)(yi)時下。反之(zhi)(zhi)，氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)郁不(bu)達(da)，肝(gan)(gan)(gan)(gan)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)不(bu)得疏泄，則氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)血(xue)(xue)(xue)失調(diao)，勢必影響沖任而(er)引起月(yue)(yue)(yue)經(jing)(jing)(jing)(jing)病變(bian)。前人有(you)“調(diao)經(jing)(jing)(jing)(jing)肝(gan)(gan)(gan)(gan)為先(xian)，舒肝(gan)(gan)(gan)(gan)經(jing)(jing)(jing)(jing)自調(diao)”及(ji)“調(diao)經(jing)(jing)(jing)(jing)不(bu)先(xian)理(li)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)，非(fei)(fei)其治(zhi)(zhi)也”之(zhi)(zhi)說。脾主(zhu)運化(hua)(hua)水谷，脾氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)升(sheng)清，把水谷精(jing)(jing)(jing)(jing)微上輸(shu)心肺(fei)，化(hua)(hua)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)血(xue)(xue)(xue)，營養全身，下至胞(bao)宮(gong)，生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)成(cheng)月(yue)(yue)(yue)經(jing)(jing)(jing)(jing)。脾又(you)主(zhu)統血(xue)(xue)(xue)能(neng)(neng)統攝控(kong)制血(xue)(xue)(xue)液在(zai)經(jing)(jing)(jing)(jing)脈(mo)中(zhong)運行，使經(jing)(jing)(jing)(jing)行正(zheng)常。而(er)先(xian)天(tian)(tian)之(zhi)(zhi)精(jing)(jing)(jing)(jing)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)只(zhi)有(you)依(yi)靠后天(tian)(tian)水谷之(zhi)(zhi)精(jing)(jing)(jing)(jing)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)的(de)(de)(de)(de)(de)(de)不(bu)斷充養，才(cai)(cai)能(neng)(neng)保持“實而(er)不(bu)滿”的(de)(de)(de)(de)(de)(de)充盈狀態(tai)而(er)發(fa)(fa)揮正(zheng)常的(de)(de)(de)(de)(de)(de)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)理(li)功(gong)能(neng)(neng)。故(gu)臨床(chuang)中(zhong)應注重后天(tian)(tian)脾胃(wei)的(de)(de)(de)(de)(de)(de)調(diao)理(li)，即使肝(gan)(gan)(gan)(gan)腎(shen)(shen)(shen)(shen)(shen)虧虛(xu)，亦應重視調(diao)理(li)脾胃(wei)，因為只(zhi)有(you)資助后天(tian)(tian)，才(cai)(cai)能(neng)(neng)滋(zi)養先(xian)天(tian)(tian)。

氣(qi)血(xue)(xue)(xue)同治(zhi)(zhi)，化瘀(yu)止血(xue)(xue)(xue):月經(jing)(jing)(jing)(jing)的(de)(de)主(zhu)要(yao)成分是血(xue)(xue)(xue)液(ye)，治(zhi)(zhi)經(jing)(jing)(jing)(jing)必(bi)治(zhi)(zhi)血(xue)(xue)(xue)，然(ran)氣(qi)為(wei)血(xue)(xue)(xue)帥，氣(qi)行(xing)(xing)則血(xue)(xue)(xue)行(xing)(xing)，氣(qi)滯(zhi)(zhi)則血(xue)(xue)(xue)凝，氣(qi)升(sheng)(sheng)則血(xue)(xue)(xue)升(sheng)(sheng)，氣(qi)降則血(xue)(xue)(xue)降，故治(zhi)(zhi)血(xue)(xue)(xue)必(bi)理氣(qi)，氣(qi)機(ji)疏利(li)，則血(xue)(xue)(xue)行(xing)(xing)正常(chang)(chang)，經(jing)(jing)(jing)(jing)候(hou)如(ru)期。若肝氣(qi)郁(yu)結，氣(qi)機(ji)郁(yu)滯(zhi)(zhi)，血(xue)(xue)(xue)行(xing)(xing)亦(yi)不暢，常(chang)(chang)導致月經(jing)(jing)(jing)(jing)不調(diao)，甚或經(jing)(jing)(jing)(jing)閉(bi)不行(xing)(xing)，或經(jing)(jing)(jing)(jing)行(xing)(xing)乳房脹痛，經(jing)(jing)(jing)(jing)行(xing)(xing)情志異常(chang)(chang)等證。治(zhi)(zhi)血(xue)(xue)(xue)者，她常(chang)(chang)用(yong)(yong)四物湯加減，蓋四物湯養(yang)(yang)中(zhong)(zhong)(zhong)有(you)行(xing)(xing)，補(bu)而(er)不滯(zhi)(zhi)，故為(wei)治(zhi)(zhi)療血(xue)(xue)(xue)證的(de)(de)專劑。活血(xue)(xue)(xue)常(chang)(chang)用(yong)(yong)當歸(gui)益(yi)母草、丹參。當功(gong)善補(bu)血(xue)(xue)(xue)活血(xue)(xue)(xue)，補(bu)中(zhong)(zhong)(zhong)有(you)動，行(xing)(xing)中(zhong)(zhong)(zhong)有(you)補(bu)，血(xue)(xue)(xue)中(zhong)(zhong)(zhong)之氣(qi)藥(yao)與(yu)圣藥(yao)；益(yi)母草為(wei)婦科(ke)經(jing)(jing)(jing)(jing)產之要(yao)藥(yao)，藥(yao)性平和力緩，具有(you)行(xing)(xing)瘀(yu)血(xue)(xue)(xue)而(er)不傷新(xin)(xin)血(xue)(xue)(xue)，養(yang)(yang)新(xin)(xin)血(xue)(xue)(xue)而(er)不留瘀(yu)滯(zhi)(zhi)的(de)(de)妙(miao)用(yong)(yong)；丹參生(sheng)新(xin)(xin)血(xue)(xue)(xue)而(er)補(bu)血(xue)(xue)(xue)虛，有(you)祛瘀(yu)生(sheng)新(xin)(xin)的(de)(de)作用(yong)(yong)，很少(shao)使用(yong)(yong)峻猛攻逐耗損氣(qi)血(xue)(xue)(xue)之品，而(er)是多(duo)選用(yong)(yong)祛瘀(yu)不傷正，既補(bu)血(xue)(xue)(xue)又活血(xue)(xue)(xue)的(de)(de)調(diao)血(xue)(xue)(xue)之品，寓(yu)消瘀(yu)于補(bu)血(xue)(xue)(xue)月經(jing)(jing)(jing)(jing)病常(chang)(chang)表(biao)現為(wei)異常(chang)(chang)的(de)(de)出血(xue)(xue)(xue)，如(ru)月經(jing)(jing)(jing)(jing)過多(duo)、經(jing)(jing)(jing)(jing)期延長、崩漏(lou)、經(jing)(jing)(jing)(jing)間期出血(xue)(xue)(xue)、經(jing)(jing)(jing)(jing)行(xing)(xing)吐衄(nv)等。

調(diao)理月(yue)(yue)(yue)(yue)經，病證結合(he):中醫(yi)(yi)認(ren)為(wei)正常月(yue)(yue)(yue)(yue)經規(gui)律如月(yue)(yue)(yue)(yue)之(zhi)盈虧(kui)，經水期(qi)(qi)(qi)，月(yue)(yue)(yue)(yue)滿(man)盈，滿(man)則(ze)溢，按周(zhou)(zhou)期(qi)(qi)(qi)循環(huan)不已(yi)，周(zhou)(zhou)而(er)復始，如環(huan)無端(duan)，周(zhou)(zhou)期(qi)(qi)(qi)變化。月(yue)(yue)(yue)(yue)經周(zhou)(zhou)期(qi)(qi)(qi)的(de)(de)(de)變化與陰(yin)陽二(er)氣的(de)(de)(de)轉化關(guan)系密切。陰(yin)陽互根，陰(yin)極則(ze)陽生(sheng)(sheng)，陽極則(ze)陰(yin)生(sheng)(sheng)，陰(yin)消(xiao)陽長(chang)，陽消(xiao)陰(yin)長(chang)，由滿(man)而(er)溢，藏瀉有期(qi)(qi)(qi)，月(yue)(yue)(yue)(yue)經周(zhou)(zhou)期(qi)(qi)(qi)的(de)(de)(de)變化，亦即子宮的(de)(de)(de)一(yi)種陰(yin)陽轉化過程。她認(ren)為(wei)這(zhe)與現(xian)代醫(yi)(yi)學所研究的(de)(de)(de)月(yue)(yue)(yue)(yue)經產生(sheng)(sheng)的(de)(de)(de)機制(zhi)不謀而(er)合(he)，西(xi)醫(yi)(yi)認(ren)為(wei)月(yue)(yue)(yue)(yue)經是受下丘腦一(yi)垂體一(yi)卵巢一(yi)子宮這(zhe)一(yi)性(xing)腺軸的(de)(de)(de)調(diao)節，使(shi)子宮內(nei)膜發生(sheng)(sheng)增殖期(qi)(qi)(qi)、排(pai)卵期(qi)(qi)(qi)、分泌(mi)期(qi)(qi)(qi)、剝脫期(qi)(qi)(qi)的(de)(de)(de)周(zhou)(zhou)期(qi)(qi)(qi)性(xing)變化。因(yin)此，她在治療上主張隨月(yue)(yue)(yue)(yue)經周(zhou)(zhou)期(qi)(qi)(qi)的(de)(de)(de)陰(yin)陽消(xiao)長(chang)，調(diao)補腎之(zhi)陰(yin)陽，協調(diao)氣血(xue)之(zhi)盛衰，使(shi)經期(qi)(qi)(qi)陰(yin)陽得以順(shun)利轉化。

科研成果

主持(chi)(chi)完成多項科(ke)研(yan)項目，其(qi)中(zhong)主持(chi)(chi)完成的國家(jia)中(zhong)醫藥(yao)管理局重點研(yan)究課題(ti)“中(zhong)藥(yao)補腎活血湯對小鼠體外受精及早(zao)期胚(pei)胎發(fa)育的作用研(yan)究”獲江蘇(su)省科(ke)技進步三等(deng)獎。