WANG Xiuxia's Clinical Experience in Treating Hyperprolactinemia with Liver Soothing Therapy

WANG Yu; DING Danni; ZHANG Yuehui; HAO Songli; YAO Meiyu; GUO Ying; FU Yang; SHEN Ying; LI Jia; LIU Fangyuan; HAN Fengjuan

doi:10.13288/j.11-2166/r.2025.14.004

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WANG Xiuxia's Clinical Experience in Treating Hyperprolactinemia with Liver Soothing Therapy

更新时间：2025-07-11

- WANG Xiuxia's Clinical Experience in Treating Hyperprolactinemia with Liver Soothing Therapy
- Journal of Traditional Chinese Medicine Vol. 66, Issue 14, Pages: 1428-1432(2025)
- 作者机构：
  
  1.黑龙江中医药大学，黑龙江省哈尔滨市香坊区和平路24号，150040
  2.黑龙江中医药大学附属第一医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.14.004
  CLC：
- Received：23 June 2024，
  
  Revised：2024-08-26，
  
  Published：17 July 2025
- 稿件说明：
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王钰,丁丹妮,张跃辉等.王秀霞运用疏肝法治疗高催乳素血症经验[J].中医杂志,2025,66(14):1428-1432.

WANG Yu,DING Danni,ZHANG Yuehui,et al.WANG Xiuxia's Clinical Experience in Treating Hyperprolactinemia with Liver Soothing Therapy[J].Journal of Traditional Chinese Medicine,2025,66(14):1428-1432.
王钰,丁丹妮,张跃辉等.王秀霞运用疏肝法治疗高催乳素血症经验[J].中医杂志,2025,66(14):1428-1432. DOI： 10.13288/j.11-2166/r.2025.14.004.

WANG Yu,DING Danni,ZHANG Yuehui,et al.WANG Xiuxia's Clinical Experience in Treating Hyperprolactinemia with Liver Soothing Therapy[J].Journal of Traditional Chinese Medicine,2025,66(14):1428-1432. DOI： 10.13288/j.11-2166/r.2025.14.004.

摘要

总结王秀霞教授运用疏肝法辨治高催乳素血症的临证经验。认为肝气郁结、冲气上逆为高催乳素血症的关键病机，且肝郁能够化火或引起脾虚痰阻、肾虚精亏的病机变化。治疗应以疏肝之法，常用清肝解郁汤加减方作为基本方，并根据肝郁化火证、肝郁脾虚证、肝郁肾虚证，在疏肝基础上配合清热、健脾、益肾法随证加减；同时常采用当归-川芎、泽兰-益母草、桔梗-紫苏梗三组药对进行对症治疗。

Abstract

This paper summarizes Professor WANG Xiuxia's clinical experience in treating hyperprolactinemia using the liver soothing therapy. Professor WANG identifies liver

stagnation and rebellious

chong qi

（冲气） as the core pathomechanisms of hyperprolactinemia. Furthermore， liver

stagnation may transform into fire or lead to pathological changes such as spleen deficiency with phlegm obstruction or kidney deficiency with essence depletion. The treatment strategy centers on soothing the liver， with a modified version of

Qinggan Jieyu Decoction

（清肝解郁汤） as the base formula. Depending on different syndrome patterns such as liver stagnation transforming into fire， liver stagnation with spleen deficiency， or liver stagnation with kidney deficiency， heat clearing， spleen strengthening， or kidney tonifying herbs are added accordingly. In addition， three paired herb combinations are commonly used for symptom specific treatment， Danggui （

Angelica sinensis

） with Chuanxiong （

Ligusticum chuanxiong

）， Zelan （

Lycopus lucidus

） with Yimucao （

Leonurus japonicus

）， and Jiegeng （

Platycodon grandiflorus

） with Zisu （

Perilla frutescens

）.

关键词

Keywords

references

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刘姣，尹姝珂，李宛蓉，等 . 中医药治疗高泌乳素血症的Meta分析［J］. 湖南中医杂志， 2017 ， 33 （ 8 ）： 159 - 162 .

吕孝丽，郜洁，周月希，等 . 罗颂平治疗卵巢储备功能下降不孕症经验［J］. 中医杂志， 2020 ， 61 （ 13 ）： 1139 - 1141 .

梁瑞宁，徐玲，李佩双，等 . “月经生理”理论的中医学认知初探［J］. 中医杂志， 2022 ， 63 （ 13 ）： 1211 - 1214 .

杨莉莉 . 王秀霞教授治疗肝郁证高泌乳素血症的临床观察［D］. 哈尔滨：黑龙江中医药大学， 2019 .

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