中医杂志

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。

This paper summarizes Professor WANG Xiuxia's clinical experience in treating hyperprolactinemia using the liver soothing therapy. Professor WANG identifies liver qi stagnation and rebellious chong qi （冲气） as the core pathomechanisms of hyperprolactinemia. Furthermore, liver qi 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).