Shengyang Yiwei Decoction: Clinical Application and Evidence-Based Validation in Managing Gynecological Disorders

升阳益胃汤出自金代医家李东垣的《内外伤辨惑论》，广泛应用于各科疾病的临床治疗中，主治脾胃亏虚，清阳不升，湿热内生证。笔者通过将妇人疾病发生的机制，与升阳益胃汤方剂组成及证治特点相结合，分析升阳益胃汤治疗妇人病的理论依据。在临床实践中，抓住关键病机，采用异病同治的方法，实现一方多用，并以围绝经期综合征，月经病等为例，验证其临床疗效。Shengyang Yiwei Decoction is from the Jin Dynasty physician Li Dongyuan’s “Differentiation on Endogenous and Exogenous Diseases”, which is widely used in the clinical treatment of various diseases, mainly treating spleen and stomach deficiency, qingyang does not rise, and endogenous syndrome of dampness and heat. By combining the pathogenesis of women’s diseases with the composition and treatment characteristics of Shengyang Yiwei Decoction, the author analyzes the theoretical basis of Shengyang Yiwei Decoction in the treatment of women’s diseases. In clinical practice, by grasping the key pathogenesis and using the method of treating different diseases with the same principle, the multi-use of one prescription is realized. The perimenopausal syndrome, menstrual diseases and some others are taken as examples to verify its clinical efficacy.