Professor Huang Kejia The Treatment Of Adolescent Uterine Bleeding Experience

The uterine bleeding in adolescence refers to the vagina of the adolescent girls' sudden bleed profusely or drip blood unceasingly during non-menstrual period. The former one is named as metrorrhagia, and the latter is metrostaxis. The clinical features of uterine bleeding show as disorder or long lasting of menstrual cycle, and menstrual dripping, some of them even last several months. The bleeding amount is non-quantitative, some even have massive haemorrhage. It is a common gynecological and intractable disease. And its pathogenesis is complicated. It could lead to the anemia of patients, secondary infection and infertility. Much more serious needs to remove the uterus, it influences greatly on the patients' life and study. It also has a strong impact on the body and mind of the adolescent girls. Therefore, it attaches much importance from the researchers of gynecological department. It is the focus study of this field in these years. For these reasons, it has great social and realistic meaning to study this. The literal review in this paper discourses the cognitions of the pathogeny as well as the syndrome differentiation and treatment of the uterine bleeding of the adolescent girls in ancient and modern times. In the part of experiences summary, through collecting the materials which reflect the academic thinking of Professor Huang Kejia, it reviews the typical clinical cases of her treatments of uterine bleeding retrospectively. And it also concludes her unique vision, treatment thoughts, basis theory and academic thinking of its pathogeny. Professor Huang emphasizes the unification of the whole and part, as well as the combine of the differentiation of diseases and symptoms. On the basis that the predecessors concluded its pathogeny is because of deficiency, heat and stagnation, integrating the physiological characteristics of the adolescent girls, it is considered that the inter storage of blood stagnation is the basic reason which leads to menstrual blood untimely, acute metrorrhagia, or dripping inadequacy. Blood stagnation is its symptom, and kidney deficiency together with insufficiency of the spleen is its root cause. It should be to refer and sum up the syndromes, then to find out the pathogeny dialectically, finally, to treat the disease according to the pathogeny. To treat this disease during bleeding period is mainly with hemostasis. Based on the features of the metrorrhagia patients which are deficiency and stagnation, and the principles of "reinforcing in deficiency condition, removing while stagnation" , the method which is strengthening body resistance and absorbing clots should be formed. To treat this disease of this disease during non-bleeding period, the syndrome differentiation and treatment should be emphasized. Clarifying the sources is to recover intrinsic. The patients have symptoms of yin deficiency and inter-heat because of the large amount and the long-lasting of bleeding. So the treatment should be aided with nourishing yin and clearing away heat, the physiological and pathological features of the adolescent girls should pay attention to especially. In these ways, good results could be achieved in clinic.