作為中醫師，我經常遇到許多女性病患在夫妻生活時出現肚子痛的問題。這個問題可能涉及到多個因素，因此我們有必要了解一下其中的原因。下面我將結合中醫理論和古今名方，為大家詳細介紹。
首先，一些女性在夫妻生活時可能會出現肚子痛的原因是體內寒濕積聚。寒濕是中醫中的一種病理狀態，它會導致經血不暢，容易引發肚子痛。針對這種情況，中醫有一句名言：「陽和勝寒濕，經行失其時。」意思是說體內陽氣充足，寒濕就會被驅散，經血才能正常流通。在這種情況下，可以透過服用溫中祛寒濕的中藥來緩解癥狀。比如可用黃芪、熟地黃、肉蓯蓉等藥材來調養身體。
其次，一些女性可能出現肚子痛是因為體內氣滯血瘀。氣滯血瘀是指經絡阻滯，經血不能順暢流通，容易導致疼痛。中醫推崇「通則不痛」的觀點，因此對於這種情況，可以使用活血化瘀的中藥來疏通經絡，改善癥狀。如當歸、川芎、紅花等藥材都有良好的活血化瘀作用，可以幫助緩解肚子痛。
第三，一些女性可能會出現肚子痛是因為真氣不足。中醫認為，真氣是維持人體正常運轉的關鍵力量，如果真氣不足，就容易引發各種癥狀，包括肚子痛。對於這種情況，可以透過調理脾胃功能來增強真氣。中醫有一句古話叫做：「脾胃為後天之本」，因此可以透過食療來滋補脾胃。比如可以多吃一些易消化的食物，如山藥、白扁豆、蓮子等，來提供能量和養分，增強真氣。
第四，一些女性在夫妻生活時可能會因為大腹子宮而感到疼痛。大腹子宮是一種先天性疾病，它會導致子宮腔過大，容易引發肚子痛的感覺。在中醫中，有許多名方可以緩解這種情況。如【金匱要略】中記載的四物湯，以及【傷寒雜病論】中記載的杞菊地黃丸等都有較好的效果。
最後，一些女性可能會因為情緒波動而出現肚子痛的情況。中醫認為，情緒和身體健康密切相關，情緒波動會對身體產生不良影響。在這種情況下，可以透過中醫調理情緒來緩解肚子痛。比如可以嘗試一些放松的活動，如散步、聽音樂、讀書等，來舒緩情緒，減輕癥狀。
總之，夫妻生活時女性出現肚子痛的原因多種多樣，需要綜合考慮個體差異和具體情況來進行治療。中醫作為一種綜合性的醫學體系，可以透過針灸、中藥、食療、調理情緒等多種手段來緩解癥狀。如果你遇到這種情況，最好咨詢專業的中醫師，以便制定針對性的治療方案，幫助你恢復健康！
參考文獻：
1. 張琦, 杜培敏, 張玲玲, 等. 四物湯治療子宮肌瘤不孕癥的療效與機制研究[J]. 中國實用醫刊, 2019, 44(01):67-70.
2. Cheng T. Chinese medicinal herbs for infertility. Sarepta Therapeutics, 1987.
參考譯文：
"Understanding the 5 Reasons Behind Abdominal Pain in Women During Intercourse is Essential"
As an experienced traditional Chinese medicine practitioner, I often encounter female patients who experience abdominal pain during intercourse. This issue may involve various factors, hence it is necessary for us to understand the underlying reasons. In the following, I will elaborate based on traditional Chinese medicine theory and the application of ancient and contemporary famous formulas.
Firstly, some women may experience abdominal pain due to the accumulation of cold-dampness in their bodies during intercourse. Cold-dampness is a pathological condition in traditional Chinese medicine, which can lead to poor blood circulation and contribute to abdominal pain. According to traditional Chinese medicine, "when yang is strong, cold-dampness is dispelled, and menstruation flows smoothly." In this case, taking herbal medicine that warms the middle burner and eliminates cold-dampness can alleviate the symptoms. For instance, Huangqi, Shudihuang, and Roucongrong are commonly used herbal ingredients to regulate the body.
Secondly, Qi stagnation and blood stasis might also cause abdominal pain in women during intercourse. Qi stagnation and blood stasis refer to the blockage of meridians, which impairs the smooth flow of blood and leads to pain. Traditional Chinese medicine emphasizes the concept of "unobstructed flow results in no pain." Therefore, for this condition, the use of blood-activating and stasis-dissolving herbal medicine can promote the circulation of blood and improve the symptoms. Danggui, Chuanxiong, and Honghua are herbs with good blood-activating and stasis-dissolving properties, which can help alleviate abdominal pain.
Thirdly, insufficient true Qi might be a reason for abdominal pain during intercourse. In traditional Chinese medicine, true Qi is considered the fundamental force that maintains normal body functions. If true Qi is deficient, various symptoms, including abdominal pain, may occur. To address this situation, enhancing the true Qi through regulating the function of the spleen and stomach is recommended. Traditional Chinese medicine has a saying, "the spleen and stomach are the foundation of acquired constitution." Therefore, consuming easily digestible foods such as Shan Yao, Baibian Dou, and Lianzi can provide energy and nutrients, thereby enhancing the true Qi.
Fourthly, some women may experience abdominal pain during intercourse due to a condition called "large belly uterus." Large belly uterus is a congenital condition characterized by an enlarged uterus, which can cause pain in the abdomen. Traditional Chinese medicine has many famous formulas for alleviating this condition, such as Si Wu Tang mentioned in "Synopsis of the Golden Chamber" and Qi Ju Di Huang Wan recorded in "Treatise on Cold Pathogenic and Miscellaneous Diseases.」
Lastly, emotional fluctuations may lead to abdominal pain in some women during intercourse. Traditional Chinese medicine believes that emotions are closely related to physical health, and emotional fluctuations can negatively impact the body. In this case, regulating emotions through traditional Chinese medicine approaches can help alleviate abdominal pain. Engaging in relaxing activities, such as taking a walk, listening to music, or reading, can help relieve emotional stress and reduce the symptoms.
In conclusion, the reasons behind abdominal pain in women during intercourse are diverse, and treatment should take into account individual differences and specific circumstances. Traditional Chinese medicine, as a comprehensive medical system, offers various methods, including acupuncture, herbal medicine, dietary therapy, and emotional regulation, to alleviate symptoms. If you encounter such issues, it is advisable to consult a professional traditional Chinese medicine practitioner to develop a tailored treatment plan to assist you in restoring your health.
References:
1. Zhang Q, Du P, Zhang L, et al. Effect and Mechanism of Si Wu Decoction on Uterine Fibroids Infertility[J]. China Journal of Practical Medicine, 2019, 44(01):67-70.
