崩漏的病因多端，病机复杂。多数妇科医师认为其常见病因为肾虚、脾虚、血热、血癖，病机则主要为冲任损伤，不能制约经血，致子宫藏泻失常。在治疗上灵活运用“塞流、澄源、复旧”三法但不拘泥初、中、末之“次第”，相互为用。出血期以活血化癖法为主塞流，同时探究不同致癖原因而治之；血止之后注重求因治本，复旧善后，再结合女性月经周期不同阶段的生理特点，在经后期滋肾养血，以使血海充盈；经前期理气活血，以使气血通调，从而使患者恢复正常的月经周期，在临床上收到良好的疗效。

Premature ovarian failure ( POF) is a premature failure of ovarian function caused by many etiological factors, of which the pathogenesis has not been clarified so far. POF patients suffer from perimenopause earlier than healthy women and develop symptoms like ovarian atrophy, persistent amenor-rhea and genital atrophy, and reproductive tract atrophy causing sexual disorders, anovulatory infertility, etc. , which affect the stability of family and society. Although the pathogenesis and treatment of POF are complicated and difficult, a great progress has been made by scholars on the study of the etiology of premature ovarian failure and the treatment with integrative Chinese medicine and western Medicine in recent years.

围绝经期综合征为临床常见病,在中医学里属于“经断前后诸症”、“绝经前后诸症”、“百合病”、“郁证”、“脏躁”等范畴.传统中医对经断前后诸证的认识多根据“肾主生殖”、“经水出诸肾”等理论,认为经断前后,肾气渐衰,天癸渐竭,冲任二脉逐渐亏虚,精血不足,脏腑失于濡养,易引起机体阴阳失衡,从而导致本病发生.笔者根据导师李云波老师临床经验及文献研究整理从调和五脏的观点出发围绕机、证、法、药来探讨围绝经期综合征的临床路径选择.依据五脏阴阳不调的病机,提出通过五行制化理论来调理五脏的治法,为临床治疗围绝经期综合征提供了参考.