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¡¡¡¡Abstract£º¡¡Climacteric syndrome is a common and frequently occurring disease of women,which seriously affects the quality of life and physical and mental health of middle-aged and old people.How to help women to solve the physical and psychological obstacles and survive this physiological stage has become a hot topic of medical attention.Professor He Fengjie,the tutor,treated the disease from the perspective of nourishing the kidney and dispersing the liver through syndrome differentiation and treatment of traditional Chinese medicine.At the same time,he paid attention to psychological dredging,which overcame the disadvantages of western medicine in the treatment of the disease and proved to be effective clinically.

¡¡¡¡Keyword£º¡¡Climacteric syndrome; Kidney deficiency and liver depression; Expert experience; He Fengjie; Nourishing the kidney and dispersing;

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¡¡¡¡[2] ²Ì·Æ·Æ.´Ó¸ÎÉöÂÛÖÎΧ¾ø¾­ÆÚ×ÛºÏÕ÷µÄÑо¿¸Å¿ö[J].¹ãÎ÷ÖÐÒ½Ò©´óѧѧ±¨,2013,16(3):75.
¡¡¡¡[3] ÂÞÔªâý.ÖÐÒ½¸¾¿Æѧ[M].ÉϺ£:ÉϺ£¿Æ¼¼´óѧ³ö°æÉç,2016:86.
¡¡¡¡[4] ФÐã÷,ÖÜÑÞƼ,Èݺì,µÈ.Χ¾ø¾­ÆÚ¸¾Å®½¡¿µ×´¿ö¼°ÐèÇóµ÷²é[J].Öйú¸¾Ó×±£½¡,2010,2(36):5437-5438.
¡¡¡¡[5] ÓÚÊæÑã,Áõ»áÀö,ÃçÃ÷Èý.¸üÄêÆÚ×ÛºÏÕ÷µÄ·Ö×Ó»úÖƼ°ÖÐÒ½Ò©ÖÎÁƸüÄêÆÚ×ÛºÏÖ¢µÄÌصã[J].ÖÐҽѧ±¨,2012,27(3):339-340.
¡¡¡¡[6] ²ÜÖ¾Ó¢.¼¤ËØÌæ´úÁÆ·¨µ÷½Ú¸üÄêÆÚ¸¾Å®ÌåÄÚ¼¤ËØˮƽµÄÁÆЧ¹Û²ì[J].ÁÙ´²ºÏÀíÓÃÒ©ÔÓÖ¾,2012,5(18):60.
¡¡¡¡[7] ÓÚʤÄÐ,ÐìÃÈÃÈ,¸µ½ðÓ¢.¸µ½ðÓ¢½ÌÊÚÖÎÁƸüÄêÆÚ×ÛºÏÕ÷µÄ¾­Ñé[J].ÖÐÒ½ÁÙ´²Ñо¿,2013,5(24):81.
¡¡¡¡[8] Íõ¼Î÷.ÒæÉöÑø¸Î·¨ÖÎÁƸüÄêÆÚ×ÛºÏÕ÷68Àý[J].ÖÐÒ½ÔÓÖ¾,2005,46(4):283.
¡¡¡¡[9] ÕÅÓñÕä.ÖÐÒ½¸¾¿Æѧ[M].±±¾©:ÖйúÖÐÒ½Ò©³ö°æÉç,2017:169.
¡¡¡¡[10] Íòƽ,½¯¹óÁÖ,·ïÀöÄÈ,µÈ.¼Óζ֪°ØµØ»ÆÌÀÖÎÁÆÉöÒõÐéÐ;ø¾­Ç°ºóÖîÖ¢60ÀýÁÆЧ¹Û²ì[J].ʵÓÃÖÐÎ÷Ò½½áºÏÁÙ´²,2012,12(2):67.
¡¡¡¡[11] ÑîÒ«·å,»ôÕñ׳.´Ó¸ÎÉöÂÛÖθüÄêÆÚ×ÛºÏÕ÷50Àý[J].ÉÂÎ÷ÖÐÒ½,2007,28(7):817.
¡¡¡¡[12] ÀîÁ¦,Ëᄃ.´ÓÉöÐé¸ÎÓôÂÛΧ¾ø¾­ÆÚ×ÛºÏÕ÷µÄ·¢²¡»úÖÆ[J].ÖйúÅ©´åÎÀÉú,2009,18(6):672.
¡¡¡¡[13] Óôçù,ÕÅÉÜ·Ò,ÕÅÊçÀ¼,µÈ.¾ø¾­Ñ§[M].±±¾©:ÈËÃñÎÀÉú³ö°æÉç,2013:90-91.
¡¡¡¡[14] ÇØËÄÃ÷,ÇØÐ÷Àö,º«¾²É½.¸üÄêÒæÉöÌÀÖÎÁƸüÄêÆÚ×ÛºÏÕ÷100Àý[J].ÉÂÎ÷ÖÐÒ½,2004,25(11):1036.
¡¡¡¡[15] ²ÜÓ³Èê.¸üÄêÆÚ×ÛºÏÕ÷´ÓÉöÂÛÖÎ[J].ÏÖ´úÖÐÎ÷Ò½½áºÏÔÓÖ¾,2009,18(6):672.

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