邓高丕辨治早期输卵管妊娠经验  

DENG Gao-Pi’s Experience in Differentiating and Treating Early Tubal Pregnancy

作　　者：邱嫔[1] 李安[1] 吴晓贞[1] 袁烁[1] 郜洁[1] 邓高丕(指导)[1] QIU Pin;LI An;WU Xiao-Zhen;YUAN Shuo;GAO Jie;DENG Gao-Pi(The First Affiliated Hospital of Guangzhou University of Chinese Medicine,National Regional(South China)Chinese Medicine Gynecology Medical Center,Guangzhou 510405 Guangdong,China)

机构地区：[1]广州中医药大学第一附属医院,国家区域(华南区)中医妇科诊疗中心,广东广州510405

出　　处：《广州中医药大学学报》2021年第3期603-606,共4页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(编号:81804134);广东省中医药局科研项目(编号:20211120);邓高丕广东省名中医传承工作室项目(粤中医办函【2019】5号)。

摘　　要：总结邓高丕教授辨治早期输卵管妊娠的经验。邓高丕教授认为早期输卵管妊娠的根本病机为“血瘀”;辨证要点重在分辨输卵管妊娠胎元已殒或未殒,以及正气之存亡,气血之虚实。输卵管妊娠“未破损期”可辨证分型为“胎元阻络型”和“胎瘀阻滞型”,“已破损期”可辨证分型为“气血虚脱型”“正虚血瘀型”和“瘀结成癥型”。早期输卵管妊娠未破损期胎元阻络型患者,治疗当化瘀消癥杀胚,方药以丹参、赤芍、桃仁、紫草、天花粉、蜈蚣为基础,酌加三七、黄芪、白术、党参等。化瘀消癥杀胚复方沿袭脉络学说,紧扣“血瘀”之病机,凡辨证为早期输卵管妊娠且符合药物治疗指征者,均可辨证应用。The experience of Professor DENG Gao-Pi in differentiating and treating early tubal pregnancy with Chinese medicine was summarized.Professor DENG Gao-Pi believes that the basic Chinese medicine pathogenesis of the early tubal pregnancy is due to blood stasis,and the key to syndrome differentiation of early tubal pregnancy is to distinguish the rupture of the embryo or not,the sufficiency or insufficiency of healthy qi,and the deficiency or excess of qi and blood.The tubal pregnancy in the non-ruptured period can be classified into the syndrome types of embryo blocking collaterals,and stagnation of ruptured embryo and stasis.The tubal pregnancy in the ruptured period can be classified into the syndrome types of depletion of qi and blood,healthy qi deficiency and blood stasis,and blood stasis transforming into mass.The early tubal pregnancy in the non-ruptured period with the syndrome of embryo blocking collaterals can be treated by the therapy of dissolving stasis,eliminating mass and killing embryo.The commonly-used herbs are Radix Salviae Miltiorrhizae,Radix Paeoniae Rubra,Semen Persicae,Radix Arnebiae seu Lithospermi,Radix Trichosanthis,and Scolopendra.And the herbs of Radix Notoginseng,Radix Astragali,Rhizoma Atractylodis Macrocephalae,and Radix Codonopsis can be selected for modification.The therapy of dissolving stasis,eliminating mass and killing embryo follows the theory of collaterals,accords with the basic blood-stasis pathogenesis of early tubal pregnancy,and can be used for the dialectical treatment of early tubal pregnancy with the indications of conservative medicine treatment.

关 键 词：早期输卵管妊娠 血瘀 胎元阻络 化瘀消癥杀胚 邓高丕 

分 类 号：R714.22[医药卫生—妇产科学]