邓高丕以化瘀消癥法治疗输卵管间质部妊娠经验  

Experience of DENG Gao-Pi in Treating Interstitial Tubal Pregnancy by the Method of Resolving Stasis and Eliminating Abdominal Mass

作　　者：吴晓贞[1] 郜洁[1] 邱嫔[1] 邓高丕(指导)[1] WU Xiao-Zhen;GAO Jie;QIU Pin;DENG Gao-Pi(The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China)

机构地区：[1]广州中医药大学第一附属医院,广东广州510405

出　　处：《广州中医药大学学报》2022年第1期193-196,共4页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：邓高丕广东省名中医传承工作室项目(粤中医办函[2019]5号);广东省中医药局项目(编号:20191115);广州中医药大学第一附属医院青年科研人才培优项目(编号:2019QN26)。

摘　　要：输卵管间质部妊娠是一种位置较特殊、孕期子宫破裂风险较高的输卵管妊娠。邓高丕教授认为输卵管间质部妊娠的主要病机为少腹瘀血;治疗注重辨病证及辨病期,以活血化瘀、消癥杀胚为主,方药可选宫外孕1号方(主要由丹参、桃仁、赤芍等组成)或宫外孕2号方(主要由丹参、桃仁、赤芍、莪术、三棱等组成),同时可配合蜈蚣、土鳖虫、水蛭等虫类药以攻窜行走、通达脉络;善用中药散结养血膏方,攻补兼施,消癥散结亦补益气血。邓高丕教授辨治输卵管间质部妊娠的思路发挥了中医药优势,可使部分患者避免手术创伤,拓展了中医药治疗异位妊娠的思路。Interstitial tubal pregnancy is a kind of tubal pregnancy which has special location and higher risk of uterine rupture during pregnancy. Professor DENG Gao-Pi believes that the main pathogenesis of interstitial tubal pregnancy is due to blood stasis in lower abdomen. The treatment for interstitial tubal pregnancy should focus on identifying the syndrome and stages of the disease firstly, and can be performed mainly by activating blood to remove stasis,and eliminating abdominal mass and removing the ectopic embryos with No.1 Formula for Ectopic Pregnancy or No.2 Formula for Ectopic Pregnancy. No.1 Formula for Ectopic Pregnancy is mainly composed of Radix Salviae Miltiorrhizae, Semen Persicae and Radix Paeoniae Rubra, and No.2 Formula for Ectopic Pregnancy is mainly composed of Radix Salviae Miltiorrhizae,Semen Persicae,Radix Paeoniae Rubra,Rhizoma Curcumae, Rhizoma Sparganii, etc. Moreover, the prescriptions can be used together with insect drugs of Scolopendra,Eupolyphaga seu Steleophaga,and Hirudo for expelling pathogens through rapid migration,and unblocking the vessels and collaterals. Sanjie Yangxue Soft Extract is also frequently used for simultaneous application of purging and nourishing therapeutics, so as to eliminate abdominal mass and dissipate mass for further nourishing qi and blood. Professor DENG Gao-Pi’s thoughts for differentiating and treating interstitial tubal pregnancy embody the advantages of traditional Chinese medicine(TCM),which save some of the patients from surgical trauma,and also expand the idea of TCM in treating ectopic pregnancy.

关 键 词：输卵管间质部妊娠 活血化瘀 消癥杀胚 虫类药 散结养血膏方 邓高丕 

分 类 号：R271.41[医药卫生—中医妇科学]