赵宏利教授运用保产无忧散改善孕早期子宫动脉血供经验撷英  

Professor Zhao Hongli's experience in improving uterine arterial blood supply in early pregnancy with Baochan Wuyou San

作　　者：朱淼淼 赵宏利[2] 褚蕴[2] ZHU Miaomiao;ZHAO Hongli;CHU Yun(Third Clinical College of Zhejiang Chinese Medical University,Hangzhou 310000,China;Department of Traditional Chinese Medicine and Gynecology,Hangzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University,Hangzhou 310000,China)

机构地区：[1]浙江中医药大学第三临床医学院,浙江杭州310000 [2]浙江中医药大学附属杭州市中医院中医妇科,浙江杭州310000

出　　处：《中国现代医生》2022年第5期144-147,共4页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2017ZA105);浙江省杭州市卫生科技计划项目(0020190017)。

摘　　要：保产无忧散出自《傅青主女科》,为养血活血、补气理气、益肾安胎之剂。其基本理法为调摄气血、疏理气机,临床报道多用于妊娠中晚期,以安胎保产、纠正胎位、催生顺产等。赵宏利教授认为妊娠早期先兆流产孕产妇常存在子宫动脉血流异常、胎盘血流灌注欠佳的病理状态,其基本病机为气血失和、阻滞不行,与保产无忧散相契合,故将此方拓展应用于妊娠早期,改善孕妇子宫动脉血供,纠正血栓前状态,并结合早孕期妇女生理特点,随症化裁,疗效满意。本文试追溯保产无忧散,探讨赵宏利教授应用保产无忧散改善孕早期孕产妇子宫动脉血供的临床经验,并分享验案一则,以飨同道。Baochan Wuyou San originates from Fu Qing Zhu Nv Ke,which is an agent for nourishing blood and promoting blood circulation,invigorating and regulating qi,invigorating kidney and preventing miscarriage.The basic principles are regulating ingestion of qi and blood and regulating qi.Most clinical reports used Baochan Wuyou San in the middle and late stages of pregnancy,to prevent miscarriage,correct fetal position,and promote normal delivery.Professor Zhao Hongli(hereinafter referred to as prof.Zhao)believes that pregnant women with threatened abortion in early pregnancy often have pathological conditions such as abnormal uterine artery blood flow and poor placental blood perfusion.The basic pathogenesis is qi and blood dysfunction and block,which is consistent with Baochu Wuyou San.Therefore,it is extended to be used in early pregnancy to improve uterine arterial blood supply of pregnant women,correct prethrombotic state,and treatment women in early pregnancy according to physiological characteristics and symptoms.The effect is satisfactory.This article attempts to review Baochan Wuyou San,discusses prof.Zhao′s clinical experience of applying Baochan Wuyou San to improve uterine artery blood supply of pregnant women in the first trimester,and share a case.

关 键 词：保产无忧散 子宫动脉血流 血栓前状态 孕早期 临床经验 

分 类 号：R289[医药卫生—方剂学]