夏天辨治不明原因不孕症经验  

XIA Tian’s Experience in Treating Unexplained Infertility

作　　者：宫政 马赛花 王梦瑶 张静 窦真 夏天[1] GONG Zheng;MA Sai-hua;WANG Meng-yao;ZHANG Jing;DOU Zhen;XIA Tian(National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion&First affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China)

机构地区：[1]国家中医针灸临床医学研究中心,天津中医药大学第一附属医院,天津300193

出　　处：《中国中医基础医学杂志》2022年第4期642-645,共4页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：天津市教委科研计划项目(2018KJ013)-基于“嫉妒不孕”理论研究心理干预联合中药治疗对不明原因不孕症患者妊娠率及神经内分泌的影响。

摘　　要：不明原因不孕症(unexplained infertility,UI)是不孕症的常见类型,是现代生殖领域的疑难性疾病。临床发现气机疏泄失司、冲任不能相资为UI的核心病机,病变主要涉及肝肾脾三脏,以肝为核心,病机一方面为子病及母以致肝肾血虚,另一方面为木郁乘土以致肝脾气虚。临床上UI患者常呈虚实夹杂之态,故治疗上“调”“疏”配合,“顺”期而为。组方时应补泻兼施,分别治以疏肝补肾、养血调经或疏肝解郁、健脾益气,临证还应随兼证与月经周期的不同灵活加减。生活方式的改善、适当的心理疏导配合中药可达到事半功倍的效果。Unexplained infertility is a common type of infertility.In the clinical.It is a difficult disease in the field of modern reproduction.we have found when the liver qi discomfort,blood sea accumulation and overflow disorder,Chong Ren can not deliver energy for pregnancy which is the core pathogenesis of UI,mainly involving liver,kidney and spleen during this process.The liver should be taken as the core pathogenesis.On the one hand,it is a child disease leading to the mother disease which caused the liver and kidney blood deficiency.On the other hand,the wood depression can multiply the soil which caused the liver to lose the deficiency.UI patients are often in mixed clinicalstate,so the treatment should be in the coordination of"Regulating"and"dispersing".At the same time,we need to comply with the female menstrual cycle.The method of treatment is respectively to soothe the liver and kidney to nourish blood and soothe the liver and invigorate spleen qi.The prescription should be in a flexible addition and subtraction to fit the different clinical syndrome and female menstrual cycle.The combination of a improved lifestyle,appropriate psychological guidance and traditional Chinese medicine have a good curative effect.

关 键 词：不明原因不孕症 肝郁 名医经验 

分 类 号：R271.14[医药卫生—中医妇科学]