刘彤鸥从产后多虚多瘀辨治胚物残留经验  

Experience of LIU Tongou in Treating Retained Products Of Conception from Postpartum Hyperasthenia and Stasis

作　　者：何斯怡 刘彤鸥 邱诗琦[1] HE Siyi;LIU Tongou;QIU Shiqi(Hubei University of Chinese Medicine,Hubei Wuhan 430061,China;Hubei Provincial Hospital of Traditional Chinese Medicine,Hubei Wuhan 430000,China)

机构地区：[1]湖北中医药大学中医临床学院,湖北武汉430061 [2]湖北中医药大学第一临床学院,湖北武汉430061 [3]湖北省中医院,湖北武汉430000

出　　处：《中医药临床杂志》2022年第12期2313-2316,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：湖北省自然科学基金项目(2019CFB828)。

摘　　要：胚物残留是指妊娠产物已部分排除体外,尚有部分残留于宫腔内,常并发于流产、引产及分娩后。西医以手术治疗为主,但并非所有患者均可获益,可能增加宫腔粘连、子宫穿孔等风险。基于胚物残留的临床诊治特点,刘彤鸥教授以瘀血阻滞为基本病因,以气虚血瘀为基本病机,以胞宫为基本病位,辨证论治,临床疗效确切。作者通过跟师学习,收集整理临床医案,结合中医古籍,从中医认识、辨证论治、预后调治等方面总结刘教授病证结合治疗该病的思路和经验。Residual embryo refers to that part of the pregnancy product has been excluded from the body, and part of it remains in the uterine cavity, which is often complicated by miscarriage, induction of labor and after delivery.Western medicine mainly focuses on surgical treatment, but not all patients can benefit, which may increase the risk of intrauterine adhesions and uterine perforation. Based on the characteristics of clinical diagnosis and treatment of embryo residues, Professor LIU Tongou took blood stasis as the basic cause, Qi deficiency and blood stasis as the basic pathogenesis, and the uterus as the basic disease location. Through studying with teachers, collecting and sorting out clinical medical records, and combining with ancient Chinese medicine books, the author summarizes Professor LIU’s thoughts and experience in treating this disease with the combination of disease and syndrome from the aspects of TCM understanding, syndrome differentiation and treatment, and prognosis regulation.

关 键 词：胚物残留 医案 气虚血瘀 

分 类 号：R271.4[医药卫生—中医妇科学]