从女子胞藏泻探讨子宫内膜容受性不良的治疗  

Discussion on treatment of low endometrial receptivity based on preserving and discharging of the uterus

作　　者：张雨涵 楼姣英[2] ZHANG Yuhan;LOU Jiaoying(Beijing University of Chinese Medicine,Beijing 100029;Reproductive Center,Dongfang Hospital,Beijing University of Chinese Medicine)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学东方医院生殖中心

出　　处：《现代中医临床》2023年第1期69-71,共3页Modern Chinese Clinical Medicine

基　　金：国家自然科学基金资助项目(No.81473515)。

摘　　要：着床失败是辅助生殖技术应用过程中一个亟待解决的难题,子宫内膜容受性强调的是子宫内膜在着床窗口期的作用。女子胞作为奇恒之腑,有定期藏、泻特点。肾总领调控女子胞藏泻,天癸作为与生殖功能直接相关的精微物质,随肾气消长而变化,参与调节女子胞藏泻及气血动态变化,从而对子宫内膜容受性产生影响。“肾气充,胞络和”是子宫内膜良性转化的前提。肾虚络瘀是影响胞宫气血,导致藏泻转化失常、子宫内膜容受性不良的主要病机。治疗子宫内膜容受性不良多以补肾化瘀通络法为主,辨明虚实主次,虚为主则补肾培补其元;注重通化并行,瘀为主则化瘀通络祛其旧癥。Nowadays, implantation failure is still a problem to be solved urgently in the application of assisted reproductive technology. Endometrial receptivity represents the role of the endometrium during the implantation window. Endometrium proliferation, secretion transformation is determined by preserving and discharging functions of the uterus. As a subtle substance directly related to reproduction, Tiangui changes with the growth and decline of kidney qi, and is involved in regulating the preserving and discharging functions of the uterus. At the same time, the endometrial receptivity is affected by changes in blood and qi in the uterus. All of these are under the control of the kidney. Kidney deficiency and vascular obstruction of uterine collaterals can affect uterine function, which leads to low endometrial receptivity. Therefore, the method of supplementing the kidney and invigorating blood, removing stasis and clearing collaterals is commonly used for the condition. The types of symptoms should be distinguished in clinical application. The deficiency syndrome is mainly to be treated by tonifying the kidney, while the blood stasis syndrome is mainly to invigorating blood and remove stasis.

关 键 词：子宫内膜容受性 女子胞 生殖轴 补肾化瘀通络 

分 类 号：R271.9[医药卫生—中西医结合]