国医大师肖承悰治疗卵巢早衰性不孕症的经验总结  

TCM master Xiao Chengzong’s experience in treating infertility due to premature ovarian failure

作　　者：闫清雅 陆义芹[1] 肖承悰(指导)[1] YAN Qingya;LU Yiqin;XIAO Chengzong(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700)

机构地区：[1]北京中医药大学东直门医院,北京100700

出　　处：《现代中医临床》2023年第2期10-15,共6页Modern Chinese Clinical Medicine

基　　金：北京市中医药管理局第六批北京市级中医药专家学术经验继承工作项目。

摘　　要：卵巢早衰是指40岁之前的女性出现闭经、不孕、卵泡刺激素>40 IU/L、雌激素水平降低,并伴有不同程度的围绝经期症状,是卵巢功能减退的终末阶段。肖承悰教授认为卵巢早衰的核心病机是肾虚与冲脉失调,她治疗卵巢早衰性不孕症以益肾理冲为基本治法,自拟七子益肾理冲汤为基本方,治疗时衷中参西,重视“真机期”,胎孕既成,则尽早保胎。介绍肖教授运用七子益肾理冲汤、固肾安胎饮等,并结合西医治疗方法治疗卵巢早衰性不孕症的经验,通过临床病案分析肖教授的诊疗方法和用药思路。Premature ovarian failure refers to amenorrhea,infertility,follicle stimulating hormone>40 IU/L,and decreased estrogen levels in women aged below 40 years,accompanied by varying degrees of perimenopausal symptoms,which is the final stage of ovarian dysfunction.Professor Xiao Chengzong believes that the core pathogenesis of premature ovarian failure lies in kidney deficiency and Thoroughfare Vessel disharmony.Her treatment of premature ovarian failure is based on the principle of tonifying the kidney and regulating the Thoroughfare Vessel.She has prepared Qizi Yishen Lichong Decoction(七子益肾理冲汤)as the basic formula.In clinical practice,she integrates traditional Chinese medicine and Western medicine,and attaches importance to the“real opportunity period”.Once the pregnancy occurs,priority is given to the prevention of miscarriage as early as possible.This paper introduces Professor Xiao’s experience in treating infertility caused by premature ovarian failure with Qizi Yishen Lichong Decoction,Gushen Antai Berverage(固肾安胎饮),etc.,in combination with Western medicine.Then Professor Xiao’s diagnosis and treatment and medication ideas are presented through clinical cases.

关 键 词：卵巢早衰 不孕症 益肾理冲 名医经验 肖承悰 

分 类 号：R271.14[医药卫生—中医妇科学]