浅谈从大肠论治排卵障碍性不孕症  

Treatment of Ovulatory Dysfunctional Infertility from Perspective of Large Intestine

作　　者：杨佩诗 黄宏丽[1] 夏艳秋[1] 董莉[1] YANG Peishi;HUANG Hongli;XIA Yanqiu;DONG Li(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200080,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200080

出　　处：《中医药学报》2023年第8期13-16,共4页Acta Chinese Medicine and Pharmacology

基　　金：国家中医药管理局全国中医学术流派传承工作室第二轮建设项目“朱氏妇科流派传承工作室”;上海市“科技创新行动计划”临床医学领域项目(19401971300);上海市卫生健康委员会卫生行业临床研究专项项目(20204Y0314)。

摘　　要：排卵障碍性不孕是当前生殖领域的热点、难点,严重影响着育龄女性的身心健康和生活质量。中医认识到,女性排卵期处于“重阴必阳”的生理阶段。排卵障碍本在肾虚,阴阳不能转化;标在痰湿、瘀血留滞,阻碍卵泡生长排出。本文基于临床实践与中医基础理论认识到,大肠、肾及胞宫同处下焦,关系密切,阳明阖机在大肠生理病理方面的表现影响着排卵期阴阳转化的过程,导致精卵不成,月经失调,子嗣难求。在治疗上,补肾填精、益气养血的同时,调整大肠功能,疏通肠道,实际上是不孕症审慎动静,燮理阴阳治疗原则的体现。Ovulatory dysfunctional infertility is currently a hot spot in the field of reproduction and seriously affects physical and mental health of the female,as well as their quality of life.TCM believes that ovulation period has the physiological feature of‘extreme Yin turning into Yang’.The cause of the disease is Kidney deficiency,blocking Yin-Yang transformation,and the symptoms are manifested in phlegm,dampness and blood stasis,which inhibits the development and expulsion of follicles.Based on the theories in TCM classics and clinical practice,this study considers the close relationship among Large intestine,Kidney and Uterus.The Yangming,with Qi movement of closing,has an influence on Yin-Yang transformation during ovulation period,leading to immature follicles,menstrual disorder and infertility.In terms of treatment,tonifying Kidney and filling essence,benefiting Qi and nourishing blood,adjusting function of Large intestine is actually a reflection of the infertility’s therapeutic principle of movement balance and Yin-Yang harmony.

关 键 词：排卵障碍性不孕 大肠 胞宫 阴阳理论 

分 类 号：R271.14[医药卫生—中医妇科学]