基于阴阳升降理论探讨不孕症的辨治思路  

Discussion on the differentiation and treatment of infertility based on the theory of ascending and descending of yin and yang

作　　者：吴晓敏 王勇 杜紫菲 WU Xiaomin;WANG Yong;DU Zifei(Jieyang Ciyun Hospital,Jieyang 522031;Guangzhou Hospital of Traditional Chinese Medicine,Guangzhou University of Chinese Medicine)

机构地区：[1]揭阳市慈云医院,揭阳522031 [2]广州医科大学附属中医医院

出　　处：《现代中医临床》2023年第6期80-83,共4页Modern Chinese Clinical Medicine

基　　金：广东省中医药局中医药科研项目(No.20221317);广州市三级名中医工作室建设项目(No.2022MZY02)。

摘　　要：不孕症为临床常见的生殖障碍疾病。阴阳辨证体系为辨证外感内伤杂病之总纲,阴阳中有升降,机体气机升降协调、达到阴平阳秘,故能孕育。阴阳理论对于不孕症的诊治有一定指导作用。阴阳升降的内涵包括:阳升阴降,重在脾胃;阴升阳降,重在心肾。不孕症中阴阳升降失常具体表现为:清阳下陷,阴火上升;心火亢盛、肾水枯竭。从阴阳升降辨治不孕症的思路主要有:健脾温阳,和胃滋阴;水火相济,交通心肾。Infertility is a common reproductive disorder.The theory system of yin-yang syndrome differentiation in TCM is the overarching principle of syndrome differentiation of external contraction,internal damage and miscellaneous diseases.There are ascending and descending movement in yin and yang,and only when the ascending and descending of qi are well coordinated,so that yin is calm and yang is sound,can it give rise to the nurturing and cultivation of life.Therefore,the theory of yin and yang plays a guiding role in the diagnosis and treatment of infertility.This includes:the essence of ascending of yang and descending of yin lies primarily in the spleen and stomach,while the heart and kidney are key to the descending of yang and ascending of yin.The abnormal fluctuation of yin and yang in infertility is manifested as:sinking of clear yang sink and rising of yin fire,exuberance of heart fire and exhaustion of kidney water.The main ideas of differentiation and treatment of infertility can thus be:fortifying the spleen and warming yang,harmonizing the stomach and nourishing yin,promoting the harmony of water and fire and restoring interaction between the heart and kidney.

关 键 词：阴阳升降 不孕症 阳升阴降 阴升阳降 脾胃 心肾 

分 类 号：R271.14[医药卫生—中医妇科学]