基于“血中伏热”探讨女子不孕诊治新思路  

Exploration on the diagnosis and treatment of female infertility based on the theory of'latent heat in blood

作　　者：罗鑫雨 黄叶芳[1] LUO Xinyu;HUANG Yefang(Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu Sichuan610072,China)

机构地区：[1]成都中医药大学附属医院,四川成都610072

出　　处：《四川中医》2024年第3期45-48,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：国家自然科学基金-青年科学基金项目(编号:82205175);四川省科技计划项目-重点研发项目(编号:2022YFS0415)。

摘　　要：输卵管炎性不孕是女子不孕的常见类型之一,深切危害女性身心健康与家庭关系,其可归属于中医“不孕”“断绪”“无子”“妇人腹痛”等范围。薛己在《校注妇人良方·求嗣论》中提出“血中伏热”可致不孕,故本文以此立论,提出伏热藏匿于胞脉之中,伺机发作,水湿、瘀血等病理产物产生并滞留而使胞脉受损与结滞引起不孕,探讨治其当清透伏热,化瘀散结;扶正补虚,调畅气血;未病先防,既病防变等治疗新思路,以期更好地指导临床用药。Tubal inflammatory infertility is one of the common types of female infertility,which deeply endangers women's physical and mental health and family relationships,and can be categorized as'infertility','sterility','childlessness'and'abdominal pain in women'in Chinese medicine.Xue Ji proposed in his book Annotation of The Complete Effective Prescriptions for Women·Seeking heir theory that'latent heat in the blood'can cause infertility.Therefore,based on this argument,we proposes that latent heat is hidden in the uterine vessels,waiting for an opportunity to occur.Pathological products such as wetness and blood stasis are produced and retained,causing damage and stagnation of the uterine vessels,leading to infertility.Therefore,we propose that the treatment should be based on new treatment ideas,such as clearing away latent heat,removing blood stasis,strengthening the body and repairing deficiency,regulating qi-blood,preventing before disease onset,controlling development of existing disease,to better guide clinical medication.

关 键 词：血中伏热 输卵管炎性不孕 银甲片 

分 类 号：R271.14[医药卫生—中医妇科学]