章勤从“阳化气阴成形”论治泡膜发育异常不孕经验  

ZHANG Qin’s Experience in Treating Infertility Induced by Follicular and Endometrium Dysplasia from“Yang Transforms into Qi while Yin Shapes into Configuration”

作　　者：赵晨含 任宁 马扬 章勤[2] ZHAO Chenhan;REN Ning;MA Yang(Zhejiang Chinese Medical University,Hangzhou(310053),China)

机构地区：[1]浙江中医药大学,杭州310053 [2]浙江中医药大学附属杭州市中医院

出　　处：《浙江中医药大学学报》2024年第9期1141-1144,共4页Journal of Zhejiang Chinese Medical University

基　　金：全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号)。

摘　　要：[目的]总结章勤教授调治以卵泡和子宫内膜发育异常为主导致的不孕症患者的经验。[方法]通过整理章勤教授的临床医案,分析其基于“阳化气阴成形”理论对不孕症主要病机的理解,梳理概括其诊治卵泡和子宫内膜发育异常的临床思路,归纳总结用药经验,并在文末举一则医案佐证。[结果]章勤教授认为,不孕首当责之于肾,“阳化气阴成形”的失常是根本原因。从月经周期出发,根据阴阳变化调治,经前黄体期当补肾助阳,以促经行;行经期当因势利导,温肾育阴使胞宫血脉通畅,启故从新;经后卵泡期当滋养卵泡和内膜,以育生化;经间排卵期当养阳梳理,以促排卵。文末所附一则医案为女性不孕症伴有月经过少的患者,章勤教授运用“阳化气阴成形”理论,分期论治,效如桴鼓。[结论]章勤教授运用“阳化气阴成形”理论调治卵泡及内膜发育异常患者,提高子宫内膜容受性,并使得精卵发育成熟,顺利排出,胎孕得成,疗效显著,为临床治疗相关疾病提供新的思路。[Objective]To summarize Professor ZHANG Qin’s experience in treating infertility induced by follicular and endometrium dysplasia.[Methods]By collating the clinical medical cases of Professor ZHANG,it combs through the pathogenesis of infertility in women in the basis of the theory that“Yang transforms into Qi while Yin shapes into configuration”;summarizes her clinical train of thought with both diagnosis and treatment for infertility induced by follicular and endometrium dysplasia;generalize the medication experience and cites a medical case for evidence at the end of the article.[Results]In Professor ZHANG’s view,the primary responsibility for infertility lies in the kidney,and the abnormality of“Yang transforms into Qi while Yin shapes into configuration”is the fundamental reason.She regulates menstrual cycle according to the change of Yin and Yang.In luteal phase,it’s supposed to warmly recuperate Yang to induce menstruation;in menstrual period,it should guide action according to circumstances,warm kidney Yang and nourish kidney Yin,so as to dredge uterus venation;in the later period of menstruation follicular phase,nourishing follicle and endometrium is essential for inoculation;in ovulatory period,Yang should be raised to promote ovulation.The medical case attached was an infertile patient of hypomenorrhea,Professor ZHANG applied the theory“Yang transforms into Qi while Yin shapes into configuration”for treatment according to the phases and achieved good results.[Conclusion]In order to regulate menstruation and assist pregnancy,Professor ZHANG differentiates and treats patients with follicular and endometrium dysplasia following the theory of“Yang transforms into Qi while Yin shapes into configuration”,which has brought great effects,providing new ideas for the clinical treatment of related diseases.

关 键 词：卵泡发育异常 子宫内膜发育异常 不孕症 阳化气 阴成形 阴阳 章勤 

分 类 号：R271[医药卫生—中医妇科学]