匡继林用活血化瘀法治疗反复胚胎种植失败经验  

KUANG Jilin Treats Recurrent Embryo Implantation Failure with Method of Activating Blood Circulation and Removing Blood Stasis

作　　者：呼正涵 匡继林[1] HU Zhenghan;KUANG Jilin(The Second Affiliated Hospital of Hunan University of Chinese Medicine,Changsha 410000,Hunan,China)

机构地区：[1]湖南中医药大学第二附属医院,湖南长沙410000

出　　处：《实用中医内科杂志》2024年第10期46-49,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：全国名老中医药专家传承工作室项目(国中医药人教函[2022]75号);湖南省自然科学基金项目科卫联合重点项目(2022JJ70108)。

摘　　要：文章总结匡继林教授运用“活血化瘀”法治疗反复胚胎移植失败(recurrent implantation failure, RIF)的临证经验。匡教授认为RIF的发生多与子宫内膜容受性异常及盆腔微环境失衡密切相关,其中医基本病因为气血失和再者RIF患者往往具有病程持久的特点,以至于久病入络化瘀而又致病。现代研究也证实,血栓前状态、免疫异常及子宫内膜容受性异常等是影响移植成功率的重要因素,而这些因素都与中医血瘀的概念相呼应。匡教授临证以活血化瘀总法治疗RIF,具体包括:“补肾活血化瘀”“清热活血化瘀”“活血化瘀消癥”,临床治疗RIF患者,疗效满意,值得应用推广。This paper summarized the clinical experience of Professor KUANG Jilin in the treatment of recurrent implantation failure(RIF)by using the method of'promoting blood circulation and removing blood stasis.Professor KUANG Jilin believes that the occurrence of RIF is closely related to the abnormal endometrial receptivity and the imbalance of pelvic microenvironment.The basic cause of RIF in traditional Chinese medicine is the disharmony of Qi and blood.Furthermore,RIF patients often have a long-lasting course of disease,so that the damage enters the collaterals and dissipates blood stasis and then causes the disease.Modern research has also confirmed that prethrombotic state,immune abnormalities and abnormal endometrial receptivity are important factors affecting the success rate of transplantation,and these factors echo the concept of blood stasis in traditional Chinese medicine.Professor KUANG Jilin treats RIF with the general method of promoting blood circulation and removing blood stasis,including tonifying kidney-promoting blood circulation and removing blood stasis,clearing heat-promoting blood circulation and removing blood stasis,promoting blood circulation and removing blood stasis and eliminating the mass.The clinical treatment of RIF patients has satisfactory results and is worthy of application and promotion.

关 键 词：反复胚胎移植失败 血瘀证 活血化瘀 体外受精-胚胎移植 匡继林 

分 类 号：R271.9[医药卫生—中西医结合] R249[医药卫生—中医妇科学]