国医大师刘尚义从“天癸虚损渐竭”辨治卵巢储备功能减退经验  

TCM master Liu Shangyi’s experience of differentiating and treating diminished ovarian reserve from“Gradual Deficiency and Exhaustion of Tiangui”

作　　者：欧燕 王琪 张泰魏 刘晓 李燕 OU Yan;WANG Qi;ZHANG Tai-wei;LIU Xiao;LI Yan(Guizhou University of Traditional Chinese Medicine,Guiyang 550002,China;First Afiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang 550001,China)

机构地区：[1]贵州中医药大学,贵州贵阳日550002 [2]贵州中医药大学第一附属医院,贵州贵阳550001

出　　处：《时珍国医国药》2025年第2期355-358,共4页Lishizhen Medicine and Materia Medica Research

基　　金：国家自然科学基金(82260950);贵州省中医药、民族医药科学技术研究专项课题项目(QZYY-2021-042);王琪贵州省名医传承工作室思南县民族中医院工作站(黔中医药函[2024]39号);贵州中医药大学研究生教育创新计划项目(YCXJG2023003)。

摘　　要：总结国医大师刘尚义基于“天癸虚损渐竭”病机理论辨治卵巢储备功能减退的临证经验。刘老认为天癸虚损渐竭是该病的核心病机,肾精亏虚是导致天癸虚损的根本,而心肝脾三脏失调亦为天癸受损的重要原因。他根据多年临证经验总结,提出“复阴法”施治,以益肾填精、充养天癸为基础,贯穿始终,兼调养心肝脾三脏并结合生活调摄以顾护阴精、保养卵巢的关键治法,以此指导卵巢储备功能减退临床治疗,颇有效验。To summarize traditional Chinese medicine(TCM)master Liu Shangyi's clinical experience of differentiating and treating diminished ovarian reserve(DOR)based on the pathogenesis theory“Gradual deficiency and exhaustion of Tiangui”.Master Liu believes that gradual exhaustion and deficiency of Tiangui is the core pathogenesis of DOR,the kidney essence deficiency is the root of Tiangui exhaustion,and the disorder of the heart,liver and spleen is an important reason for the damage of Tiangui.According to Liu's clinical experience summary for many years,he proposed the yin-restoring method to treat this disease,in order to tonify kidney essence and nourish Tiangui,combined with recuperating the heart,liver and spleen,and adjusted daily life so that yin essence can be protected and ovarian function maintained.Liu's clinical experience has shown desired curative effect in the treatment of DOR.

关 键 词：大补阴丸 卵巢储备功能减退 复阴法 

分 类 号：R249[医药卫生—中医临床基础]