王素霞运用何氏育麟方辨治不孕症临证经验  

Wang Suxiasclinical experience in treating infertility with Heshi Yulin Formula

作　　者：羊禾巧 祝佳琪 邓思棋 王素霞[1] YANG Heqiao;ZHU Jiaqi;DENG Siqi(Hangzhou TCM Hospital of Zhejiang Chinese Medical University,Hangzhou 310007,China)

机构地区：[1]浙江中医药大学附属杭州市中医院,浙江杭州310007

出　　处：《四川中医》2025年第4期31-34,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：2022浙江省中医药科技计划项目(编号:2022ZZ025);2022浙江省中医药创新团队(编号:2022SJCXTD)。

摘　　要：浙江何氏妇科是全国中医妇科六大流派之一,在治疗不孕症方面颇具特色,何氏育麟方为浙江何氏妇科经典方,全方以温肾益精为核心,兼以补气养血、理气祛瘀,具有维护先天、培元固本,肝脾同调、气血并治的特点。王素霞教授为何氏妇科第五代传人,师从全国名中医何嘉琳教授,临床辨证缜密,认为肾阳虚证患者易合并气郁、湿郁,在治疗上应谨守肾阳虚病机,助阳育阴补胞宫,把握女性生理特点及疾病发展方向,疏木培土通胞宫,常用何氏育麟方加减治疗此类不孕症。同时结合个体情况分型施治,主张多囊卵巢综合征患者应重在调经助孕,卵巢功能下降者益精滋阴,癥瘕积聚者调畅气血,不明原因不孕者以平为期,最后附验案一则,旨为临床诊疗提供有益的经验。Zhejiang Heshi Gynecology is one of the six major schools of traditional Chinese medicine gynecology in China,with distinctive features in the treatment of infertility.Heshi Yulin Formula is a classic formula of Zhejiang Heshi Gynecology,with the core of warming the kidneys and nourishing essence,as well as supplementing qi and nourishing blood,regulating qi and removing blood stasis.It has the characteristics of maintaining innate health,nourishing the essence,regulating the liver and spleen,and treating qi and blood simultaneously.Professor Wang Suxia,the fifth generation descendant of the Heshi gynecology,studied under the renowned traditional Chinese medicine professor He Jialin.Her clinical diagnosis is meticulous,and she be-lieves that patients with kidney yang deficiency syndrome are prone to develop qi depression and dampness depression.In treat-ment,it is necessary to adhere to the pathogenesis of kidney yang deficiency,help yang nourish yin and supplement the uterus,grasp the physiological characteristics and disease development direction of women,and use Heshi Yulin Formula to treat this type of infertility with modifications.At the same time,based on individual conditions,it is advocated that patients with polycystic ova-ry syndrome should focus on regulating menstruation and assisting in pregnancy.Patients with decreased ovarian function should benefit from nourishing essence and yin,those with accumulated symptoms should regulate qi and blood,and those with unex-plained infertility should be treated on a regular basis.Finally,a case study is attached to provide useful experience and reference for clinical diagnosis and treatment.

关 键 词：不孕症 育麟方 肾阳虚 临证经验 

分 类 号：R249[医药卫生—中医临床基础] R271[医药卫生—中医学]