基于“有故无殒”理论治疗育龄期女性癫痫患者备孕的经验分享  

Experience Sharing on the Treatment of Women with Epilepsy Patients of Reproductive Age Who Are Preparing for Pregnancy Based on Theory of “You Gu Wu Yun”

作　　者：阮丽玉 张雪意 陈延 郭珍立 

机构地区：[1]湖北中医药大学,第一临床学院,湖北 武汉 [2]湖北省中西医结合医院神经内科,湖北 武汉

出　　处：《中医学》2023年第6期1483-1489,共7页Traditional Chinese Medicine

摘　　要：本文提出有故无殒理论治疗育龄期女性癫痫患者(Women with Epilepsy, WWE)备孕阶段的临床思维,探讨育龄期WWE常见的发病机制,病因病机。以中西医结合疗法治疗,标新于降低育龄期WWE的发作频率、减少毒副作用、扶助正气、固本培元,有效保持对女性癫痫发作的稳定控制,降低使用抗癫痫药物(Antiepileptic Drugs, AEDs)对生育能力可能产生的不良影响,弥补常规AEDs治疗的不足之处。本文通过整理、回顾郭珍立教授治疗育龄期WWE的相关临床医案,分析郭珍立教授对育龄期WWE的备孕阶段的学术经验,并列举医案1则予以佐证。为今后研究学者总结不同发作类型的育龄期WWE在不同阶段的治疗思路和经验提供参考。This article puts forward the clinical thinking of theory of You Gu Wu Yun in the treatment of women with epilepsy (WWE) in reproductive age during the pregnancy preparation stage, and discusses the common pathogenesis and etiology and pathogenesis of WWE in reproductive age. In this paper, the combination of traditional Chinese and Western medicine is used to reduce the frequency of WWE seizures in childbearing age, reduce toxic and side effects, support righteous-ness, strengthen the root, effectively maintain stable control of female epileptic seizures, and re-duce the use of antiepileptic drugs (AEDs) that may have adverse effects on fertility, and make up for the shortcomings of conventional AEDs treatment. This article sorts out and reviews Professor Guo Zhenli’s relevant clinical medical records on the treatment of WWE in reproductive age, analyzes Professor Guo Zhenli’s academic experience in the pregnancy preparation stage of WWE in reproductive age, and cites one medical case as evidence, to provide a reference for future researchers to summarize the treatment ideas and experience of different types of WWE in reproductive age at different stages.

关 键 词：育龄期 女性癫痫 病因病机 有故无殒 定痫丸 

分 类 号：R74[医药卫生—神经病学与精神病学]