摘要
朱南孙教授治疗不孕症,强调"首辨虚实",因人制宜,重在求本,虚则补之,实则泻之。对于虚证,先补益其虚,气血安和,再调经助孕;对于实证先予祛邪,邪去正复再予调补助孕。对于婚久不孕,经行错后,畏寒肢冷,纳呆便溏之脾肾阳虚者,先治以温肾健脾,养血调经,待脾胃调和,再施以温肾助孕法治疗。朱老提出欲求嗣,必先调经,调经者,重在调周,调周者,必兼养卵促卵。行经期,以通为主,以活血调经之品促进经血通畅,慎用寒凉药以防滞其经水。经后期,经水已泻,胞宫阴血亏虚逐渐至盛,以滋阴养血,补益冲任为主,常予四物汤、二至丸化裁。不孕症患者性善忧思急躁,心神失养,阴虚阳亢,无以营养冲任胞宫,不能成孕,故而疏肝解郁,宁神定志亦为调经助孕之要领。
In terms of treating infertility, Professor Zhu Nansun emphasizes differentiating between deficiency and excess, takes measures suited to each person, looking for root causes. He thinks that deficiency should be treated by supplementation therapy, while excess should be drained. For deficiency syndrome, deficiency should be first supplemented to harmonize qi and blood, then menstruation is regulated to assist pregnancy. For excess syndrome, pathogenic factors should be removed, then menstruation is regulated to assist pregnancy. For infertility after a long marriage combined with syndrome of spleen-kidney yang deficiency marked by delayed menstruation, aversion to cold, cold limbs, poor appetite, loose stools, first, warm the kidney and activate the spleen, nourish blood and regulate menstruation, then adopt method of warming the kidney for assisting pregnancy. Professor Zhu thinks that in order to become pregnant, first regulate menstruation which should focus on menstruation cycle combined with egg laying and egg promoting. During menstrual period, dredging is the most important, so medicines for activating blood circulation and regulating menstruation can be used to dredge menstruation, and medicines with Cold natures should be avoided. During later stage of menstruation when menses has exited, yin deficiency in uterus has gradually changed to sufficiency, so nourishing blood and Chong Meridian and Ren Meridian is important, and Four Substances DecoCtion and Double Supreme Pill Can be used. The patients with infertility are usually thoughtful with anxiety, irritable, with mind disorder, yin deficiency and rang excess, no nourishment to the Chang and Ren uterus, so they cannot become pregnant. Dispersing stagnated liver qi for relieving qi stagnation, and calming the mind are the essentials of regulating menstruation for assisting pregnancy.
出处
《河南中医》
2017年第8期1353-1355,共3页
Henan Traditional Chinese Medicine
基金
上海市卫生局进一步加快中医药事业发展三年行动计划项目(编号:ZY3-CCCX-1-1013)
上海市中医药事业发展三年行动计划项目(编号:ZYSNXD-CC-MZY050)
关键词
不孕症
辨虚实
养卵促卵
怡情疏导
朱南孙
infertility
differentiation between deficiency and excess
egg laying and egg promoting
guidance by regulating moods
Zhu Nansun
