摘要
中西医治疗卵巢储备功能下降具有不同优势。西医多采用激素替代疗法补充体内不足的激素水平,人工干预以维持正常月经周期与排卵,临床中有孕激素、雌激素单用,亦有雌孕激素联合进行序贯疗法均可改善患者卵巢功能。中医疗法包括内服中药、针灸治疗及针药结合等。内服中药多以滋阴、补肾为治疗大法进行辨证论治;针灸治疗多选取肾俞、脾俞、肝俞、双侧足三里、血海、关元等穴位。中医、西医疗法各有优势和不足,临床应用时应将二者结合起来,以西药快速提高患者激素水平,以中药及针灸疗法加强以维持疗效,方能达到满意的临床治疗效果。
The combination of traditional Chinese and Western medicine has different advantages in treating reduced ovarian reserve function. Western medicine mostly uses hormone replacement therapy to supplement the insufficient hormone level in vivo. Artificial intervention to maintain normal menstrual cycle and ovulation, clinical use of progesterone and estrogen alone, and combination of estrogen and progesterone sequential therapy can improve the ovarian function of patients.TCM therapies include TCM for oral administration, acupuncture and moxibustion treatment and combination of acupuncture and medicine. TCM for oral administration is mostly for nourishing yin and invigorating kidney based on syndrome differentiation and treatment. Acupuncture and moxibustion mostly select Shenshu(BL 23), Pishu(BL 20), Ganshu(BL 18), Zusanli(ST 36), Xuehai(SP 10), Guanyuan(RN 4) and other acupoints. Traditional Chinese medicine and Western medicine have their own advantages and disadvantages. So they should be combined in clinical application. Western medicine can rapidly improve the hormone level of patients, and TCM and acupuncture therapy can strengthen or maintain the curative effect.
作者
陆迪
李秋冶
丛培玮
LU Di;LI Qiu-ye;CONG Pei-wei(Liaoning University of TCM,Shenyang,Liaoning,China,110032)
出处
《河南中医》
2019年第9期1445-1449,共5页
Henan Traditional Chinese Medicine
基金
辽宁省大学生创新创业训练计划项目(201710162000073)
辽宁中医药大学科研课题项目(11020138160067)
关键词
卵巢储备功能下降
激素替代疗法
针灸疗法
针药结合
中西医结合
reduced ovarian reserve function
hormone replacement therapy
acupuncture and moxibustion therapy
combination of acupuncture and medicine
integrated traditional Chinese and Western medicine
