摘要
总结曾诚教授基于肾虚血瘀论治子宫内膜异位症性不孕的经验。曾诚教授认为其病因病机主要是肾虚血瘀,损伤冲任胞脉,肾气受损,肾虚与血瘀交织成病,易致不孕。治疗上谨守肾虚的根本病机,首重补肾,自拟补肾填精汤(主要由女贞子、旱莲草、熟地黄、白芍、菟丝子、山茱萸肉、覆盆子、肉苁蓉、桑寄生等组成);其次以活血化瘀为大法,常选用丹参、续断、蒲黄、五灵脂、三七、茜草等活血化瘀中药;孕后配合益气固肾安胎;同时兼顾身心同治及个体化治疗以提高临床受孕率,改善妊娠结局,临床上取得较好的疗效。
The experience of Professor ZENG Cheng in treating endometriosis associated infertility based on the fundamental pathogenesis of kidney deficiency and blood stasis was summarized. Professor ZENG Cheng believes that endometriosis-caused infertility results from kidney deficiency and blood stasis,which induces the injury of thoroughfare vessel,conception vessel and uterine meridian as well as the kidney qi,and then the interweaving of kidney deficiency with blood stasis results into the endometriosis associated infertility. The treatment of endometriosis associated infertility should firstly be based on the fundamental pathogenesis of kidney deficiency,and therapy of tonifying kidney is used through the prescription of Bushen Tianjing Decoction,which is mainly composed of Fructus Ligustri Lucidi, Herba Ecliptae, Radix Rehmanniae Preparata, Radix Paeoniae Alba,Semen Cuscutae,Fructus Corni,Fructus Rubi,Herba Cistanches,and Herba Taxilli. And then the therapy of activating blood to remove stasis should be also used, and the herbs of Radix Salviae Miltiorrhizae, Radix Dipsaci, Pollen Typhae, Faeces Trogopterori, Radix Notoginseng, and Radix Rubiae can be selected. After pregnancy,replenishing qi,strengthening kidney and preventing miscarriage can be used as the adjuvant therapy.At the same time,both physical and mental treatment and individualized treatment should be considered,so as to increase the pregnancy rate,improve pregnancy outcomes,and achieve satisfactory clinical efficacy.
作者
黄亚南
裴芳利
郑聪聪
姜和平
曾玉燕
曾诚(指导)
HUANG Ya-Nan;PEI Fang-Li;ZHENG Cong-Cong;JIANG He-Ping;ZENG Yu-Yan;ZENG Cheng(The Affiliated Hospital of Traditional Chinese Medicine,Guangzhou Medical University,Guangzhou 510130 Guangdong,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;Qinghai Maternal and Child Health Care Hospital,Xining 810007 Qinghai,China;Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510120 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2020年第9期1793-1797,共5页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
国家自然科学青年基金项目(编号:81904233)
广东省中医药局基金项目(编号:20171111,20181082)
邓高丕广东省名中医传承工作室。
关键词
子宫内膜异位症
不孕
补肾填精汤
活血化瘀
调周助孕
曾诚
endometriosis
infertility
Bushen Tianjing Decoction
activating blood to remove stasis
regulate menstrual cycle and increase pregnancy rate
ZENG Cheng
