| 引用本文: |
唐诗,尤昭玲,邢艺璇,游卉,莫蕙.反复胚胎种植失败的临证认知与策略——全国名中医尤昭玲学术思想与临床经验研究[J].湖南中医药大学学报,2023,43(4):643-647[点击复制] |
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| 反复胚胎种植失败的临证认知与策略——全国名中医尤昭玲学术思想与临床经验研究 |
| 唐诗,尤昭玲,邢艺璇,游卉,莫蕙 |
| (湖南中医药大学第一附属医院, 湖南 长沙 410007;澳门科技大学, 澳门 999078) |
| 摘要: |
| 胚胎移植是辅助生殖流程中的关键环节。反复胚胎种植失败，给原本就面临生育困难的家庭带来沉重的负担。中医药精准介入是提高着床率、生育率的重要举措。全国名中医尤昭玲认为，胚胎移植周期前，采用经阴道三维彩超进行子宫内膜容受性评估，能精准调膜疗疾。围着床期，提出“安营扎寨”理论，以脾肾主辅论治，即移植期脾主肾辅，创制尤氏着床方、着床煲；着床后肾主脾辅，创制尤氏养胎方、养胎煲，以实现中医药精准调治，达到改善子宫内膜容受性、促进胚胎着床、促进生育的目标。 |
| 关键词: 反复种植失败 胚胎移植 不孕症 中医药 安胎二步法 子宫内膜容受性 |
| DOI：10.3969/j.issn.1674-070X.2023.04.011 |
| 投稿时间：2023-03-10 |
| 基金项目:国家中医药管理局“尤昭玲全国名中医传承工作室”建设项目（国中医药办人教函〔2022〕5号）；中医药古籍文献和特色技术传承专项（GZY-KJS-2021-035）；湖南省中医药管理局项目（C2022012）。 |
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| Clinical cognition and strategies for recurrent implantation failure: Academic thought and clinical experience of the national famous TCM practitioner YOU Zhaoling |
| TANG Shi,YOU Zhaoling,XING Yixuan,YOU Hui,MO Hui |
| (The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;Macau University of Science and Technology, Macau 999078, China) |
| Abstract: |
| Embryo transfer is a key step to the assisted reproduction, while recurrent implantation failure(RIF) has brought heavy burden to infertile families. Chinese medicine can increase the implantation and fertility rate for RIF patients. The national famous TCM practitioner YOU Zhaoling believes that, before embryo transfer, the endometrium can be accurately adjusted by assessing the endometrial receptivity with transvaginal three-dimensional color ultrasound. Then, as to the peri-implantation period, she proposes the "settling down and then camping" theory that the spleen plays the key role while the kidney assists, and patients are prescribed You's Implantation Decoction and You's Implantation pot. After implantation, the kidney plays the key role while the spleen assists, and patients are prescribed You's Nurturing Fetus Decoction and You's Nurturing Fetus Pot. To sum up, Chinese medicine can precisely regulate and treat RIF patients, improve endometrial receptivity, thus enabling the implantation and increasing fertility. |
| Key words: recurrent implantation failure embryo transfer infertility Chinese medicine two-step strategy for tranquilizing fetus to prevent miscarriage endometrial receptivity |
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