| 引用本文: |
邢艺璇, 唐诗, 刘未艾, 游卉, 刘文娥, 莫蕙, 尤昭玲.中医调治体外受精-胚胎移植临证经验总结[J].湖南中医药大学学报,2025,45(9):1602-1606[点击复制] |
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| 中医调治体外受精-胚胎移植临证经验总结 |
| 邢艺璇,唐诗,刘未艾,游卉,刘文娥,莫蕙,尤昭玲 |
| (澳门科技大学, 中国 澳门 999078;湖南中医药大学第二附属医院, 湖南 长沙 410005;湖南中医药大学第一附属医院, 湖南 长沙 410007) |
| 摘要: |
| 体外受精-胚胎移植（IVF-ET）助孕技术现今已广泛运用于不孕症的治疗。尤昭玲教授在“生殖链-终端效应”临证假说和“生殖双环网络”理论基础上，将中药内服、药膳制剂、耳穴压豆等不同中医治法融入IVF-ET的降调、促排、移植、妊娠4个周期，并分为进周前和进周后二段式调治，总结为“二段四期三法”。本文详细阐述尤昭玲教授“二段四期三法”中医调治IVF-ET全过程的诊疗内涵，并通过医案举隅，旨在通过精准选择治疗顺序以及治疗方法，以期提高IVF-ET的助孕妊娠率。 |
| 关键词: 体外受精-胚胎移植 二段四期三法 全过程管理 “生殖链-终端效应”临证假说 “生殖双环网络”理论 尤昭玲 |
| DOI：10.3969/j.issn.1674-070X.2025.09.002 |
| 投稿时间：2024-11-22 |
| 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(国中医药人教函[2022]75号); 湖南省自然科学基金项目(2024JJ9451); 湖南省中医药管理局项目(B2024090); 湖南省卫生健康委员会科研计划项目(202205034625); 湖南省科学技术厅重点领域研发计划项目(2023SK2050,2025JK2111)。 |
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| Chinese medicine-based clinical insights into the management of in vitro fertilization-embryo transfer |
| XING Yixuan, TANG Shi, LIU Wei'ai, YOU Hui, LIU Wen'e, MO Hui, YOU Zhaoling |
| (Macau University of Science and Technology, Macau 999078, China;The Second Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410005, China;The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
| Abstract: |
| In vitro fertilization-embryo transfer（IVF-ET） is now a mainstay in the management of infertility. Drawing on the clinical hypothesis of "reproductive chain-terminal effect" and the "Reproductive Double-Loop Network" theory, Professor YOU Zhaoling has integrated three therapies—internal administrations of Chinese medicines, medicated diets, and auricular seed acupressure—into the four conventional phases of IVF-ET（down-regulation, ovarian stimulation, embryo transfer, and early pregnancy）. These interventions are delivered in a two-stage protocol（ "before" and "after" entering the cycle）, giving rise to the concise paradigm termed "Two Stages, Four Phases, Three Methods." This paper elucidates the diagnostic and therapeutic rationale underlying Professor YOU’s whole-course co-management of IVF-ET using Chinese medicine and illustrates its clinical application through representative cases, demonstrating how precise sequencing and selection of interventions can enhance IVF-ET pregnancy rates. |
| Key words: in vitro fertilization-embryo transfer Two Stages,Four Phases,Three Methods whole-course management clinical hypothesis of “reproductive chain-terminal effect” “Reproductive Double-Loop Network” theory YOU Zhaoling |
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