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陈林,王若光,蒋文君,邱四君.王若光教授治疗子宫内膜异位症致不孕临床经验[J].湖南中医药大学学报英文版,2017,37(12):1345-1348.[Click to copy
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| 王若光教授治疗子宫内膜异位症致不孕临床经验 |
| 陈林,王若光,蒋文君,邱四君 |
| (湖南中医药大学, 湖南 长沙 410208;湖南省中医药研究院, 湖南 长沙 410006) |
| 摘要: |
| 王若光教授认为子宫内膜异位症是从多方面、多环节影响卵泡的发育和成熟、排卵、受精、子宫内膜容受性、胚胎着床和发育导致不孕不育。王教授认为其中医主要病机为“虚、瘀、痛”，实质为本虚标实，本虚为脾肾两虚，黄体不足，胞脉失于濡养不荣则痛，标实为湿瘀夹杂，胞脉阻滞不通则痛，治疗上提倡中西医结合治疗，中药三期论治：经期重在活血化瘀、调理气血、利水化湿、软坚散结、抗炎为大法；经后期滋阴助阳、宁心益肾健脾、暖宫促孕、促排卵，排卵后补充孕激素；经前期以补益脾肾兼理气，以“调经助孕，改善卵巢功能”为治疗大法，临床疗效显著。 |
| 关键词: 子宫内膜异位症 不孕 肾虚血瘀 三期论治 王若光 |
| DOI：10.3969/j.issn.1674-070X.2017.12.012 |
| Received:June 07, 2017 |
| 基金项目: |
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| Clinical Experience of Professor Wang Ruoguang in Treatment of Infertility Caused by Endometriosis |
| CHEN Lin,WANG Ruoguang,JIANG Wenjun,QIU Sijun |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Hunan Academy of Chinese Medicine, Changsha, Hunan 410006, China) |
| Abstract: |
| In the opinion of Professor Wang Ruoguang, endometriosis leads to infertility through affecting development and maturation of follicle, ovulation, fertilization, embryo implantation and embryo development. Professor Wang Ruoguang considers that the main TCM pathogenesis of this disease is the "deficiency, blood stasis, pain", the essence is deficiency in origin and enrichment in symptom. Original cause is the deficiency of spleen and kidney, corpus luteum insufficiency, losing nutritional support of uterus arising pain. Enrichment in symptom is the inclusion of the damp and stasis causes to block impassability of the uterus with the pain. The treatments on infertility caused by endometriosis were divided into three stages:activating blood and dissolving stasis, regulating Qi-blood, resolving dampness, resolving hard lump and anti-inflammation in menstrual period; norishing Yin supporting Yang, tonifying kidney and spleen, warming uterus for pregnancy, promoting ovulation, supplementing the progesterone after ovulation in the menstrual clean period; reinforcing the kidney Yang, regulating vital energy before menstruation. Regulating the menstrual function and improving ovarian function to helping pregnant are the important methods in treating the infertility caused by endometriosis with significant clinical effect. |
| Key words: endometriosis infertility Wang Ruoguang kidney deficiency and blood stasis diagnosis and treatment in three stages |
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