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李灿美, 雷磊.雷磊运用角药从“四实两虚”辨治输卵管性不孕经验[J].湖南中医药大学学报英文版,2025,45(2):389-394.[Click to copy
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| 雷磊运用角药从“四实两虚”辨治输卵管性不孕经验 |
| 李灿美,雷磊 |
| (湖南中医药大学第一中医临床学院, 湖南 长沙 410007;湖南中医药大学, 湖南 长沙 410208) |
| 摘要: |
| 总结雷磊教授运用角药治疗输卵管性不孕经验，认为输卵管性不孕的病机可概括为“四实两虚”，即血瘀证、寒凝血瘀证、湿热瘀阻证、气滞血瘀证4种实证病机，脾气虚、肾阳虚2种虚证病机。提出了六大治法，即血瘀证治宜活血化瘀；血瘀夹杂寒、湿、热者如寒凝血瘀证、湿热瘀阻证除活血化瘀外，还应治宜温经散寒、清热祛湿；气滞血瘀证治宜疏肝理气；脾气虚证治宜补脾益气养血；肾阳虚证治μ肾助阳养巢。其6种治法对应不同的角药配伍。雷磊教授多年来致力于输卵管性不孕的研究，有着丰富的临床经验，在辨证论治的基础上结合中药的配伍机制治疗疾病，疗效显著，颇受好评。文章整理了雷磊教授依据不同证型选用角药组成及其配伍机制，并例举出医案供临床探讨。 |
| 关键词: 名医经验 雷磊 角药 配伍特点 输卵管性不孕 临床经验 |
| DOI：10.3969/j.issn.1674-070X.2025.02.030 |
| Received:October 11, 2024 |
| 基金项目:湖南省教育厅科学研究项目（23A0306）；湖南省卫生健康委员会科研计划项目（C202305016294）。 |
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| LEI Lei's experience in treating tubal infertility with triplet combinations of Chinese medicines based on the differentiation of“four excesses and two deficiencies” |
| LI Canmei, LEI Lei |
| (The First Clinical School of Chinese Medicine, Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;Hunan University of Chinese Medicine, Changsha, Hunan 410208, China) |
| Abstract: |
| This paper summarizes Professor LEI Lei's experience in treating tubal infertility with triplet combinations of Chinese medicines. It is concluded that the pathogenesis of tubal infertility can be summarized as "four excesses and two deficiencies", namely four types of excess pathogenesis including blood stasis, cold induced blood stasis, damp heat with blood stasis, and qi stagnation and blood stasis, as well as two types of deficient pathogenesis involving spleen qi deficiency and kidney yang deficiency. Moreover, six treatment methods are put forward, that is, circulating blood and transforming stasis which is applicable to blood stasis pattern; circulating blood and transforming stasis combined with warming meridians and dissipating cold which is applicable to cold induced blood stasis pattern; circulating blood and transforming stasis combined with clearing heat and eliminate dampness which is applicable to damp heat with blood stasis pattern; soothing the liver and regulating qi which is indicated for qi stagnation and blood stasis pattern; reinforcing the spleen to supplement qi and nourish blood which is indicated for spleen qi deficiency pattern; and tonifying kidney and supplementing yang to nourish the ovaries which is indicated for kidney yang deficiency pattern. Different triplet combinations of Chinese medicines should be selected according to these six treatment methods. Professor LEI has been committed to the research of tubal infertility for many years, with rich clinical experience. He treats the disease based on pattern differentiation and the compatibility mechanisms of Chinese medicines, achieving remarkable therapeutic effects and being well received. This paper summarizes his selection of triplet combinations of Chinese medicines and their compatibility mechanisms based on different patterns, and provides a medical case for clinical discussion. |
| Key words: experience of famous doctors LEI Lei triplet combinations of Chinese medicines compatibility characteristics tubal infertility clinical experience |
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