XIA Tian's Experiencein Treating Unexplained Infertility

GONG Zheng; MA Sai-hua; WANG Meng-yao; ZHANG Jing; DOU Zhen; XIA Tian

doi:10.19945/j.cnki.issn.1006-3250.2022.04.025

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XIA Tian's Experiencein Treating Unexplained Infertility

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XIA Tian's Experiencein Treating Unexplained Infertility
1.National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion&First affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
DOI：10.19945/j.cnki.issn.1006-3250.2022.04.025

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GONG Zheng, MA Sai-hua, WANG Meng-yao, et al. XIA Tian's Experiencein Treating Unexplained Infertility[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.19945/j.cnki.issn.1006-3250.2022.04.025
DOI：

GONG Zheng, MA Sai-hua, WANG Meng-yao, et al. XIA Tian's Experiencein Treating Unexplained Infertility[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.19945/j.cnki.issn.1006-3250.2022.04.025 DOI：

摘要

不明原因不孕症（unexplained infertility, UI）是不孕症的常见类型，是现代生殖领域的疑难性疾病。临床发现气机疏泄失司、冲任不能相资为UI的核心病机，病变主要涉及肝肾脾三脏，以肝为核心，病机一方面为子病及母以致肝肾血虚，另一方面为木郁乘土以致肝脾气虚。临床上UI患者常呈虚实夹杂之态，故治疗上“调”“疏”配合，“顺”期而为。组方时应补泻兼施，分别治以疏肝补肾、养血调经或疏肝解郁、健脾益气，临证还应随兼证与月经周期的不同灵活加减。生活方式的改善、适当的心理疏导配合中药可达到事半功倍的效果。

Abstract

Unexplained infertility is a common type of infertility. In the clinical. It is a difficult disease in the field of modern reproduction. we have found when the liver qi discomfort, blood sea accumulation and overflow disorder, Chong Ren can not deliver energy for pregnancy which is the core pathogenesis of UI, mainly involving liver, kidney and spleen during this process. The liver should be taken as the core pathogenesis. On the one hand, it is a child disease leading to the mother disease which caused the liver and kidney blood deficiency. On the other hand, the wood depression can multiply the soil which caused the liver to lose the deficiency. UI patients are often in mixed clinicalstate, so the treatment should be in the coordination of "Regulating" and "dispersing". At the same time, we need to comply with the female menstrual cycle. The method of treatment is respectively to soothe the liver and kidney to nourish blood and soothe the liver and invigorate spleen qi. The prescription should be in a flexible addition and subtraction to fit the different clinical syndrome and female menstrual cycle. The combination of a improved lifestyle, appropriate psychological guidance and traditional Chinese medicine have a good curative effect.

关键词

不明原因不孕症肝郁名医经验

Keywords

Unexplained infertilityLiver depressionFamous medical experience

references

李希如.2017年我国“全面两孩”政策效果继续显现[R].国家统计局.2018.http://www.gov.cn/xinwen/2018-01/20/content_5258867.htmlhttp://www.gov.cn/xinwen/2018-01/20/content_5258867.html.

宋莉. 中国辅助生殖现状与发展[C]//上海交通大学医学院附属仁济医院, 国际生殖协会联盟第23届国际生殖协会联盟大会暨第五届浦江生殖医学论坛论文汇编. 上海: 2019: 4-5.

RAY A, SHAH A, GUDI A, et al. Unexplained infertility: an update and review of practice [J] . Reprod Biomed Online, 2012, 24(6): 591-602.

杨一华, 黄国宁, 孙海翔, 等. 不明原因不孕症诊断与治疗中国专家共识[J]. 生殖医学杂志, 2019, 28(9): 984-992.

韩延博, 唐艳, 高新源, 等. 肝郁导致不孕症和内分泌的关系[J]. 辽宁中医药大学学报, 2008, 10(11): 25-26.

SUNITA B. 生育失败妇女的精神压力[D]. 广州: 中山大学, 2010: 4.

傅山. 傅青主女科[M]. 北京: 中国中医药出版社, 2019: 43.

武之望. 济阴纲目[M]. 北京: 中国中医药出版社, 2009: 5.

张介宾. 景岳全书[M]. 北京: 人民卫生出版社, 2007: 1339.

张介宾. 妇人规[M]. 北京: 中国医药科技出版社, 2017: 36.

张璐. 张氏医通[M]. 北京: 人民卫生出版社, 2006: 190.

陈世铎. 外经微言[M]. 北京: 中国医药科技出版社, 2011: 23.

唐宗海. 血证论[M]. 北京: 人民卫生出版社, 2005: 14.

吕不韦. 吕氏春秋[M]. 北京: 中华书局, 2011: 14-25.

田常文.“治未病”渊源及临床应用[J]. 中医杂志, 2010, 51(S1): 53-54.

JISKOOT GERANNE, DIETZ DE LOOS ALEXANDRA, BEERTHUIZEN ANNEMERLE, et al. Long-term effects of a three-component lifestyle intervention on emotional well-being in women with Polycystic Ovary Syndrome (PCOS): A secondary analysis of a randomized controlled trial[J]. PLoS ONE, 2020, 15 (6): e0233876.

RAMEZANZADEH FATEMEH, NOORBALA AHMAD-ALI, ABEDINIA NASRIN, et al. Psychiatric intervention improved pregnancy rates in infertile couples[J] . Malays J Med Sci, 2011, 18(1): 16-24.

SEYEDI ASL SEYED TEYMUR, SADEGHI KHEIROLLAH, BAKHTIARI MITRA, et al. Effect of Group Positive Psychotherapy on Improvement of Life Satisfaction and The Quality of Life in Infertile Woman[J]. Int J Fertil Steril, 2016, 10(1): 105-112.

GAMEIRO S, BOIVIN J, DANCET E, et al. ESHRE guideline: routine psychosocial care in infertility and medically assisted reproduction-a guide for fertility staff[J]. Hum. Reprod, 2015, 30(11): 2476-2485.

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