徐慧军用柴胡桂枝干姜汤治疗不孕症经验1例
增强出版XU Huijun's Experience in Treating 1 Case of Infertility with
Chaihu Guizhi Ganjiang Decoction
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1.山东中医药大学第一临床医学院,山东 济南 250013
2.青岛市中医医院中医妇科, 山东 青岛 266033
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李佩林, 袁雯, 徐慧军. 徐慧军用柴胡桂枝干姜汤治疗不孕症经验1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32156451&Fpath=home&index=0
LI Peilin, YUAN Wen, XU Huijun. XU Huijun's Experience in Treating 1 Case of Infertility with
李佩林, 袁雯, 徐慧军. 徐慧军用柴胡桂枝干姜汤治疗不孕症经验1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32156451&Fpath=home&index=0 DOI:
LI Peilin, YUAN Wen, XU Huijun. XU Huijun's Experience in Treating 1 Case of Infertility with
病史摘要,2,患者婚后夫妇同居,未避孕3年未孕,2016年于青岛市妇幼医院就诊,行HSG示:双侧输卵管通而不畅,因多年未成功怀孕,行IVF术。2016年IVF术后成功妊娠,但孕6月胎死宫内引产,2018年再次行IVF,于孕2月胎停后药流。现患者以“未避孕未再孕3+年,伴停经近2月”于我处就诊,欲调理身体求得再次妊娠。现患者停经2月,尿妊娠阴性。既往多囊卵巢综合征、子宫纵膈、白癜风病史。中医诊断 1.不孕症(胆热脾寒/少阳太阴合病);2.滑胎;3.月经后期。西医诊断 1.不孕症;2.复发性流产;3.多囊卵巢综合征(PCOS)。干预措施 中药汤药治疗。以柴胡桂枝干姜汤为主方加减,调理少阳枢机,使机体升降出入有序。疗效转归 经随访现患者已孕37W+。
Summary of case history, In 2016, the patient was admitted to Qingdao Women's and Children's Hospital without contraception for 3 years. HSG showed that bilateral fallopian tubes were obstructed, and IVF was performed because she had not been successfully pregnant for 3 years. In 2016, the pregnancy was successful after IVF, but the fetus died in utero and induced labor in the sixth month of gestation. In 2018, IVF was performed again, and the drug was discontinued in the second month of gestation. Now the patient has not been pregnant for 3+ years in our department, with aim to regulate the body to get pregnant again. Now the patient has 2 months of menopause and negative urine pregnancy. Previous medical history of polycystic ovary syndrome, mediastinum and vitiligo.,TCM diagnosis ,1. Infertility, bile heat, spleen cold, unfavorable to the cardinal; 2. Sliding tire; 3. Late menstruation.,Western medicine diagnosis, 1. Infertility; 2. Recurrent abortion; 3. Polycystic ovary syndrome,Therapeutic methods, Chinese medicine decoction treatment. Add and subtract ,Chaihu Guizhi Ganjiang ,decoction as the main formula, regulate Shaoyang cardinal, and make the body rise and fall in order.,Clinical outcomes, After follow-up, the patient was 37W+ pregnant
不孕症复发性流产开阖枢柴胡桂枝干姜汤少阳枢机
InfertilityRecurrent abortionOpen close pivotChaiHu GuiZhi GanJiang DecoctionShaoyang cardinal
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