不孕症病例报告
Infertility Case Report
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1.广州中医药大学第一附属医院妇儿中心, 广东 广州510405
2.广州中医药大学第一临床医学院, 广东 广州 510405
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罗颂平, 黄煦格, 郜洁. 不孕症病例报告[DB/OL].(2023-03-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35601601&Fpath=home&index=0
LUO Songping, HUANG Xuge, GAO Jie. Infertility Case Report[DB/OL].(2023-03-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35601601&Fpath=home&index=0
罗颂平, 黄煦格, 郜洁. 不孕症病例报告[DB/OL].(2023-03-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35601601&Fpath=home&index=0 DOI:
LUO Songping, HUANG Xuge, GAO Jie. Infertility Case Report[DB/OL].(2023-03-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35601601&Fpath=home&index=0 DOI:
病史摘要,2,末次月经:2019-05-07,患者正常性生活未避孕未孕5年余,平素月经尚规律,刻下症:易疲劳乏力,精神疲倦,少气懒言,纳可,眠差,夜间疲倦,难以入睡,自觉心慌,大便一日一行,质软,小便可。舌淡红,苔白,脉细。未系统监测排卵及BBT,丈夫精液未查。中医诊断 不孕(肝郁肾虚证)西医诊断 原发性不孕干预措施 中医治疗:疏肝理气,补肾益精。予中药、中成药、膏方、非药物疗法(针灸)治疗。疗效转归 患者以“未避孕未孕5年余”就诊,既往行腹腔镜提示双侧输卵管通畅。未行其他检查。第一个排卵监测周期提示:BBT单相,子宫附件彩超监测排卵未见优势卵泡。在中医药综合调理下,BBT呈双相,患者卵泡质量改善,有优势卵泡出现并排出,终至成功妊娠。本例病案疗效明确有效。
Summary of case history ,The last menstrual period: May 7,2019, the patient had a normal sexual life without contraception but no pregnancy for more than 5 years, the normal menstruation is still regular, the present symptoms are: easy fatigue, mental fatigue, lack of energy and lazily to speek, normal diet , poor sleep, night fatigue, Difficulty falling asleep, consciously flustered, bowel movements once a day,normal urine. Pale red tongue, white coating, thin pulse. Ovulation and BBT were not systematically monitored, and the husband's semen was not checked.,TCM diagnosis ,Infertility, Liver qi stagnation and kidney deficiency Syndrome,Western medicine diagnosis ,primary infertility,Therapeutic methods ,Chinese medicine treatment: treatment principle and method: soothe the and regulate liver qi, invigorate the kidney and replenish the essence. for Chinese medicine, proprietary Chinese medicine, Ointment, non-drug therapy (acupuncture) treatment.,Clinical outcomes ,The patient was treated as no contraception and no pregnancy for more than 5 years, and the previous laparoscopy showed that the bilateral fallopian tubes were unobstructed. No other checks were performed. The first ovulation monitoring cycle prompted: BBT monophasic, no dominant follicle was found in ovulation monitoring by color Doppler ultrasonography of the uterus. Under the comprehensive conditioning of traditional Chinese medicine, BBT is biphasic, the quality of the patient's follicles is improved, the dominant follicles appear and are discharged, and finally a successful pregnancy is achieved. The curative effect of this case is clear and effective.
不孕肝郁肾虚罗颂平
infertilityLiver stagnation and kidney deficiencyLuo Songping
谢幸,苟文丽.妇产科学[M].第八版.北京:人民卫生出版社,2013:369-371.
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