万朝霞治疗排卵障碍性不孕病验案探析
Analysis of WAN Zhaoxia's Experience in Treating Sterility of Ovulation Disturbance
扫 描 看 全 文
1.南京中医药大学第一临床医学院,南京 210023
2.南京中医药大学附属南通医院,南通 226001
扫 描 看 全 文
季梓羽, 万朝霞. 万朝霞治疗排卵障碍性不孕病验案探析[DB/OL].(2023-03-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35765363&Fpath=home&index=0
JI Ziyu, WAN Zhaoxia. Analysis of WAN Zhaoxia's Experience in Treating Sterility of Ovulation Disturbance[DB/OL].(2023-03-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35765363&Fpath=home&index=0
季梓羽, 万朝霞. 万朝霞治疗排卵障碍性不孕病验案探析[DB/OL].(2023-03-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35765363&Fpath=home&index=0 DOI:
JI Ziyu, WAN Zhaoxia. Analysis of WAN Zhaoxia's Experience in Treating Sterility of Ovulation Disturbance[DB/OL].(2023-03-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35765363&Fpath=home&index=0 DOI:
病史摘要,2,患者备孕2年未孕,月经后期1年。先后辗转各医院未效,遂来我院就诊。患者形体适中,月经周期:5/45~60天,LMP:2020年9月17日,月经前后腰酸,量偏少,无痛经。配偶弱精,治疗中。刻下:时有头疼,口干无口苦,嗳气,发油,易焦虑,纳可,睡眠欠安,便溏,小便正常。舌淡胖,苔薄微腻,脉弱濡。既往史无殊。中医诊断 不孕病 月经后期病 肾虚证西医诊断 女性原发性不孕 多囊卵巢综合征干预措施 顺应女子月经周期中阴阳转化和气血盈亏的变化规律,经间期拟补肾活血为主,经前期补肾助阳为主,行经期活血养血通经为主,经后期补肾填精、健脾燥湿,佐以疏肝解郁。其间适时辅用西药以调经,同时进行健康教育和同房指导。疗效转归 患者于2020年11月16日诉已怀孕4周余,12月5日孕检示宫腔内见孕囊,胎心搏动可见。目前已无其余不适,纳可、眠安、二便调。
Summary of medical history, The patient had not succeed in pregnancy preparation for two years and had delayed menorrhea for one year.She has been to many different hospitals without being cured,so she came to our outpatient department for treatment.She had moderate body shape,MC:5/45-60d,LMP:2020.09.17,lumbar acid before and after menstruation,less menstrual volume,but did not have dysmenorrhea.Her partner has asthenospermia and is being treated.Symptoms:frequent headaches,dryness in the mouth without bitter taste,belching,greasy hair,being anxious,good appetite,poor sleep,loose stool,normal urine,tongue light and fat,thin tongue coating,weak pulse and moist.Her past medical history was normal.,Traditional Chinese medicine diagnoses, infertility, delayed menorrhea;kidney deficiency,Western medicine diagnosed, primary female infertility,polycystic ovarian syndrome,Intervention measures, We conform to the changing rules of Yin and Yang and Qi and blood in women's menstrual cycle,mainly onifying kidney and activating blood in the intermenstrual period,tonifying kidney and helping Yang are given priority to in premenstrual period,huoxue nourishing blood in the menstrual period,reinforcing kidney to replenish essence and dry dampness tofortify the spleen during postmenstrua,and dredge the liver and relieve depression at the same time.In the meantime,western medicine was used to regulate menstruation,and health education and guidance were carried out.,The curative effect, On November 16, 2020, the patient complained that she had been pregnant for more than 4 weeks.On December 05, pregnancy examination showed a gestational sac in the intrauterine cavity and fetal heart pulsation.At present,the patient has no other discomfort.
排卵障碍不孕症衷中参西中医药周期治疗
ovulation disturbancesterilityTCM wholehearted participation in the modern medicinetraditional Chinese medicine cycle therapy
施冬青,万朝霞,陈冬梅等."补肾疏肝方"治疗排卵障碍性不孕症20例临床研究[J].江苏中医药,2020,52(2):50-52.
谢幸,孔北华,段涛.妇产科学[M].北京:人民卫生出版社,2018.10.
施冬青. 排卵障碍性不孕症中医治疗研究进展[J]. 中国医药科学,2020,10(12):42-45.
张武. 药对心析[J]. 江西中医药,1993,(1):50-51.
韩佳桐,杨中.«金匮要略»中相反药应用的方证特征[J].环球中医药,2017,10(9):1116-1118.
周林,任玉珍,杜杰等.附子不同炮制方法比较分析[J].中国现代中药,2013,15(2):135-139.
楼英.医学纲目[M]. 高登瀛,鲁兆麟,点校.北京:人民卫生出版社,1987.
朱丹丹,许小凤. "求子之法,莫先调经"在不孕症中的应用[J]. 江苏中医药,2017,49(1):10-12.
夏桂成.实用中医妇科学[M].北京:中国中医药出版社,2009.
章巧萍. 药对探析[J]. 中华中医药杂志,2005,20(4):204-206.
周仲瑛.中医病机辨证学[M]. 北京:中国中医药出版社,2015.10.
杨超平. 浅探«脾胃论»[J]. 云南中医中药杂志,2008,29(4):74-74.
清·叶天士.临证指南医案[M].北京:人民卫生出版社,2006.
明·武之望.济阴纲目[M],北京:人民卫生出版社,2006.
清·张锡纯.医学衷中参西录[M].北京:中医古籍出版社,2016.
BOIVIN, JACKY, BUNTING, LAURA, COLLINS, JOHN A., et al. International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care[J]. Human Reproduction,2007(6):1506-1512
石夏.实用妇产科诊断与治疗技术[M].北京:人民卫生出版社,2002 :2004.
李晓荣,徐仙.中医理论和疗法在不孕症治疗中的应用前景[J].宁夏医学杂志,2021,43(7):669-672
0
浏览量
15
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构