罗颂平治疗不孕症验案一则
LUO Songping's Experience in Treating Infertility:A Case Report
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1.广州中医药大学第一附属医院妇科,广州 510405
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曹蕾, 罗颂平. 罗颂平治疗不孕症验案一则[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40358271&Fpath=home&index=0
CAO Lei, LUO Songping. LUO Songping's Experience in Treating Infertility:A Case Report[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40358271&Fpath=home&index=0
曹蕾, 罗颂平. 罗颂平治疗不孕症验案一则[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40358271&Fpath=home&index=0 DOI:
CAO Lei, LUO Songping. LUO Songping's Experience in Treating Infertility:A Case Report[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40358271&Fpath=home&index=0 DOI:
病史摘要,2,患者刘某某,女性,35岁,2020年7月21日因“未避孕未孕2年,2次胚胎移植失败”就诊。患者平素月经规律,经期、经量正常,经血夹血块,无痛经及其他经期不适。四诊信息:患者神志清,面色㿠白,语音清晰,对答切题,平素怕冷,手足不温,咽干,易疲倦,纳可,难入睡,多梦易醒,二便调。舌淡红、苔白,脉弦细。中医诊断 不孕症(脾肾两虚证)。西医诊断 1.不孕症;2.子宫平滑肌瘤;3子宫内膜异位囊肿?干预措施 中医以补肾健脾为法,兼以化瘀消癥,根据患者月经周期所处阶段,以中药汤剂联合院内制剂、膏方、针灸共同补肾健脾,调理冲任气血。疗效转归 调治5个月后患者行体外受精-胚胎移植辅助生殖后成功受孕,宫内妊娠14+周,胚胎存活。
Summary of case history, The patient Liu Moumou, female, 35 years old, was hospitalized on July 21, 2020 because of "two years of pregnancy without contraception and two embryo transfer failures". The patient has regular menstruation, normal menstruation and menstrual volume, blood clots in menstrual blood, painless menstruation and other menstrual discomfort. Symptoms and signs: The patient has clear mind, pale face, clear voice, answers to the question, is always afraid of cold, warm hands and feet, dry throat, is easy to get tired, can't sleep, is easy to wake up from many dreams, and has two stools. The tongue is light red, the fur is white, and the pulse is thin.,TCM diagnosis, Infertility (Spleen and kidney deficiency syndrome).,Western medicine diagnosis, 1.Infertility;2. Leiomyoma of uterus; 3. Endometriosis cyst.,Therapeutic methods, The traditional Chinese medicine treatment is based on tonifying the kidney and strengthening the spleen, as well as removing blood stasis and eliminating symptoms. According to the stage of the patient's menstrual cycle, the traditional Chinese medicine decoction, together with hospital preparations, creams and acupuncture, is used to tonify the kidney and spleen, and regulate the Chong Ren Qi and blood.,Clinical outcomes, After 5 months of treatment, the patient was successfully pregnant after IVF-ET assisted reproduction. The embryo survived after 14+weeks of intrauterine pregnancy.
不孕症着床失败补肾健脾
infertilityimplantation failureinvigorate the kidney and spleen
谢幸,孔北华,段涛.妇产科学[M]北京:人民卫生出版社,2018:361-362.
罗颂平,谈勇.中医妇科学[M]北京:人民卫生出版社,2012:242.
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