全国名中医验案之不孕症(继发性不孕)个案
增强出版A Case of Secondary Infertility Treated by a National Famous Chinese Medicine Doctor Named ZHANG Liangying
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1.云南中医药大学第一附属医院妇科,云南 昆明 650021
2.云南中医药大学,云南 昆明 650500
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卜德艳, 张艳如, 张良英. 全国名中医验案之不孕症(继发性不孕)个案[DB/OL].(2023-09-06)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40358322&Fpath=home&index=0
BU Deyan, ZHNAG Yanru, ZHANG Liangying. A Case of Secondary Infertility Treated by a National Famous Chinese Medicine Doctor Named ZHANG Liangying[DB/OL].(2023-09-06)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40358322&Fpath=home&index=0
卜德艳, 张艳如, 张良英. 全国名中医验案之不孕症(继发性不孕)个案[DB/OL].(2023-09-06)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40358322&Fpath=home&index=0 DOI:
BU Deyan, ZHNAG Yanru, ZHANG Liangying. A Case of Secondary Infertility Treated by a National Famous Chinese Medicine Doctor Named ZHANG Liangying[DB/OL].(2023-09-06)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40358322&Fpath=home&index=0 DOI:
病史摘要,2,患者因“清宫术后未避孕未孕1年余。”至全国名中医张良英教授处就诊,2018年6月患者于当地医院因孕6周稽留流产行清宫术,术后避孕套避孕1年,之后未避孕,性生活正常而未孕,2021年4月在于当地医院行输卵管碘水造影示:双侧输卵管通而不畅。连续3个月监测排卵内膜正常,卵泡成熟,能正常排卵,男方精液检查正常。连续2月行输卵管通液治疗,至今仍未孕。中医诊断 不孕症;带下病;(脾肾两虚,湿毒瘀结证)。西医诊断 继发不孕(双侧输卵管通而不畅);阴道炎;高危HPV感染;支原体感染干预措施 治疗主要补肾健脾,除湿解毒,通络助孕(分期论治)为主,方选全国名中医张良英教授自拟验方助孕1号方及助孕2号方加减,配合外洗方熏洗外阴,并建议患者先避孕3月,按疗程治疗,3月后再开始试孕,每月复诊一次。疗效转归 经治疗后患者在当地复查HPV已转阴,TCT未见异常,支原体转阴。后患者继续治疗,怀孕后继服中药保胎至8周。后其者定期产检,胎儿发育正常。
Summary of case history, The patient sought medical treatment from Professor Zhang Liangying, a national famous Chinese medicine practitioner due to marriage for 3 years and no contraception after curettage. In the past, the patient underwent curettage in local hospitals. After operation, the patient has been using condoms for contraception for 1 year. After that, the patient did not take contraceptive measures, and her sexual life was normal but she was not pregnant. In April 2021, she underwent hysterosalpingography in a local hospital, which showed that bilateral fallopian tubes were not smooth. For 3 consecutive months, the ovulation intima was normal, the follicles matured, the ovulation was normal, and the semen examination of the man was normal. She has been treated with tubal fluids for 2 months in a row, but she is still not pregnant.,TCM diagnosis, According to TCM, the patient was diagnosed as infertility; Syndrome patten is deficiency of spleen and kidney, syndrome of accumulated dampness-toxicity.,Western medicine diagnosis, Western medicine diagnosis is secondary infertility (bilateral fallopian tubes are blocked); vaginitis; high-risk HPV infection; mycoplasma infection,Therapeutic methods, The treatment methods mainly include tonifying kidney and spleen, removing dampness and detoxifying, dredging collaterals and helping pregnancy (treating by stages). The prescription was selected from the prescription No.1 and modified prescription No.2 for helping pregnancy prepared by Professor Zhang Liangying, a national famous Chinese medicine practitioner, and the vulva is fumigated and washed with the vulvar external washing prescription. At the same time, the vulva should be fumigated and washed with the vulvar external washing prescription, and it is suggested that the patient should be contraceptive for 3 months, treated according to the course of treatment, and then start pregnancy test after 3 months, and carry out reexamination once a month.,Clinical outcomes, After treatment, the HPV of the patients turned negative, TCT did not show abnormality, and mycoplasma turned negative after menstruation was completely completed in the local hospital. After pregnancy, the patient continued treatment, and took Chinese medicine to protect the fetus until 8 weeks. After regular prenatal examination, the fetus developed normally.
全国名中医张良英教授不孕症助孕1号方助孕2号方【适合阅读专业】 中医妇科学中西医结合妇产科学
National Famous TCM Professor Zhang Liangyinginfertilitypreseriptions for promoting pregnancy【Suitable majors】 Traditional Chinese Medicine GynecologyIntegrative Chinese and Western Medicine Obstetrics and Gynecology
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林小娜,黄国宁,孙海翔,等.输卵管性不孕诊治的中国专家共[J].生殖医学杂志.2018(11):1048-1056
罗颂平,刘雁峰.中医妇科学.3版[M].北京:人民卫生出版社,2016:281-286.
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