中医内外合治输卵管性不孕症验案一则
Treatment of Tubal Infertility with Traditional Chinese Medicine Internal Treatment Combined with External: A Case Report
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1.成都中医药大学附属医院妇科,成都 610075
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魏绍斌, 周思韵, 石玲. 中医内外合治输卵管性不孕症验案一则[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43085650&Fpath=home&index=0
WEI Shaobin, ZHOU Siyun, SHI Ling. Treatment of Tubal Infertility with Traditional Chinese Medicine Internal Treatment Combined with External: A Case Report[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43085650&Fpath=home&index=0
魏绍斌, 周思韵, 石玲. 中医内外合治输卵管性不孕症验案一则[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43085650&Fpath=home&index=0 DOI:
WEI Shaobin, ZHOU Siyun, SHI Ling. Treatment of Tubal Infertility with Traditional Chinese Medicine Internal Treatment Combined with External: A Case Report[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43085650&Fpath=home&index=0 DOI:
病史摘要,2,患者柯某某,女性,37岁,2021年10月21日因“未避孕未孕4年余”就诊。患者4年前开始备孕,未避孕至今仍未孕。2018年3月行子宫输卵管造影示左侧输卵管通而不畅,右侧输卵管粘连。2020年7月IVF移植后50余天胎停清宫。四诊信息:患者平素月经规律,现值月经第3天,经量中、色暗红、夹血块,小腹隐痛,经期乳房胀痛,无腰酸等不适。情绪焦虑,纳眠可,二便调,舌暗红、苔白微腻,脉弦滑。中医诊断 不孕症(肾虚肝郁证)。西医诊断 不孕症(输卵管性不孕);高泌乳素血症。干预措施 中医予分期治疗,经前期补肾健脾,调经助孕;经后期补肾疏肝,活血通络。予中药口服、食疗方煲汤内治,配合中药灌肠,耳针等外治疗法。疗效转归 治疗后患者自然受孕,现妊娠6+月。
Summary of case history, Patient Ke, a 37-year-old female, sought medical attention on October 21, 2021 due to "not having been pregnant for more than 4 years without contraception". The patient started preparing for pregnancy 4 years ago and has not yet conceived without contraception. In March 2018, hysterosalpingography showed that the left fallopian tube was unobstructed and the right fallopian tube was adhesive. In July 2020, more than 50 days after IVF transplantation, the fetus was stopped for uterine clearance. Four diagnostic information: The patient's menstrual cycle is regular, and on the third day of their current menstrual cycle, they have moderate menstrual volume, dark red color, blood clots, hidden pain in the lower abdomen, breast swelling and pain during menstruation, and no discomfort such as low back pain. Emotionally anxious, able to sleep comfortably, with two bowel movements, a dark red tongue, slightly greasy white fur, and smooth pulse.,TCM diagnosis, infertility (kidney deficiency and liver depression syndrome).,Western medicine diagnosis, infertility (tubal infertility); hyperprolactinemia.,Therapeutic methods, Traditional Chinese medicine adopts a phased treatment method, tonifying the kidney and spleen in the early stages of menstruation, and regulating menstruation to aid pregnancy; In the later stages of menstruation, tonifying the kidney and soothing the liver, promoting blood circulation and unblocking the collaterals. Oral administration of traditional Chinese medicine and internal treatment with food therapy decoction, combined with external treatment methods such as traditional Chinese medicine enema and ear acupuncture.,Clinical outcomes, the patient naturally became pregnant and is currently 6+months pregnant.
输卵管性不孕中药汤剂,中药灌肠、中医特色疗法
Tubal infertilityTraditional Chinese medicine decoctionherbal enemaTCM characteristic therapy
谢幸, 孔北华, 段涛. 妇产科学.第9版 [M]. 人民卫生出版社, 2018.
Boivin J, Bunting L, Collins J A, et al.International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care[J].Human Reproduction, 2007,22(6):1506-1512.
Honore GM, Holden AE, Schenken RS.Pathophysiology and management of proximal tubal blockage[J].Fertil Steril, 1999, 71(5):785-795.
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