丁启后治疗多囊卵巢综合征导致不孕症验案
A case of Polycystic Ovary Syndrome Leading to Infertility Treated by Ding Qihou
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1.贵州中医药大学第一附属医院妇科,贵州贵阳 550001
2.原贵阳中医学院药学系,贵州贵阳 550002
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丁丽仙, 丁启后. 丁启后治疗多囊卵巢综合征导致不孕症验案[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394500&Fpath=home&index=0
DING Lixian, DING Qihou. A case of Polycystic Ovary Syndrome Leading to Infertility Treated by Ding Qihou[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394500&Fpath=home&index=0
丁丽仙, 丁启后. 丁启后治疗多囊卵巢综合征导致不孕症验案[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394500&Fpath=home&index=0 DOI:
DING Lixian, DING Qihou. A case of Polycystic Ovary Syndrome Leading to Infertility Treated by Ding Qihou[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394500&Fpath=home&index=0 DOI:
病史摘要,2,肖某某,因“2,+,年未孕”于2003年8月20日初诊。自述5年前结婚,婚后半年受孕,早孕反应重,停经3月后出现阴道流血伴小腹隐胀痛,到当地县医院诊断为“葡萄胎”。当即收住院,按“葡萄胎”常规处理,清宫2次,述第一次清宫出血较多,第二次清宫术后阴道流血半月干净。出院后常感口干舌燥,夜间盗汗,手足心烦热,腰膝酸软,睡眠不实。月经3月复潮,量少明显,用纸巾2片。以后月经常推后2-3月一次,量不多。患者遵医嘱用避孕套避孕2年后试孕2,+,年未孕,在农村未明确诊断和规范治疗。因盼子心切,每至月经逾期不来,常有早孕反应,月经来潮后又失望不已。就诊时患者形体消瘦,少言寡语,面有黯斑,问及病情潸然泪下。除上述症状外,还有乳胀胸闷,带下量少等症状。月经仍为2-3月来潮一次,经量不多,色黯有块。舌体瘦黯红,苔薄黄少津,脉沉细数。中医诊断 不孕症(肝肾阴虚,肝郁血瘀证)西医诊断 1.多囊卵巢综合征;2.继发不孕干预措施 中药内服,以滋养肝肾,疏肝活血,调经助孕为治则,选用左归丸加味治疗。嘱患者注意情绪调理,少食辛辣油腻食物,鼓励患者树立信心,有望怀孕生子。疗效转归 治疗期间患者月经周期逐渐缩短,经量渐增;治疗4,+,月,月经可40天来潮,复查女性性激素提示LH/FSH比值已正常;治疗8,+,月,即2004年5月5日,患者尿HCG阳性,B超提示宫内妊娠。
Summary of case history, Patient Xiao, was first diagnosed on August 20, 2003 because of "2,+, years not pregnant".She was married 5 years ago and pregnant half a year after marriage with heavy early pregnancy reaction.3 months after menopause,the patient developed vaginal bleeding with hidden pain in the lower abdomen, and was diagnosed with "hydatidiform mole" at the local county hospital.She was hospitalized immediately and treated with "hydatidiform mole" routine treatment.She had uterine curettage twice, the bleeding was more in the first curettage, and the bleeding was clean for half a month after the second curettage.After discharge, she often felt dry mouth, night sweats, hot hands and feet, sore waist and knees, and poor sleep.Menstruation recurred after 3 months, the menstrual volume decreased obviously.Menstruation cycle was 2 to 3 months with less volume.The patient followed the doctor's advice to use condoms for contraception for 2 years and failed to get pregnant for 2,+, years. There was no clear diagnosis and standardized treatment in rural areas.Because be pregnant desire was urgent,she often had early pregnancy reaction to overdue menstruation, and felt disappointed after menstruation.At the time of treatment, the patient was thin, silent and had dark spots on her face. She cried with tears when asked about her condition.In addition to the above symptoms, there were breast distension,chest tightness, less leucorrhoea and so on.Menstruation cycle was still 2-3 months, the volume of menstruation was not much, with dark color and blood clot. Her tongue was thin and dark red, tongue coating was yellow and less fue, pulse was heavy,fine and fast.,TCM diagnosis, Infertility-deficiency of liver-yin and kidney-yin;Liver depression and blood stasis.,Western medicine diagnosis, 1. Polycystic ovary syndrome 2. Secondary infertility,Therapeutic methods, Chinese medicine for internal use, to nourish the liver and kidney, dredging the liver and activating blood circulation, regulating menstruation and helping pregnancy.The docter selected "Zuogui pill" and increased Chinese medicine for treatment, and enjoined patient to pay attention to emotional conditioning, eat less spicy and greasy food, encourage patients to establish confidence and believe she can be pregnant and have children.,Clinical outcomes, During the treatment period, the menstrual cycle was gradually shortened and the menstrual volume increased. After 4,+, months of treatment, the menstrual period was 40 days, and the female sex hormone examination showed that the LH/FSH ratio was normal. After 8,+, months of treatment, on May 5, 2004, the patient's urine HCG was positive, and B ultrasound suggested intrauterine pregnancy.
多囊卵巢综合征不孕症丁启后治验
Polycystic ovary syndromeInfertilityDING Qi-houthe treatment experience
谢幸,孔北华,等.妇产科学[M].北京:人民卫生出版社,2018:353-356.
胡瑞杰等, 吡格列酮二甲双胍对多囊卵巢综合征不孕患者糖脂代谢及妊娠率的影响[J]. 陕西医学杂志, 2021. 50(2): 221-224.
李冉,丁丽仙,谢伟杰.多囊卵巢综合征临床研究的探讨分析[J]. 世界最新医学信息文摘, 2017. 17(09): 55-57.
谈勇.中医妇科学[M].北京:中国中医药出版社,2018:247.
丁丽仙.名老中医丁启后诊治多囊卵巢综合征的经验介绍[J].贵阳中医学院学报,2013. 35(3): 1-2.
张介宾明.景岳全书[M].中国中医药出版社, 1994.
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