邓高丕辨治早期输卵管妊娠经验
DENG Gao-Pi’s Experience in Differentiating and Treating Early Tubal Pregnancy
DOI:10.13359/j.cnki.gzxbtcm.2021.03.030
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1.广州中医药大学第一附属医院,国家区域(华南区)中医妇科诊疗中心,广东 广州 510405
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邱嫔, 李安, 吴晓贞, 等. 邓高丕辨治早期输卵管妊娠经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13359/j.cnki.gzxbtcm.2021.03.030
Pin QIU, An LI, Xiao-Zhen WU, et al. DENG Gao-Pi’s Experience in Differentiating and Treating Early Tubal Pregnancy[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13359/j.cnki.gzxbtcm.2021.03.030
邱嫔, 李安, 吴晓贞, 等. 邓高丕辨治早期输卵管妊娠经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13359/j.cnki.gzxbtcm.2021.03.030 DOI:
Pin QIU, An LI, Xiao-Zhen WU, et al. DENG Gao-Pi’s Experience in Differentiating and Treating Early Tubal Pregnancy[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13359/j.cnki.gzxbtcm.2021.03.030 DOI:
总结邓高丕教授辨治早期输卵管妊娠的经验。邓高丕教授认为早期输卵管妊娠的根本病机为“血瘀”;辨证要点重在分辨输卵管妊娠胎元已殒或未殒,以及正气之存亡,气血之虚实。输卵管妊娠“未破损期”可辨证分型为“胎元阻络型”和“胎瘀阻滞型”,“已破损期”可辨证分型为“气血虚脱型”“正虚血瘀型”和“瘀结成癥型”。早期输卵管妊娠未破损期胎元阻络型患者,治疗当化瘀消癥杀胚,方药以丹参、赤芍、桃仁、紫草、天花粉、蜈蚣为基础,酌加三七、黄芪、白术、党参等。化瘀消癥杀胚复方沿袭脉络学说,紧扣“血瘀”之病机,凡辨证为早期输卵管妊娠且符合药物治疗指征者,均可辨证应用。
The experience of Professor DENG Gao-Pi in differentiating and treating early tubal pregnancy with Chinese medicine was summarized.Professor DENG Gao-Pi believes that the basic Chinese medicine pathogenesis of the early tubal pregnancy is due to blood stasis, and the key to syndrome differentiation of early tubal pregnancy is to distinguish the rupture of the embryo or not, the sufficiency or insufficiency of healthy, qi, and the deficiency or excess of, qi, and blood.The tubal pregnancy in the non-ruptured period can be classified into the syndrome types of embryo blocking collaterals, and stagnation of ruptured embryo and stasis.The tubal pregnancy in the ruptured period can be classified into the syndrome types of depletion of, qi, and blood, healthy, qi, deficiency and blood stasis, and blood stasis transforming into mass.The early tubal pregnancy in the non-ruptured period with the syndrome of embryo blocking collaterals can be treated by the therapy of dissolving stasis, eliminating mass and killing embryo.The commonly-used herbs are Radix Salviae Miltiorrhizae, Radix Paeoniae Rubra, Semen Persicae, Radix Arnebiae seu Lithospermi, Radix Trichosanthis, and Scolopendra.And the herbs of Radix Notoginseng, Radix Astragali, Rhizoma Atractylodis Macrocephalae, and Radix Codonopsis can be selected for modification.The therapy of dissolving stasis, eliminating mass and killing embryo follows the theory of collaterals, accords with the basic blood-stasis pathogenesis of early tubal pregnancy, and can be used for the dialectical treatment of early tubal pregnancy with the indications of conservative medicine treatment.
早期输卵管妊娠血瘀胎元阻络化瘀消癥杀胚邓高丕
early tubal pregnancyblood stasisembryo blocking collateralsdissolving stasis eliminating mass and killing embryoDENG Gao-Pi
MCQUEEN A.Ectopic pregnancy:risk factors,diagnostic procedures and treatment[J].Nurs Stand,2011,25(37):49-56.
湖北中医学院.中医妇科学[M].上海:上海科学技术出版社,1980.
吴以岭,魏聪,贾振华,等.脉络学说概要及其应用[J].中医杂志,2014,55(3):181-184.
吴以岭,贾振华,常丽萍,等.脉络学说营卫理论指导血管病变防治研究[J].中国实验方剂学杂志,2019,25(1):1-10.
宋阳,曾根,邓高丕,等.早期不明位置妊娠鉴别诊断方程的建立与评价[J].中国妇幼保健,2014,29(35):5757-5759.
刘玲,袁烁,邓高丕.化瘀消癥杀胚中药复方给药血浆的药物成分检测[J].时珍国医国药,2014,25(7):1759-1761.
李晓荣.化瘀消癥杀胚中药诱导输卵管妊娠滋养细胞凋亡的分子机制及临床研究[D].广州:广州中医药大学,2014.
王瑞雪,邓高丕.化瘀消癥杀胚中药复方对体外培养输卵管妊娠滋养细胞凋亡能力的影响[J].中华中医药杂志,2014,29(5):1645-1649.
金荷照.中西医结合治疗异位妊娠40例临床分析[J].中国中西医结合急救杂志,2008,15(3):145-145.
HSU W L, CHEN Y H, KING A E, et al.Expression of secretory leukocyte protease inhibitor and elafin in human fallopian tube and in an in vitro model of Chlamydia trachomatis infection[J].Hum Reprod,2009,24(3):679-686.
赵新玲,李燕.中西医结合治疗少腹血瘀证异位妊娠的临床观察[J].湖南中医药大学学报,2013,33(3):69-72.
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