张良英验案之滑胎(复发性流产)个案
增强出版A Case of Slippage (Recurrent Miscarriage) in A National Famous Chinese Medicine Case
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1.云南中医药大学第一附属医院妇科,昆明 650021
2.云南中医药大学,昆明 650500
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卜德艳, 张艳如, 张良英. 张良英验案之滑胎(复发性流产)个案[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31805077&Fpath=home&index=0
BU Deyan, ZHNAG Yanru, ZHANG Liangying. A Case of Slippage (Recurrent Miscarriage) in A National Famous Chinese Medicine Case[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31805077&Fpath=home&index=0
卜德艳, 张艳如, 张良英. 张良英验案之滑胎(复发性流产)个案[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31805077&Fpath=home&index=0 DOI:
BU Deyan, ZHNAG Yanru, ZHANG Liangying. A Case of Slippage (Recurrent Miscarriage) in A National Famous Chinese Medicine Case[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31805077&Fpath=home&index=0 DOI:
病史摘要,2,患者因“反复病理性流产3次,再孕前调理”至全国名中医张良英教授处就诊,患者既往2次流产后往返多家医院先后行多项检查,仅抗,β,2,-糖蛋白I(,β,2,-GPI)抗体高于正常,丈夫各项检查无异常,内服中药、西药(具体不详),但仍然第3次流产。中医诊断 滑胎;证候诊断为脾肾两虚,肝郁血瘀证。西医诊断 西医诊断为复发性流产。干预措施 治疗主要以补肾健脾,疏肝理气,活血通络(分期论治)为主,方选全国名中医张良英教授自拟验方助孕I号方加减内服,并嘱患者于月经第14天起监测排卵了解卵泡及内膜情况,建议先避孕服药调理,待母体强健再试孕。疗效转归 经治疗后患者复查抗,β,2,-GPI抗体正常,嘱其可以边吃药边试孕。患者孕后嘱患者卧床休息,坚持中药保胎至孕10周。2017年11月患者足月顺产一健康女婴。
Summary of case history ,The patient went to professor ZHANG Liangying, a national-level famous Chinese medicine doctor due to "repeated pathological abortion 3 times, and pre-pregnancy conditioning". After 2 previous abortions, the patient went back and forth to multiple hospitals and underwent multiple examinations. Only the anti-,β,2,-GPI antibody was higher than normal, The husband had no abnormality in various examinations, and took Chinese medicine and western medicine (specifically unknown), but still had a third miscarriage.,TCM diagnosis, TCM diagnosed as slippery fetus; syndrome diagnosed as deficiency of spleen and kidney, liver stagnation and blood stasis syndrome.,Western medicine diagnosis, Western medicine diagnosis was recurrent miscarriage.,Therapeutic methods, The treatment mainly focuses on invigorating the kidney and spleen, soothing the liver and regulating Qi, promoting blood circulation and dredging collaterals (by stages). Monitor ovulation to understand the condition of follicles and endometrium. It is recommended to take contraceptives for conditioning first, and then try to conceive after the mother is strong.,Clinical outcomes, After treatment, the patient's anti-,β,2,-GPI antibody was normal, and he was instructed to try pregnancy while taking medicine. After pregnancy, the patient was instructed to rest in bed and adhere to traditional Chinese medicine to protect the fetus until the 10,th, week of pregnancy. In November 2017, the patient gave birth to a healthy baby girl at term.
全国名中医张良英教授滑胎复发性流产助孕1号方
National famous TCM professor ZHANG Liangyingmiscarriagerecurrent miscarriagepreseriptions for promoting pregnancy
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肖世金,赵爱民.复发性流产病因学研究进展[J].中国实用妇科与产科杂志,2014(1):41-45.
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