摘要
介绍海派朱氏妇科第五代传人陈静主任基于“通轴调神”理论治疗多囊卵巢综合征不孕的临床经验。陈主任认为,多囊卵巢综合征不孕的病机为痰湿、气滞、血瘀等有形之邪阻滞“肾-天癸-冲任-胞宫”生殖轴,致使天癸无法畅行于冲任二脉之中,造成真实假虚之不孕征象,治以化痰理脾、疏肝调冲、通络化瘀,且将调神之法贯穿始终,同时结合生活干预、针灸等外治方法加强“通轴调神”之效。并举验案1则。
This paper introduces the clinical experience of Director Chen Jing,the fifth generation inheritor of Zhu's gynaecology,in treating infertility caused by polycystic ovary syndrome(PCOS)based on the theory of"dredging reproductive axis and regulating Shen".She believes that the pathogenesis of infertility in PCOS is due to the blockage of tangible pathogens such as phlegm,dampness,and blood stasis in the"kidney-Tiangui-thoroughfare and conception channels-uterus"reproductive axis,causing the Tiangui to be unable to travel smoothly in the two meridians of the thoroughfare and conception channels,resulting in a true excess disease with false deficient manifestation of infertility sign.The treatment should be formulated to dissolve phlegm,regulating the spleen,dispersing the stagnated liver qi and regulating the thoroughfare channels,dredging collaterals and removing blood stasis,and the method of regulating the spirit should be carried out throughout the treatment.In addition,acupuncture and moxibustion therapy and life intervention are used as auxiliary treatments.And a proven case is presented.
作者
王莹莹
陆小溦
李婧怡
徐紫薇
宁婧
李佾晟
陈静
WANG Yingying;LU Xiaowei;LI Jingyi;XU Ziwei;NING Jing;LI Yisheng;CHEN Jing(Department of Gynecology of Traditional Chinese Medicine,Shanghai Municipal Hospital of Traditional Chinese Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China;Reproductive Medicine Center,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China)
出处
《上海中医药杂志》
CSCD
2024年第11期73-77,共5页
Shanghai Journal of Traditional Chinese Medicine
基金
上海市卫健委促进市级医院临床技能与临床创新能力三年行动计划项目(2020年-2022年)(SHDC2020CR4056)
上海市卫健委2020年度“科技创新行动计划”医学创新研究专项项目(20Y21901400、20Z21900400)
上海市中医医院未来计划(2021年)传承人才项目(WLJH2021ZY-MZY035)
上海医学创新发展基金会未来计划项目(WLJH2022ZY-GZSA004)
关键词
多囊卵巢综合征
不孕
通轴调神
针药结合
专家经验
polycystic ovary syndrome
infertility
dredging reproductive axis and regulating spirit
combination of acupuncture and medicine
expert experience
