岭南罗氏妇科治疗先兆流产合并绒毛膜下血肿的临证经验

Clinical experience of Luo's Gynecology on the treatment of threatened abortion with subchorionic hematoma

岭南罗氏妇科流派源远流长,在传承中不断创新,在调经、助孕、安胎方面颇具特色。先兆流产合并绒毛膜下血肿病因及发病机制尚不明确。岭南罗氏妇科认为先兆流产合并绒毛膜下血肿的基本病机为脾肾亏虚夹瘀,以补肾健脾、活血化瘀为基本治则,注重衷中参西,病证结合。强调养血活血而不动血,化瘀止血而不伤正。活血化瘀类药物宜选择平和之品,如丹参、鸡血藤、三七等;临证时亦需严格掌握剂量和用药时间,衰其大半而止,以免动胎伤胎。

Luo’s Gynecology has a long history,constantly innovated in inheritance,and has its own characteristics in regulating menstruation,promoting gestation and miscarriage prevention. The etiology and pathogenesis of threatened abortion combined with subchorionic hematoma are not clear. It thinks that deficiency of spleen and kidney and blood stasis is the basic pathology of threatened abortion combined with subchorionic hematoma,and benefiting kidney and spleen,promoting blood circulation to remove blood stasis is the basic treating principle in Luo’s Gynaecology’s opinion. Integrating Chinese and western medicine,combining disease with syndrome are also valued. It is emphasized that the patients should be nourished the blood and promoted blood circulation but not burnned the blood,eliminated stasis and stopped bleeding but not damaged maternal health. Mild hurbs are elected during the activating microcirculation and removing stasis medicinal herbs,such as miltiorrhiza,lignum millettiae,pseudo-ginseng. In order to avoid fetal injuries,the dosage and medication time must be strictly controlled,and treatment only needs to eliminate most of the pathogenic factors.