蔡连香教授治疗复发性流产

Professor Cai's therapy for recurrent spontaneous abortion

蔡连香教授认为,复发性流产肾虚是发病之本,同时脾肾两虚导致冲任不固,胎元失养,胎失所系,故屡孕屡堕。临证采用孕前论治,预培其损,排卵期前治以补肾健脾,常用药物有菟丝子、熟地黄、炙龟板、女贞子等,排卵期后治以补肾助阳,健脾疏肝,常用药物有巴戟天、淫羊藿、鹿角霜等;孕后安胎,以固胎元,补肾常用药物有寿胎丸、杜仲、女贞子、旱莲草等,健脾常用药物有党参、太子参、山药、白术等,同时运用现代医学检测手段,中西合用;并病证结合,融古汇今,采用补肾健脾法贯穿治疗始终。

Professor Cai considered kidney deficiency is the mot cause of the recurrent spontaneous abortion. Besides, the de- ficiency of spleen and kidney leads to Chong-Ren debility and the fetus＇s lack of nutrients, which are related to the abortion. That＇s the reason why abortion always occurs after pregnancy. She decided to treat the disease before the pregnancy according to her clinical experience. In order to heal the damage, commonly used drugs like dodder, Radix Rehmanniae Preparata, grilled tortoise plastron and glossy privet fruit are used before ovulation to tonify kidney and spleen; Morinda officinalis, epimedium, comu cervi degelatinatum and so on are used after ovulation to enrich the kidney and strengthen Yang-qi, as well as invigorate spleen and soothe liver. In order to prevent miscarriage and steady the fetus after pregnancy, shoutai pills, Eucommia ulmoides, glossy privet fruit, Eclipta alba and so on are used to tonify the kidney and Codonopsis pilosula, radix pseudostellariae, Chinese yam, Atractylodes and so on are used to invigorate the spleen. At the same time, she uses modem medical detection method and combines the TCM and western medicine. With the combination of disease and syndrome, the past and the present, she adopts the therapy of nourishing spleen and kidney throughout the treatment.