补肾祛瘀法治疗妊娠宫腔积液临床体会

Clinical Experience in Treating Pregnancy Uterine Cavity Effusion by Tonifying Kidney to Remove Blood Stasis

[目的]探讨补肾祛瘀法治疗妊娠宫腔积液的临床体会。[方法]通过研习有关妊娠宫腔积液的中医文献,并结合临床实践,论述妊娠宫腔积液的发病机理和辨证论治。[结果]妊娠宫腔积液的主要病机以肾虚为本,血瘀为标,肾虚夹瘀,冲任受损,胎元不固,临床治疗以"补肾祛瘀"为大法,并以自拟方为基本方,随症加减治疗,使肾旺血充,胎元稳固。[结论]临床上采用补肾祛瘀法治疗妊娠宫腔积液疗效确切,值得进一步深入研究。

[Objective]To explore clinical experience in treating pregnancy uterine cavity effusion by tonifying kidney to remove blood stasis. [Method] With the study of TCM literature on pregnancy uterine cavity effusion, by combining with clinical practice, it expounds pathogenesis and treatment of syndrome differentiation of pregnancy uterine cavity effusion. [Result]The main pathogenesis of this disease focuses on kidney deficiency and blood stasis which can impair Chong and Ren channels,inducing insecurity of the fetal origin, so the clinical treatment principle centers on tonifying kidney to remove blood stasis, and the self-decoction that is the basic recipe may change with symptom, making the fetal origin secure. [Conclusion] Method of tonifying kidney to remove blood stasis is quite effective for pregnancy uterine cavity effusion in clinic, and it is worth further study.