岭南罗氏妇科肾虚血瘀型胎漏、胎动不安的治疗经验探析

The Experience of Treating Fetal Leakage or Threatened Abortion Patients with Renal Deficiency and Blood Stasis Type by the School of Luo's Gynaecology

岭南罗氏妇科擅长运用中医药治疗反复性自然流产,认为先兆流产合并绒毛膜下血肿的病机为脾肾两虚,兼有血瘀,治疗上除注重培补脾肾,还主张根据母体素质情况与瘀血病变程度,适当地选用活血化瘀药,使瘀去络通,冲任畅达,胎有所养,则胎自安。治疗上强调活血而不破血,祛瘀而不伤正,药物可选用丹参、三七、鸡血藤、蒲黄、五灵脂等活血祛瘀止血之药,从小剂量开始,严密观察,中病即止。

The School of LUO＇s Gynaecology is good at treating recurrent spontaneous abortion with traditional Chinese Medicine, it holds that spleen and kidney yin difficiency and blood stasis is the pathology of threatened abortion with subchorionic hematoma, the major treatment is reinforcing the spleen and the kidney as well as using activating microcirculation and removing stasis medicinal herbs properly according to the patientshealthy status and congestion degree to remove stasis and Huoxue Tongluo, meanwhile, conditioning chongren disharmony to anti -abortion and safe the fetus. It is emphasized that the patients should be promoted blood circulation but not expell blood stasis , eliminated stasis but not damageing maternal health. The Huoxue quyu hemostatic medicines including salviae mihiorrhizae, pseudo- ginseng , spatholobus suberctu , typhae pollen trogopterus dung ect. starting from a small dose together with careful monitoring , discontinue medication as soon as get effect .