妊娠恶阻一例治验

The Treatment Experience of Hyperemesis Gravidarum for One Case

脾胃虚弱兼气阴两虚之妊娠恶阻,女性妊娠后,胎元初凝,经血不泻,血聚养胎,胞宫内实,致使冲气上逆,胃失和降,遂发生恶阻,临床病因病机为脾胃虚弱、肝胃不和,并可继发气阴两虚的恶阻重症。予以半夏厚朴汤加味治疗,该方有下气开郁之功,同时配合贴敷涌泉穴,有降逆止呕、引火归原之意。恶阻的发病主要与脾胃肝三脏有关,最终导致胃失和降而致呕吐,本案治疗针对这三脏腑着手,辨证施治。

The qi and yin deficiency of the spleen and stomach and vomiting of pregnancy, pregnant women, fetal blood coagulation,diarrhea, blood poly child support, uterus is solid, resulting in gas Shangni, stomach disharmony, then the occurrence of vomiting,clinical etiology and pathogenesis is spleen and stomach, liver and stomach, and vomiting severe secondary deficiency. Modified Banxia Houpu decoction in the treatment of thise disease has the effect of descending qi and expelling stagnation, while sticking Yongquan, with the effect of stopping vomiting and letting the fire back to its origin. The incidence of vomiting is mainly related with the spleen, stomach and liver, eventually leads to stomach disharmony caused by vomiting. The case was treated according to the three Zang Fu organs and treated according to syndrome differentiation.