从脾胃论治先兆流产

Diagnosis and Treatment of Threatened Abortion from Spleen and Stomach

先兆流产是妇科常见病、多发病之一,其临床辨证多从肾虚、血热、血瘀入手,笔者认为脾胃为气血生化之源,后天之本,更司脏腑气机升降之枢纽,而气能载胎,血能养胎,因此脾胃功能失常与先兆流产有着重要的影响。笔者通过从脾胃与胞宫、先兆流产的生理关联、病理联系论证从脾胃论治先兆流产的理论基础,并阐述其辨证要点,以及古代医家、现代学者关于脾胃与先兆流产的认识及临床方药治疗。

Threatened abortion is one of common and frequent occuring illnesses in department of gynaecology. Its diagnosis is often the deficiency of the kidney,blood-insufficiency or blood stasis. The writer thinks that the spleen and stomach is the source of Qi and blood which are the basic things for people to live,and also the key point for the movement of Qi. Besides,Qi can support the embryo,in turn the blood can nourish the embryo. Therefore,there is an important relationship between the malfunction of the spleen and stomach and threatened abortion. By the physiological relationship of the spleen and stomach and threatened abortion,this passage mainly talked about the theoretical principle from the spleen and stomach to treat threatened abortion. It also talked about the key point of the diagnosis. Besides,the passage talked about the ancient doctors and modern researchers’ opinions and cures about the spleen and stomach and threatened abortion.