谈勇治疗血栓前状态致复发性流产经验

TAN Yong’s Experience in Treating Recurrent Spontaneous Abortion Caused by Pre-thrombotic State

总结谈勇治疗血栓前状态(PTS)致复发性流产(RSA)的经验。谈勇认为PTS致RSA病机多属于肾虚血瘀,治疗宜采用补肾活血法。治疗本病有两个关键点:首先,孕前预培其损,未病先防,调补冲任,培补其源。在滋阴补阳序贯疗法基础上,以经后期补肾滋阴,经前期补肾助阳为总原则,佐以少量活血化瘀药物,以期达到阴平阳秘状态,常用寿胎丸、毓麟珠、左归丸、归芍地黄汤、当归芍药散、自拟补肾活血汤等。其次,孕后采用补肾安胎、养血化瘀方法,结合国医大师夏桂成提出的"3、5、7奇数律"理论,辨证论治,常用寿胎丸、滋肾育胎丸、泰山磐石散合桂枝茯苓丸等。附验案1则进一步论述谈勇治疗本病的特色。

This article aims to summarize TAN Yong’s experience in the treatment of recurrent spontaneous abortion(RSA) caused by pre-thrombotic state(PTS). TAN Yong believes that the pathogenesis of RSA caused by PTS mostly belongs to kidney deficiency and blood stasis,and the treatment should adopt the method of tonifying kidney and activating blood. For the treatment of this disease,there are two key points.First,prevention of diseases should be taken before pregnancy to regulate and reinforce Chong and Ren so as to increase vitality. Base on the sequential therapy of nourishing yin and tonifying yang,the principle is reinforcing kidney and nourishing yin for delayed menstruation and reinforcing kidney and strengthening yang for early menstruation,adding a little herbs of promoting circulation and removing stasis to reach relative equilibrium of yin-yang. Shoutai Pill,Yuling Pill,Zuogui Pill,Guishao Dihuang Decoction,Danggui Shaoyao Powder,Self-designed Bushen Huoxue Decoction were usually used. Second,tonifying kidney for preventing miscarriage,nourishing blood and promoting circulation were used to prevent miscarriage. Treatment was based on the theory of "3,5,7 odd number",which was put forward by XIA Guicheng,master of traditional Chinese medicine. Shoutai Pill,Zishen Yutai Pill,Taishan Panshi Powder combined with Guizhi Fuling Pill were usually used. One medical case was presented to analyze the characteristics of TAN Yong’s treatment of this disease.