立足陈无择辨运论治思想探讨不孕症的中医治疗

Study of TCM in Infertility by CHEN Wuze’s Thought of Syndrome and Yun Qi Differentiation and Treatment

陈无择的辨运论治思想根源于《内经》的运气7篇,是中医学辨证论治方法学体系中的重要组成部分。通过分析天地运气格局,考察患者时气体质,辨别脏腑气血虚实,参考五行生克制化规律,根据药物性味浮沉而审察病机,遣方用药。立足陈无择的辨运论治思想,以苁蓉牛膝汤为切入点,针对不孕症之多囊卵巢综合征的有效临床案例,重新审视不孕症的中医病机,可扩大陈无择运气方的应用范围,拓展治疗不孕症的临证思路。苁蓉牛膝汤依六丁年岁木不及的运气格局所设,针对病机是水火失调,阴阳两虚,肝肾不足。基于辨运论治的临床思想,抓住虚、瘀之病机要素,参考岁木不及的运气格局特点,用于治疗多囊卵巢综合征型不孕症的治疗。

CHEN Wuze’s thoughts of syndrome and yun qi differentiation and treatment rooted in interpretation of theory of Huangdi Neijing,which is an important part of the TCM syndrome differentiation and treatment methodology system.His characteristics of thinking and treatment include analysis of the world’s yun qi pattern,inspect the patient’s constitution,identifying blood and qi within organs,reference to the rule of the five elements of restraint,according to the taste of the herbal drug,interpretation of the cause of diseases.Based on CHEN’s Thoughts of discipline yun qi differentiation and treatment,taking Congrong Niuxi decoction as the entry point,effective clinical case of polycystic ovary syndrome,re-examine the pathogenesis of infertility,so that we can expand the clinical thinking of treating infertility.Congrong Niuxi decoction was created to fourth heavenly stem year,which is weak Aged wood yun.The decoction is for the pathogenesis is the imbalance of water and fire,yin and yang deficiency,liver and kidney deficiency.Cistanche achyranthes soup can be used to cur Infertility caused by PCOS,grasping the pathogenesis of virtual and blood stasis and weaker wood yun.