从“郁”探讨胚胎停育

Discussion on Embryo Abortion from"Depression"

胚胎的生长发育与肾、肝、脾三脏的生理功能密切相关,脏腑的功能又离不开气的推动作用。一方面,郁往往会引起气机不畅,造成人体气机失调,影响肝气疏泄、肾精藏泄和脾的运化功能,导致冲任不调、宗筋失荣、胎元失养,引起胚胎停育;另一方面,郁致气血运行受阻,可在胞宫内形成瘀血而致胚胎停育。治疗上,应以疏通气机、调畅情志为大法,注重恢复肝肾、肝脾的功能,不能单纯地补肾、补脾,更要注重肝肾、肝脾之间的相互调达,要疏补兼顾;重视备孕期补肾与活血化瘀相结合;注重与患者的沟通,关注患者的心理问题。

The growth and development of embryos are closely related to the physiological functions of kidney,liver and spleen,and the functions of zang-fu organs cannot be separated from the promotion of qi.On the one hand,depression often leads to dysfunction of qi movement,causing imbalance of human body's qi movement,affecting the functions of liver qi drainage,kidney essence storage and discharge,and spleen transportation and transformation,resulting in disharmony of Chong and Ren meridians,loss of muscle and tendon,loss of fetal nutrition,and termination of embryo reproduction.On the other hand,qi and blood circulation is blocked due to depression,which can form blood stasis in the uterus and cause embryo abortion.In the treatment,we should take dredging qi movement and regulating emotion as the main method,pay attention to the recovery of liver and kidney,liver and spleen functions,not simply tonifying the kidney and spleen,but also pay attention to the mutual adjustment between liver and kidney,liver and spleen,and give consideration to both dredging and tonifying;pay attention to the combination of nourishing kidney and promoting blood circulation and removing blood stasis during pregnancy;pay attention to the communication with patients and the psychological problems of patients.