中医药治疗不孕症辨证体会及验案两则

Experience of syndrome differentiation in TCM treatment of infertility and two successful cases

在古代,中医对不孕症已经有了较深入的认识,从命名、病因、病机、治疗、预后、保养等方面都有独到的见解,中医认为其病因主要责之于肝脾肾、冲任、胞宫;病机涉及冲任失调、肝肾不足、脾虚湿盛等;病位在胞宫;根据中医整体观念和辨证论治的理论,不孕症是全身问题的体现,因此其治疗多是全身调理。不孕症的中医药治疗源远流长,中医药在治疗不孕症方面有独到的优势,在尊古的基础上,借鉴现代医学的手段,使处方、用药更有针对性,往往取效快捷。多年致力于中西医结合治疗妇科疾病的研究,成功治愈多名不孕症患者,子宫内膜薄性不孕和输卵管不通所致不孕在临床上较为常见,其病程长,医患双方都需要有信心,才可能有好的效果。

In ancient times,Chinese medicine has already had a deeper understanding of infertility,and TCM has its original views on the naming etiology,pathogenesis,treatment,prognosis and maintenance of infertility,Chinese medicine believes that its etiology is mainly due to the imbalance between the liver,spleen and kidney,Chong and Ren(冲任);The pathogenesis involves the imbalance of Chong and Ren,liver and kidney insufficiency,spleen deficiency,dampness and fullness,etc.The disease is located in the cytosol.According to the holistic concept of traditional Chinese medicine and the theory of treatment based on syndrome differentiation,infertility is the embodiment of systemic problems,so its treatment is mostly systemic conditioning.Traditional Chinese medicine has a long history of infertility treatment,and it has unique advantages in the treatment of infertility.On the basis of respecting the ancient experience,we need drawing lessons from the means of modern medicine,so that prescription drugs are more targeted,which often takes effect quickly.The author of this paper has been devoted to the research on the treatment of gynecological diseases with the combination of traditional Chinese and western medicine for many years,and has successfully cured many cases of infertility patients.Endometrial thin infertility and tubal obstruction induced infertility are common in clinical practice,and they have a long course,therefore,both doctors and patients need to have confidence to achieve a good effect.