从肾论治卵巢储备功能减退的解析及应用

Analysis and Application of Treating Diminished Ovarian Reserve from Kidney

肾藏精,主生殖,对女性的卵巢储备功能有着重要的影响,主要体现在月经的至竭及胎孕的成败等方面。现代学者多认为卵巢储备功能减退(Diminished ovarian reserve,DOR)的主要病机与肾藏精功能失调相关,中药具有多系统、多靶点、多环节的整体调节功能,通常在补肾的基础上应用健脾、疏肝、活血、养阴、清心、温阳、调补冲任等中医药治疗DOR引起的月经病及不孕症,从根本上调节肾功能失调,纠正肾-天癸-冲任-胞宫的生殖功能,提高卵巢的储备功能,有效治疗DOR引起的月经失常及胎孕异常。文章总结了现阶段中医药从肾论治DOR的理论基础和临床应用,以期为中医药治疗DOR提供经验。

The main function of kidney is to collect essence and to advocate procreation,which has important influence to female ovarian reserve function,mainly reflected in menstruation and exhaustion,as well as the formation and failure of pregnancy.Most modern scholars believe that the main pathogenesis of diminished ovarian reserve(DOR)is related to the dysfunction of kidney essence storage.On the basis of kidney tonifying,traditional Chinese medicine is applied to treat the menstrual diseases and infertility caused by DOR.This paper briefly discusses the theoretical basis and clinical application of the treatment of DOR with kidney in order to provide experience summary for the treatment of DOR with traditional Chinese medicine.