刘金星治疗复发性流产经验

LIU Jinxing’s Experience in Treatment of Recurrent Abortion

刘金星教授认为复发性流产的病因病机主要为肾精亏虚,或兼血瘀,或兼肝郁,或兼脾虚,以致冲任胞宫失养,胎元不健,屡孕屡堕。治疗以补肾养精为基础,遵循预培其损原则,分为孕前调经和孕后安胎两部分。孕前辨证分别为肾虚血瘀证、肾虚肝郁证和脾肾不足证,以自拟方补肾养精汤为基础,依次联合补肾活血序贯法、益肾疏肝法及补肾健脾法治疗。孕后强调及早安胎,以自拟方补肾安胎饮益肾健脾,固冲安胎。并附典型病案1则。

Professor LIU Jinxing holds that the etiology and pathogenesis of recurrent abortion is mainly deficiency in kidney essence,which is combined with blood stasis,or liver depression,or spleen deficiency.As a result,it can lead to Chongren channels and uterus lacking in nourishment,and unhealthy fetus,which finally causes recurrent abortion.The basic treatment is based on tonifying the kidney and nourishing the essence.The principle of preconditioning is divided into two parts:regulating menstruation before pregnancy and stabilizing the fetus after pregnancy.The syndrome differentiation before pregnancy are kidney deficiency and blood stasis syndrome,kidney deficiency and liver stagnation syndrome and spleen and kidney deficiency syndrome respectively.Based on the self-prescribed Bushen Yangjing Decoction(补肾养精汤),the sequential method of nourishing kidney and activating blood sequential therapy,tonifying the kidney and soothing the liver,tonifying the kidney and spleen are successively combined.After pregnancy,miscarriage prevention is emphasized and self-prescribed Bushen Antai Decoction(补肾安胎饮)is given to tonify kidney and strengthen spleen,solidify Chong channel for preventing miscarriage.A typical medical case is attached.