韩延华教授诊治母儿血型不合经验撷菁

Experience of Professor Han Yanhua in the diagnosis and treatment of maternal-fetal blood group incompatibility

全国名老中医韩延华教授诊治母儿血型不合经验丰富,认为母儿血型不合多属本虚标实之证。脾肾亏虚、冲任失养、封藏失职为本;湿、热、毒熏蒸为标。针对此病,孕前应祛除余邪,预培其损,未病先防;孕早期治病与安胎并举,补肾健脾安胎,兼以清利湿热;孕晚期以清利湿热为主,佐以活血化瘀。本文结合韩延华教授诊治母儿血型不合验案,阐述韩延华教授的学术思想以及辨治本病的临证思路,遣方用药,以期对临床诊治有所启发。

The national traditional Chinese medicine master Professor Han Yanhua has enriched experience in maternal-fetal blood group incompatibility,and believes that maternal-fetal blood group incompatibility is mainly the syndrome of root deficiency and tip excess.Deficiency of spleen and kidney,thoroughfare vessel and conception vessel malnutrition,dereliction of duty in storage are root;steaming of humid,hot,and toxin are tip.For this disease,the remaining evils should be eliminated before pregnancy,the damage should be pre-treated,and the disease should be prevented first;treating disease and tranquilizing fetus to prevent miscarriage should be carried out in early pregnancy,invigorating kidney and spleen and tranquilizing fetus to prevent miscarriage,and clearing damp-heat at the same time;late pregnancy is mainly to clear damp-heat,accompanied by activating blood and resolving stasis.This article combines Professor Han Yanhua’s diagnosis and treatment of maternal-fetal blood group incompatibility cases,expounds Professor Han Yanhua’s academic thoughts and clinical ideas for differentiation and treatment of the disease,prescriptions and medications,in order to inspire clinical diagnosis and treatment.