杨正望内外合治薄型子宫内膜不孕症经验浅析

Clinical Experience of YANG Zhengwang in Treating thin Endometrium Infertility

不孕症属于妇产科的常见病、疑难病,在育龄女性中的发生率达25%,严重影响者女性生殖健康。由于现代女性频繁的宫腔操作及激素类药物的滥用,薄型子宫内膜发病率逐渐升高,成为引起不孕症、胚胎移植失败的重要因素,其直接导致临床妊娠率及胚胎活产率的降低。目前,西医尚缺乏疗效确切的一线治疗方案,且存在诸多副作用。中医药治疗不孕症历史悠久,在长期的实践中已取得了丰富的诊治经验,疗效显著,成为治疗薄型子宫内膜不孕症的新点及热点。杨正望教授从中医理论出发,结合自身丰富临床经验,认为该病以肾虚精亏为本,胞脉瘀阻为标,治以补肾填精、活血化瘀,针对瘀血病机的不同精准选用活血药物,并循阴阳之变灵活化裁,临证配合自创灌肠方,内外合治,为临床诊治提供参考。

Infertility is a common and difficult disease in obstetrics and gynecology.The incidence rate of women of childbearing age in my country is 25%,which seriously affects the reproductive health of women.Due to the frequent uterine cavity operations and the abuse of hormonal drugs in modern women,the incidence of thin endometrium has gradually increased,which has become an important factor causing infertility and embryo transfer failure,which directly leads to the clinical pregnancy rate and embryo live birth rate.reduce.At present,Western medicine still lacks a first-line treatment plan with definite curative effect,and there are many side effects.Traditional Chinese medicine has a long history in the treatment of infertility.In the long-term practice,it has obtained rich experience in diagnosis and treatment,and the effect is remarkable.It has become a new and hot spot in the treatment of thin endometrial infertility.Starting from the theory of traditional Chinese medicine and combining with his own rich clinical experience,Professor YANG Zhengwang believes that the disease is based on kidney deficiency and essence deficiency,and blood stasis is the standard.The medicines are flexibly tailored according to the changes of yin and yang,combined with self-created enema recipes for clinical syndromes,and combined internal and external treatment to provide reference for clinical diagnosis and treatment.