刘瑞芬教授治疗卵巢储备功能减退经验探析

Experience of Professor Liu Ruifen in the Treatment of Diminished Ovarian Reserve

卵巢储备功能减退为妇科常见病、多发病,困扰女性身心健康。现代医学认为其发病与遗传、感染、免疫、环境、心理及医源性等因素相关,治疗多采用激素替代疗法、脱氢表雄酮、辅助生殖技术等,短期效果肯定,但是有停药后复发、长期用药增加远期并发症等风险。中医注重整体观念,个体化辨证施治,优势突出。刘瑞芬教授认为本病发生的根本病机是脾肾两虚兼血瘀肝郁,虚实夹杂,以虚为主;用药以补肾健脾为主,同时兼顾调理气血、和调五脏,并分期论治。

Diminished ovarian reserve(DOR)is a common and frequent gynecological condition that plagues women’s physical and mental health.Modern medicine believes that its development is related to genetic,infectious,immune,environmental,psychological and medical factors,and treatment is mostly based on hormone replacement therapy,dehydroepiandrosterone and assisted reproduc-tion techniques.Traditional Chinese medicine focuses on a holistic concept and individualized treatment,with outstanding therapeutic advantages.Professor Liu Ruifen believes that the underlying pathogenesis of the disease is a deficiency of the spleen and kidneys combined with blood stasis and liver depression,and that deficiency is mixed with reality.The medicine is mainly to tonify the kidneys and strengthen the spleen,while taking into account the regulation of qi and blood,harmonizing the five organs and treating in stages.