堕胎小产的源流

Origin of Abortion and Miscarriage

系统梳理历代重要医籍,对堕胎、小产的源流进行考证。自秦汉至明清对妊娠胎儿流产的认识逐渐清晰。将其病因病机整理概括为禀赋不足、气血亏虚、房事不节、情志不调、起居不慎、瘀血占位、饮食失宜等7类。将治法概括为补中益气法、凉血补虚法、补血益气法、理气散瘀法、补肾安胎法等5种,以期方便查阅及指导临床。

This paper systematically analyzed the origin of abortion and miscarriage in traditional Chinese medicine books.The understanding of abortion and miscarriage was gradually clear from Qin and Han to Ming and Qing.The etiology and pathogenesis of abortion and miscarriage were summarized into seven categories:constitutional deficiency,qi and blood deficiency,intemperance in sexual life,moodiness,irregular life,predominant blood stasis,and improper diet.The treatment principles were mainly tonifying middle and replenishing qi,cooling blood and tonifying deficiency,tonifying blood and replenishing qi,regulating qi and dissipating stasis,and tonifying kidney and preventing abortion.This paper facilitated the reference and clinical guidance.