温阳化浊法治疗不明原因复发性流产经验

Experience in the treatment of unexplained recurrent spontaneous abortion with the method of warming yang and transforming turbidity

不明原因复发性流产(unexplained recurrent spontaneous abortion,URSA)因其发病机制尚不明确,缺乏可靠、有效的临床治疗方法。夏天教授根据临床实践经验将URSA的根本病机总结为脾肾阳虚、湿浊内蕴,提出温阳化浊为治疗大法,自拟温阳化浊方,以温肾健脾、化湿蠲浊为主要治则,并注重孕前调理,预培其损,改善URSA患者的妊娠结局,临床疗效显著。简要论述温阳化浊法治疗URSA的理论和诊治思路,并举验案一则。

Due to the unclear pathogenesis of unexplained recurrent spontaneous abortion(URSA),there is a lack of reliable and effective clinical treatment.Professor XIA Tian has summarized the underlying pathogenesis of URSA as yang deficiency of the spleen and kidney and the accumulation of dampness and turbidity based on her experience in clinical practice,and proposed the primary therapeutic method of warming yang and transforming turbidity,based on which,Wenyang Huazhuo Formula has been developed by her,using warming kidney yang and strengthening the spleen to remove dampness and turbidity as the main treatment principle.She also pays attention to pre-pregnancy care,which aims to strengthen the body preemptively to prevent damage,so as to improve the pregnancy outcomes in URSA patients,with remarkable clinical efficacy.The article briefly discusses Professor XIA's theory and diagnostic and treatment ideas of warming yang and transforming turbidity for URSA and provides a verified medical record.