运用三期进阶法治疗输卵管性不孕症经验

Experience of the Treatment of Tubal Infertility Using Three-Stage Advanced Method

认为输卵管性不孕症病位在胞脉,以瘀阻胞脉为核心病机,并根据疾病发生发展过程中的病机变化特点,提出“三期进阶法”治疗方案。一期祛邪期以外感热毒合内生湿、郁、瘀邪壅滞胞脉为病机特点,治以清热利湿、行气活血,自拟盆炎消方;二期消癥期以气血阻滞、胞脉闭塞为病机特点,治以破血行气、逐瘀通络,自拟通管方;三期扶正助孕期以胞脉瘀阻日久、肾精亏损为病机特点,治以温肾化瘀、益气养血,自拟毓麟助孕方。同时注重中西医协同诊疗,辨证与辨病相结合。

In traditional Chinese medicine, it is believed that the disease of tubal infertility is located in the uterus vessels, with stasis blocking uterus vessels as the core mechanism, and according to the characteristics of pathological changes in the course of treatment, the "three-stage advanced method" is proposed as the treatment plan. In the first stage of eliminating evil, the disease mechanism is characterized by externally-contracted heat toxin combined with endogenous dampness, stagnation and stasis in the uterus vessels, and the treatment is to clear heat and promote dampness, move qi and activate blood, and the self-prescribed Penyan Xiao Formula(盆炎消方). In the second stage of dissolving fixed abdominal mass, the disease mechanism is characterized by qi and blood stagnation and uterus vessels obstruction, and the treatment is to break up the stagnation of blood and move qi, drive away blood stasis and clear the channels, with self-prescribed Tongguan Formula(通管方). In the third stage of reinforcing healthy qi to support pregnancy, the disease mechanism is characterized by stasis of uterus vessels for a long period, and loss of kidney essence, therefore the treatment is to warm up the kidneys and eliminate the stasis, boost qi and nourish yin, with self-prescribed Yulin Zhuyun Formula(毓麟助孕方). At the same time, attention should be paid to the synergistic diagnosis and treatment of traditional Chinese medicine and Western medicines, and combination of syndrome differentiation with the identification of diseases.