从两期三循八法论治不明原因复发性流产经验

Experience in Treating Unexplained Recurrent Miscarriage from Two Phases,Three Principles and Eight Methods

复发性流产是妇产科常见妊娠并发症之一,病因错综复杂,甚至半数以上患者病因不明,称为不明原因复发性流产。其相关治疗方案受到广大学者关注。中医药治疗本病有独特性优势。邓阿黎教授在长期临床实践中总结出“两期三循八法”治疗不明原因复发性流产,即从“孕前和孕后”两期着手,遵循“预培其损、治病安胎、中西合参”三大原则,恪守孕前“清、培、调、疏”与孕后“活、健、凉、和”八大治法,能有效改善不明原因复发性流产患者不良症状和降低流产率。现归纳总结邓阿黎教授治疗不明原因复发性流产临床经验,以飨同道。

Recurrent miscarriage is one of the common pregnancy complications in obstetrics and gynaecology,with complex etiology,even more than half of the patients have unknown etiology,which is called unexplained recurrent miscarriage.Its related therapeutic options have attracted the attention of scholars.Traditional Chinese medicine(TCM)has unique characteristics and advantages in treating this disease.Professor Deng Ali summed up the“two-phase,three-principles,eight-phase”treatment of unexplained recurrent miscarriage in his long-term clinical practice,starting from the“pre-pregnancy and post-pregnancy”phases,following the three major principles of“pre-cultivation of its loss,treatment of the disease to stabilise the foetus and combination of Chinese and Western medicine”.In other words,starting from the“pre-pregnancy”and“post-pregnancy”periods,following the three major principles of“pre-cultivation of its damage,treatment of disease and foetal safety,and combination of Chinese and Western medicines”,and adhering to the eight major treatments of“clearing,cultivating,regulating,and sparing”in pre-pregnancy periodand“activating,strengthening,cooling,and harmonising”in post-pregnancy period,the treatment is able to improve the adverse symptoms of patients with recurrent miscarriages of unknown origin and reduce the rate of miscarriage effectively.The clinical experience of Professor Deng in treating unexplained recurrent miscarriage is summarised as follows for the benefit of his colleagues.