谈勇教授“通因通用”法治疗复发性流产血栓前状态临证经验

Analysis of Professor Tan Yong's Experience in Treating Recurrent Abortion with the“Common Cause and Universal Use”Method for Prethrombotic Status

复发性流产是临床常见的生殖内分泌疾病,病因复杂,其中血液高凝状态——血栓前状态是导致复发性流产的常见原因。现代医学抗凝或抗血小板治疗尚缺乏相应规范,存在较多不良反应。谈勇教授认为复发性流产合并血栓前状态病机多以恶血作祟,继承国医大师夏桂成教授重视心肾-肝脾-子宫轴的学术思想,以“通因通用”法为主,孕前预培其损,孕后养血化瘀、培元安胎,并联合现代医学治疗方法,审因论治,综合调摄。将谈勇教授“通因通用”法治疗血栓前状态致复发性流产经验进行总结,并附验案一则,以飨同道。

Recurrent miscarriage is a common reproductive endocrine disease in clinical practice,with a complex etiology.Among them,hypercoagulable Prethrombotic Status is a common cause of recurrent miscarriage.Western medicine lacks corresponding standards for anticoagulation or antiplatelet therapy,resulting in adverse reactions.Professor Tan Yong believes that the pathogenesis of recurrent miscarriage complicated with pre thrombotic state is often caused by malignant blood.He inherits the academic idea of Professor Xia Guicheng,a master of traditional Chinese medicine,who values the heart kidney liver spleen uterus axis,and focuses on the“common cause”method.Pre training the damaged area before pregnancy,nourishing blood and removing stasis after pregnancy,and promoting safe pregnancy are the main methods,combined with modern Western medicine treatment methods to determine the cause and treat it comprehensively.Here is a brief summary of Professor Tan Yong's experience in treating recurrent miscarriage caused by pre thrombotic state with the concept of“universal use”,and a case study is attached for reference.