陈霞教授辨治宫腔粘连经验探赜
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摘要
[目的]总结陈霞教授辨治宫腔粘连的学术思想及临床经验。[方法]通过跟陈霞教授临诊,整理研习陈师治疗宫腔粘连的病案,从病因病机、治疗方法、组方用药及临床治疗特色等各方面总结陈师治疗本病经验,并举验案佐证。[结果]对于宫腔粘连,陈霞教授究其源,认为本病的基本病因病机为"肾虚为本、血瘀为标",属于典型的虚实夹杂之证,以"补肾滋膜,活血治炎"为治疗大法,自拟"补肾化瘀方"。同时,陈师认为治疗本病还应根据月经不同时期阴阳消长、气血盈亏的变化规律,周期性调整用药,强调经期治标实,宜清宜散宜消,非经期调本虚,宜补宜滋宜养。此外陈师注重中西结合,辅以心理疏导。[结论]陈师治疗宫腔粘连经验丰富,效如桴鼓,能够有效地改善月经情况,提高妊娠率,值得临床推广。
[Objective]Sum up the academic thought and clinical experience of Professor CHEN Xia syndrome differentiation of intrauterine adhesion[Methods]By learning from CHEN Xia and studying the medical record of intrauterine adhesion, sum up the clinical experience of Professor CHEN Xia from etiology and pathogenesis, therapeutic methods, administered medical herbs and prescription,and features of the clinical treatment. [Results]For intrauterine adhesions caused by artificial abortions, Professor CHEN considered that this disease took deficiency of kidney as original cause and blood stasis as the superficial cause.And in accordance with the pathogenesis,Professor Chen pointed out that the basic big law of treatment was tonifying kidney to nourish the endometrium and removing blood stasis to anti-inflammatory reaction,and developed a prescription named "Bushen Huayu formula".What's more, Professor CHEN is deft at staging treatment and tonifying kidney and regulating menstrual cycle. In the menstrual period, Professor CHEN emphasizes the points that it is better to clear heat and activate blood; In the non-menstrual period, she attaches importance to tonify kidney. Meanwhile,Professor CHEN proposes to integrate Chinese and western medicine therapy and combine with psychotherapy. [Conclusion]Professor CHEN 's rich experience in clinical medicine is worth clinical promotion.
[Objective]Sum up the academic thought and clinical experience of Professor CHEN Xia syndrome differentiation of intrauterine adhesion[Methods]By learning from CHEN Xia and studying the medical record of intrauterine adhesion, sum up the clinical experience of Professor CHEN Xia from etiology and pathogenesis, therapeutic methods, administered medical herbs and prescription,and features of the clinical treatment. [Results]For intrauterine adhesions caused by artificial abortions, Professor CHEN considered that this disease took deficiency of kidney as original cause and blood stasis as the superficial cause.And in accordance with the pathogenesis,Professor Chen pointed out that the basic big law of treatment was tonifying kidney to nourish the endometrium and removing blood stasis to anti-inflammatory reaction,and developed a prescription named "Bushen Huayu formula".What's more, Professor CHEN is deft at staging treatment and tonifying kidney and regulating menstrual cycle. In the menstrual period, Professor CHEN emphasizes the points that it is better to clear heat and activate blood; In the non-menstrual period, she attaches importance to tonify kidney. Meanwhile,Professor CHEN proposes to integrate Chinese and western medicine therapy and combine with psychotherapy. [Conclusion]Professor CHEN 's rich experience in clinical medicine is worth clinical promotion.
引文
[1]中华医学会妇产科学分会.宫腔粘连临床诊疗中国专家共识[J].中华妇产科杂志,2015,50(12):881-887.
[2]Rein DT,Schrnidt T,Hess AP,et al.Hysteroscopic management of residual trophoblastic tissue is superior to ultrasound-guided curettage[J].J Minim Invasive Gynecol,2011,18(6):774-778.
[3]Yu D,Wong YM,Cheong Y,et al.Asherman syndrome:one century late[J].Fertil Steril,2008,89(4):759-779.
[4]Yu D,Li TC,Xia E,et al.Factors affecting reproductive outcome of hysteroscopic adhesiolysis for Asherman’s syndrome[J].Fertil Steril,2008,89(3):715-722.
[5]Roy KK,Baruah J,Sharma JB,et al.Reproductive outcome following hysteroscopic adhesio,lysis in patients with infertility due to Asherman’s syndrome[J].Arch Gynecol Obstet,2010,281(2):355-361.
[6]夏桂成,谈勇,赵可宁.妇科方药临证心得十五讲[M].北京:人民卫生出版社,2014:30-79.
[7]陈舒婧,周丽.张萍青治疗人流术后月经过少的临床经验[J].现代中医药,2013,33(6):7-8
[8]徐雅珍,陈霞.陈霞治疗人工流产术后月经过少的临床经验[J].陕西中医,2015,12(36):1635-1637
[9]陈春,张淑丽.红花等10种中药的雌激素活性研究分析[J].中国医药指南,2011,9(14):296-297.
[2]Rein DT,Schrnidt T,Hess AP,et al.Hysteroscopic management of residual trophoblastic tissue is superior to ultrasound-guided curettage[J].J Minim Invasive Gynecol,2011,18(6):774-778.
[3]Yu D,Wong YM,Cheong Y,et al.Asherman syndrome:one century late[J].Fertil Steril,2008,89(4):759-779.
[4]Yu D,Li TC,Xia E,et al.Factors affecting reproductive outcome of hysteroscopic adhesiolysis for Asherman’s syndrome[J].Fertil Steril,2008,89(3):715-722.
[5]Roy KK,Baruah J,Sharma JB,et al.Reproductive outcome following hysteroscopic adhesio,lysis in patients with infertility due to Asherman’s syndrome[J].Arch Gynecol Obstet,2010,281(2):355-361.
[6]夏桂成,谈勇,赵可宁.妇科方药临证心得十五讲[M].北京:人民卫生出版社,2014:30-79.
[7]陈舒婧,周丽.张萍青治疗人流术后月经过少的临床经验[J].现代中医药,2013,33(6):7-8
[8]徐雅珍,陈霞.陈霞治疗人工流产术后月经过少的临床经验[J].陕西中医,2015,12(36):1635-1637
[9]陈春,张淑丽.红花等10种中药的雌激素活性研究分析[J].中国医药指南,2011,9(14):296-297.