|
基于“衰其大半而止”探讨活血化瘀中药在复发性流产中的应用
《中国中医药现代远程教育》[ISSN:1672-2779/CN:11-5024/R]文章信息/InfoTitle:基于“衰其大半而止”探讨活血化瘀中药在复发性流产中的应用 卷期:2025年23卷16期 作者:黄旨涵 刘英莲* 海南医学院中医学院,海南 海口 571199 Author(s):HUANG Zhihan LIU Yinglian* Hainan Medical College TCM college, Hainan Haikou 571199 关键词:活血化瘀;复发性流产;衰其大半而止;RSA Keywords: Promoting blood circulation and removing blood stasis;Recurrent abortion;Enfeeble it until the half;RSA 摘要:中医认为凡堕胎或小产连续发生3次或以上者,称为“滑胎”,亦称“数堕胎”[1],即为西医复发性流产(RSA),而瘀血阻滞胞宫可直接或间接导致复发性流产,随着现代医学的讨论深入,灵活运用活血化瘀药物在复发性流产病症治疗中已获得认可,并已逐渐运用于临床中;本篇主要基于“预培其损”以及“衰其大半而止”的理论思想,探讨活血化瘀药物在复发性流产中的积极应用,为复发性流产的临床治疗提供理论依据。
AbstractObjective:Traditional Chinese medicine believes that abortion or miscarriage occurring three or more times in a row is called "miscarriage", also known as "multiple abortion" [1]. That is recurrent abortion (RSA) in Western medicine. Blood stasis blocking the uterine cell can directly or indirectly lead to recurrent abortion. With the in-depth discussion of modern medicine, the flexible use of blood-activating and blood-stasis drugs has been recognized in the treatment of recurrent abortion. And has been gradually used in clinical; Based on the theory of "pre-damage" and "enfeeble it until the half", this paper discusses the active application of drugs to promote blood circulation and remove blood stasis in recurrent abortion, and provides theoretical basis for the clinical treatment of recurrent abortion.
中医认为凡堕胎或小产连续发生3次或以上者,称为“滑胎”,亦称“数堕胎”[1],相当于西医学的复发性流产(RSA)。RSA病因繁杂,西医认为早期RSA可能与胚胎染色体异常、内分泌因素如黄体功能不足、甲减、免疫功能异常等相关;晚期RSA常见于生殖器官解剖异常、自身免疫异常及血栓形成前状态等诸多因素[2-3]。近年来,随着RSA发生率增涨,妇科医学界高度重视血栓前状态与复发性流产之间的关系。
参考文献/References:[1]冯晓玲,张婷婷.中医妇科学[M].北京:中国中医药出版社,2021:169. [2]谢幸,孔北华,等.妇产科学(第9版)[M].北京:人民卫生出版社,2019:72. [3]自然流产诊治中国专家共识编写组.自然流产诊治中国专家共识(2020 年版)[J]. 中国实用妇科与产科杂志,2020,36( 11 ):1082-1090. [4]解丽菲,欧飞微,陈叶洁,等.补肾活血法治疗复发性流产血栓前状态研究进展[J].河南中医,2020,40(04):629-632.
|
|