子宫内膜异位症不孕的中医临床研究思路与方法课件.pptVIP

TCM VIEW 中医认为，不循正常通道——即阴道排出而逆流入盆腔的经血为“离经之血”，即是瘀血，瘀血聚结胞中，导致冲任二脉失调，或瘀血占住胞宫均可致不能摄精成孕，因此认定内异症以瘀血为基本病机。 根据内异症以血瘀为本的研究思路，临床上的治疗研究以活血化瘀为基本方法 。 According to current TCM views, Endometriosis is considered as blood stasis in the Chong and Ren channels that subsequently leads to infertility; Therefore the TCM treatment principle is to remove the stasis by promoting circulation; * 内异症不孕的中医治疗 TCM Therapy 治療原則：活血祛瘀 選藥原則：活血化瘀不動血，散結消癥不 破血，調經止血不歛濇，通調經脈以助孕，補血慎用益精藥，益氣少用壅補劑。 Treatment principle: remove the blood stasis and promote the circulation; Selecting the right herbs: Avoid herbs which strongly move blood Avoid astringent herbs Do not use too many tonifying herbs * 内异症不孕的中医治疗 TCM Therapy 1、活血化瘀消癥法 Method -1: Herbs to move blood and remove stasis 司徒仪报道，用丹参、赤芍、当归、郁金、水蛭活血化瘀，三棱、莪术、鸡内金、浙贝、鳖甲化癥散结，枳壳理气，治疗内异症不孕15例，受孕8例（妊娠率53.3%）。本方用水蛭配伍三棱、莪术会加强活血消癥之力。 Salvia , Red Peony Root , Angelica Sinensis , Curcuma Longa , Leech - to activate blood circulation. Rhizoma Sparganii, Zedoary Turmeric , Galli Corium Stomachium, Fritillary Bulb, Trio Nyx Sinensis - to disperse mass. Citrus aurtantium – to regulate blood condition. Source: study by Situ Yi - Pregnancy rate achieved: 53.3% * 内异症不孕的中医治疗 TCM Therapy 2、化瘀通腑法 Method – 2: Disperse blood stasis by Purging 王祖倩报道以醋制大黄、醋制炙鳖甲、琥珀按2∶2∶1比例制成丸剂，治疗内异症不孕患者25例，受孕8例（妊娠率32％）。本方用大黄化瘀通腑逐邪为特点。 Pills composed of Da huang (Rhubarb processed with vinigar) , Trio Nyx Sinensis (processed with vinigar) , Amber - to cure the patients with endometriosis related infertility; Pregnant rate was 32%. Reported by Wang Zuqian. * 内异症不孕的中医治疗 TCM Therapy 3、化瘀祛痰消癥法 Method – 3: Remove blood stasis, phlegm and mass 周元荣报道用大黄、血竭、三七、穿山甲、鳖甲、怀牛膝、地鳖虫化瘀消癥，海藻、薏苡仁、川贝母利湿祛痰。治疗内异症不孕17例，受孕4例（妊娠率23.55%）。本方痰瘀分消，据报道纳入治疗60例，其中巧克力囊肿患者占26例。从组方分析，本资料比较有针对性的治疗卵巢巧克力囊肿。 Rhubarb, Daemonorops draco , Panax Notoginseng, Pangolin , Trio Nyx Sinensis, Achyranthes Bidentata Bl., Eupolyphaga - to remove blood stasis and mass; Varec, Semen Coicls, Bulbus Fritillariae Cirrh