摘要
对多囊卵巢综合征(PCOS)合并复发性流产(RAS)的病因病机及治疗方法进行综合分析,总结其发病以肾虚为本,心肝郁火、痰湿、瘀血为标;治疗应分孕前和孕后两个阶段进行。具体治疗为孕前预培其损,补肾调周治其本,结合疏肝清心、活血祛瘀、燥湿化痰治其标,标本兼顾,调整卵巢功能;孕后及早中药补肾安胎,结合西药黄体支持治疗,预防妊娠丢失。该方法将治未病思想贯穿全程,可为PCOS合并RAS的有效治疗策略。
This paper takes comprehensive analysis of syndrome （PCOS） complicated with recurrent spontaneous etiology, pathogenesis and treatment of polycystic ovary abortion （RAS）. It also summarizes that the cause is kidney deficiency and the symptoms are stagnant fire in heart and liver, phlegm-dampness and blood stasis. Treatment includes two stages, which are pre-pregnancy stage and after pregnancy stage. Concrete therapy includes treating the causes by strengthening the deficiency in advance, reinforcing kidney and regulating menstrual cycle, combined with treating the symptoms by soothing liver, relieving heart, activating blood, removing stasis, drying dampness and dispersing phlegm, and treating both causes and symptoms to regulate ovarian function in pre-pregnancy stage. After patient is pregnant, treatment of reinforcing kidney and calming fetus with Chinese herbs combined with West Medi- cine of corpus luteum support therapy should be applied as early as possible to prevent miscarriage. This method followed the thought of preventive treatment of disease and could be effective therapeutic strategy of PCOS complicated with RAS.
出处
《中医杂志》
CSCD
北大核心
2015年第16期1382-1385,共4页
Journal of Traditional Chinese Medicine
关键词
多囊卵巢综合征
复发性流产
病理机制
治疗策略
polycystic ovary syndrome
recurrent spontaneous abortion
pathological mechanism
therapeutic strategy
