【摘要】 [目的]分析和探讨不孕症的中西结合治疗。[方法]通过研读中医历代医家医案,总结不孕症的病因病机、辨证特点、治疗原则以及用药特色,结合西医的最新诊疗进展,将中西医理念融汇贯通,并举验案一例佐证。[结果]中医学认为不孕症的病机以"肾虚为本,肝郁为标",多为"虚实夹杂"之证,治疗以"补肾调经"为要,并结合女性月经周期中各期的阴阳消长变化的不同,加以"调周"治疗,同时注重中西结合,充分利用西医的研究成果,明确不孕的病因及病变部位。文中所列举病案实属虚实夹杂之证,患者先天肾虚,加之后天金刃损伤,辨证属肾虚血瘀证,结合输卵管造影及性激素报告,辨病属输卵管堵塞不孕及黄体功能不全,在中医辨证治疗基础上结合西医治疗,疗效明显。[结论]中医辨证与西医辨病结合,可以提高临床诊疗的准确性,两者互为补充,对于指导不孕症的临床实践有一定的指导意义。更多还原

【Abstract】 [Objective]Analyze and discuss the combination therapy of infertility. [Methods] Through the study of past dynasties doctors of traditional Chinese medicine basis, summarize the etiology and pathogenesis, syndrome differentiation characteristics of infertility drugs, therapeutic principles and characteristics, combined with the latest clinical progress of modern medicine, the traditional Chinese and western philosophy will converge, and a proven case. [Results] TCM considers that the pathogenesis in infertility, the kidney, liver depression as the standard of more than for the "syndrome factors", to regulate the menstrual function for "kidney" for treatment, and connecting with the woman’s menstrual cycle of each phase in the ebb and flow of Yin and Yang change, to try to "regulating cycle" treatment. Pay attention to the combination of Chinese and western, make full use of the result of modern medicine, clear the cause of infertility and pathological place. The patient in the medical case was diagnosed with syndrome of intermingled deficiency and excess. Syndrome differentiation indicated kidney deficiency and blood stasis. The case had achieved good results based on syndrome differentiation of TCM and disease differentiation of western medicine. [Conclusion] The combination of TCM syndrome differentiation and western medicine differentiation can improve the accuracy of clinical diagnosis and treatment, which is complementary to each other, and has certain guiding significance in the clinical practice of infertility.更多还原