从肾虚血瘀论治排卵障碍性不孕.docVIP

从肾虚血瘀论治排卵障碍性不孕 　　[摘要] 不孕症是育龄期女性的常见病，也是难治性疾病。中医药对于本病的治疗有独特优势与确切疗效，临床围绕女性所特有的“肾-天癸-冲任-胞宫”生殖轴进行辨证论治，多采用补肾之法，兼以疏肝、健脾、活血、化痰等。排卵功能障碍是造成女性不孕的主要原因之一，近年来排卵障碍性不孕的发病率也呈逐年增高趋势。肾虚血瘀是妇科疾病的常见证型，笔者经过多年的临床实践也发现，排卵障碍性不孕患者以肾虚血瘀较为多见，且通过一项单盲对照研究及科学评价证实了肾虚为排卵障碍性不孕的内在根本，血瘀是一直贯穿其始终的重要因素。肾与气血并不是彼此孤立的，而是相互作用与影响的。无论肾精不足，还是肾阴阳失调，都可以导致因虚致瘀的病机改变；肾虚与血瘀互为因果，关系密切。从肾虚血瘀论治排卵障碍性不孕，临床疗效显著，通过补肾活血可以达到泌天癸、?{冲任、促排卵和助孕安胎的目的。 　　[关键词] 肾虚血瘀； 排卵障碍性不孕 　　[Abstract] Infertility is a common disease in women of childbearing age and is also a refractory disease. Anovulatory dysfunction is one of the main causes of female infertility， and the incidence of anovulatory infertility has been increasing year by year. Traditional Chinese medicine has unique advantages and definite curative effect on the treatment of this disease.Kidney deficiency is the basic pathogenesis and blood stasis is an important factor that has been through.Flexible of tonifying the kidney and promoting blood circulation treatment of anovulatory infertility in clinic，has achieved remarkable curative effect. Kidney deficiency and blood stasis is a common form of gynecological disease. After years of clinical practice， we also found that patients with anovulatory infertility were more common with kidney deficiency and blood stasis. The kidneys and blood are not isolated from each other， but interact and influence each other.Kidney deficiency and blood stasis interact as both cause and effect，they have very close relationship.To achieve the purpose of urinary Tiangui， Chongren， ovulation and pregnancy miscarriage by tonifying the kidney and promoting blood circulation. 　　[Key words] kidney deficiency and blood stasis； anovulatory infertility 　　不孕症是育龄期女性的常见病，也是难治病。世界卫生组织预测，21世纪不孕症将成为仅次于肿瘤和心脑血管病的第三大疾病。排卵功能障碍是女性不孕的主要原因之一，多囊卵巢综合征、黄体功能不全、卵泡黄素化未破裂综合征等疾病都可以表现为排卵障碍。近年来，排卵障碍性不孕发病率也呈逐年增高趋势，中医药治疗本病有独特的优势与确切的疗效。区别于现代医学的外源性激素替代疗法，中医药可以从根本上调节女性的生殖功能，改善内分泌紊乱的状态，使患者恢复正常排卵并提高妊娠率，且远期效果较为理想。 　　中医学中并无“排卵障碍性不孕”的病名记载，将其归于“不孕症”范畴。现代医家多认为排卵障碍是多种因素综合作用的结果，常因肾虚（肾精不足、肾阴虚