Summary of Luo Zhijuan's Experience in Treating Recurrent Miscarriage
Professor Luo Zhijuan believes that the basic pathogenesis of recurrent miscarriage is spleen-kidney deficiency,with kidney deficiency as the fundamental cause and liver and spleen dysfunction as important factors.Professor Luo emphasizes the combination of kidney tonification with syndrome differentiation and the regulation of menstrual cycles using TCM methods.She advocates a staged,syn-drome-specific,and cycle-specific treatment approach,summarizing it as the"three-classification method."She also emphasizes the in-tegration of traditional Chinese and Western medicine,advocating the use of modern medical diagnostic techniques alongside traditional TCM diagnostics to accurately identify causes and combine disease differentiation with syndrome differentiation.Professor Luo believes recurrent miscarriage often results from injury to thorough vessel(TV)and conception vessel(CV),leading to unstable fetal qi.In clinical practice,she focuses on regulating the liver,kidney,and spleen,dividing the treatment process into two stages:pre-pregnancy and post-pregnancy.Pre-pregnancy treatment aims to restore and nourish,while post-pregnancy treatment focuses on prevention and sta-bilization.Pre-pregnancy:For kidney deficiency,Modified TV-Securing Pill is used for tonifying the kidney and supplementing qi.For the cases complicated with spleen deficiency,Modified Yulin Pill is used.For the cases combined with qi and blood deficiency,Modified Taishan Pansi Powder is used.For the cases complicated with liver qi stagnation,Modified Free Wanderer Powder combined with Six-In-gredient Rehmannia Pill is used.For the cases complicated with blood stasis,Modified Blood Mansion Stasis-Expelling Decoction com-bined with Yin-restoring Pill is used.Upon detection of pregnancy,timely fetal protection measures should be taken to ensure smooth im-plantation and early pregnancy.In clinical practice,Modified Decoction for Banking Up Earth and Consolidating the Kidney from self-made Shoutai Pill combined with Taiyuan Decoction is commonly used to invigorate the spleen and tonify the kidney and stabilize the fe-tus.Professor Luo advocates for the regulation of menstruation before pregnancy,so during the preparation for pregnancy,it is necessary to combine syndrome differentiation with menstrual cycle stages based on syndrome treatment.It is also needed to adhere to disease mechanisms,observe yin and yang,and treat holistically.
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