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启宫丸源流考

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启宫丸最早记载于《医方集解》,是治疗"肥盛不孕"的著名方剂,燥湿健脾化痰,理气疏肝消滞.沿用至今,临床广泛用于多囊卵巢综合征(PCOS)不孕的治疗,疗效明显,并被收录于中医妇科学教材中.通过对古籍、现代医书及临床应用进行系统梳理分析,对其原文出处、组成、剂量、用法炮制、功能主治、组方特点进行考证和分析.启宫丸通胞脉之壅滞、启胞宫之闭塞.目前临床还用于输卵管积水性不孕、肥胖、代谢性疾病、脂肪肝等的治疗,异病同治,辨证属痰湿证.本研究为其临床应用及二次开发提供依据.
Research on Origin and Development of Qigong Pill
Qigong Pill,first recorded inYifang Jijie,is a famous prescription for the treatment of"obesity-related infertility".It has the effect of drying dampness,strengthening spleen,removing phlegm,regulating qi,soothing liver and eliminating stagnation.Up to now,it is still widely used in the clinical treatment of infertility related to polycystic ovary syndrome(PCOS),with remarkable effi-cacy,earning a place in the textbook of gynecology of traditional Chinese medicine.Through a systematic review and analysis of ancient books,modern medical books and clinical application,this study investigated the origin,composition,dosage,processing re-quirements,main functions and prescription characteristics of Qigong Pill.Qigong Pill can unblock the obstruction of cellular veins and uterus.At present,it is also used for the treatment of hydrosalpinx-related infertility,obesity,metabolic diseases,fatty liver,etc addressing diverse conditions with a common focus on treating phlegm-dampness syndrome.This study provides reference and basis for its clinical application and further development of Qigong Pill.

Qigong PillHistorical evolutionPrescription researchInfertilityPolycystic ovary syndromePhlegm-dampness

董双千、赵帅、李明、张建伟

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北京中医药大学东方医院,北京,100078

山东中医药大学,济南,250355

北京中医药大学中医学院博士后流动站,北京,100029

山东中医药大学附属医院,济南,250011

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启宫丸 历史沿革 处方考证 不孕 多囊卵巢综合征 痰湿

国家自然科学基金青年科学基金项目北京中医药大学新教师启动基金项目

821049142022-JYB-XJSJJ-070

2024

世界中医药
世界中医药学会联合会

世界中医药

CSTPCDCHSSCD北大核心
影响因子:1.266
ISSN:1673-7202
年,卷(期):2024.19(3)
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