中医杂志2024,Vol.65Issue(2) :219-223.DOI:10.13288/j.11-2166/r.2024.02.017

中药分期治疗在体外受精-胚胎移植控制性超促排卵方案中的应用

Staged Treatment with Chinese Herbal Medicine in a Controlled Ovarian Hyperstimulation of In Vitro Fertilization-Embryo Transfer Programme

王策 黎小斌
中医杂志2024,Vol.65Issue(2) :219-223.DOI:10.13288/j.11-2166/r.2024.02.017

中药分期治疗在体外受精-胚胎移植控制性超促排卵方案中的应用

Staged Treatment with Chinese Herbal Medicine in a Controlled Ovarian Hyperstimulation of In Vitro Fertilization-Embryo Transfer Programme

王策 1黎小斌2
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作者信息

  • 1. 广州中医药大学第二临床医学院,广东省广州市白云区机场路12号,510405
  • 2. 广东省中医院
  • 折叠

摘要

认为不孕症采用体外受精-胚胎移植(IVF-ET)控制性超促排卵方案的患者以肾虚为根本病机,以肝郁脾虚、冲任失调为关键病机.提出以补肾为主、肝脾同治为治疗大法,运用中药辅助IVF-ET控制性超促排卵方案进行分期论治.降调期治以补肾填精、健脾养肝,方以六味地黄丸加减;促排期治以温肾助阳、祛瘀养血,方以温经汤加减;移植前内膜准备期治以健脾益气、活血化瘀,方以参苓白术散加减;移植后治以健脾补肾、益气养血,方以寿胎丸或胎元饮加减.

Abstract

It is believed that kidney deficiency is the fundamental pathogenesis while liver constraint and spleen deficiency,and disharmony of chong(thorough vessel,冲脉)and ren(conception vessel,任脉)is the key pathogene-sis of infertility patients who adopted controlled ovarian hyperstimulation of in vitro fertilization-embryo transfer(IVF-ET)programme.Therefore,the method of tonifying the kidneys dominantly and treating the liver and spleen simultaneously is proposed,and Chinese herbal medicine is suggested to be used in adjuvant treatment of staged IVF-ET controlled ovrian hyperstimulation.In the regulation stage,modified Liuwei Dihuang Pill(六味地黄丸)can be used to tonify kidney and supplement essence,fortify spleen and nourish liver;in the ovulation promotion stage,modified Wenjing Decoction(温经汤)should be used to warm kidney and assist yang,dispel stasis and nourish blood;in the pre-transplantation endothelial preparation stage,modified Shenling Baizhu Powder(参苓白术散)is suggested to fortify spleen and replenish qi,invigorate blood and resolve stasis;after the transplantation stage,modified Shoutai Pill(寿胎A)or Taiyuan Decoction(胎元饮)can be taken to fortify spleen and tonify kidney,benefit qi and nourish blood.

关键词

不孕症/体外受精-胚胎移植/控制性超促排卵/辅助生殖/补肾填精/健脾养肝

Key words

infertility/in vitro fertilization-embryo transfer/controlled ovarian hyperstimulation/assisted reproduc-tive technology/tonifying kidney and supplementing essence/fortifying spleen and nourishing liver

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基金项目

广东省东莞市名中医药专家传承工作室建设项目(东卫函[2020]136号)

出版年

2024
中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子:1.464
ISSN:1001-1668
参考文献量12
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