首页|应用补肾活血法治疗不孕症反复种植失败经验

应用补肾活血法治疗不孕症反复种植失败经验

Clinical Experience Applying the"Kidney-supplementing and Blood-invigorating"Method to Treat Infertility of Repeated Implantation Failure

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认为肾虚血瘀是反复种植失败(RIF)的关键病机,提出以补肾活血为基本治法,并以该法辅助体外受精-胚胎移植控制性超促排卵方案进行分期论治,即降调期侧重滋补肾阴兼疏肝活血,方用滋补肾阴之品合青蒿鳖甲汤加减;促排卵期侧重补养肾阳兼补血活血,自拟补肾促卵方加减;移植后侧重补肾填精,自拟五子衍宗固冲汤加减.同时确认妊娠后积极行保胎治疗,方用寿胎丸加减以补肾安胎.
kidney deficiency and blood stasis are believed to be the key pathogenesis of recurrent implantation failure(RIF),and therefore,it is proposed to take kidney-supplementing and blood-invigorating as the basic treat-ment method,and use it by stages to assist the controlled superovulation program of in vitro fertilization-embryo transfer(IVF-ET).The focus should be put on nourishing kidney yin,soothing the liver and invigorating blood during down-regulation period,using kidney yin-nourishing medicinals and modified Qinghao Biejia Decoction(青蒿鳖甲汤).During the ovulation induction period,the focus should be put on nourishing kidney yang,replenishing blood,and promoting blood circulation,with self-made Bushen Culuan Formula(补肾促卵方)in modifications.After transplanta-tion,it is suggested to put focus on tonifying the kidneys and replenishing essence,and self-made Wuzi Yanzong Guchong Decoction(五子衍宗固冲汤)in modifications can be used.At the same time,fetal protection treatment should be carried out for pregnant women,and modified Shou Tai Pill(寿胎丸)can be used to tonify the kidneys and calm the fetus.

infertilityrepeated planting failurein vitro fertilization-embryo transfersupplementing kidney and invigorating blood

马堃、钟观兰、张涵、何丹丹、李佳妮、李芊、高山凤

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中国中医科学院西苑医院,北京市海淀区西苑操场1号,100091

天津中医药大学

首都医科大学北京妇产医院

不孕症 反复种植失败 体外受精-胚胎移植 补肾活血

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
年,卷(期):2024.65(24)