| 朱珍,范欢欢.夏桂成教授调补精阴精阳治疗卵巢储备功能减退经验探赜[J].浙江中医药大学学报,2023,47(7):742-747. |
| 夏桂成教授调补精阴精阳治疗卵巢储备功能减退经验探赜 |
| Experience of Professor XIA Guicheng in Treatment of Diminished Ovarian Reserve by Adjusting Essence-Yin and Essence-Yang Z |
| DOI：10.16466/j.issn1005-5509.2023.07.006 |
| 中文关键词: 卵巢储备功能减退 调补精阴精阳 心(脑)-肾-子宫轴 调周法 名医经验 夏桂成 |
| 英文关键词: diminished ovarian reserve nourish the essence Yin and Yang heart(brain)-kidney-uterus axis regulating circumference experience of famous doctor XIA Guicheng |
| 基金项目:江苏省中医临床医学创新中心项目(ZX202102)；浙江省中医药科技计划项目(2022ZB066) |
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| 摘要点击次数: 2026 |
| 全文下载次数: 854 |
| 中文摘要: |
| [目的] 总结国医大师夏桂成教授治疗卵巢储备功能减退(diminished ovarian reserve，DOR)的临证经验。[方法] 通过临床学习、收集整理和总结分析夏老基于“心(脑)-肾-子宫轴学说”及“六阴六阳”理论对DOR病因病机的认识，阐述夏老治疗本病的方案和独到之处，并举验案加以验证。[结果] “心(脑)-肾-子宫轴学说”及“六阴六阳”理论是夏老的独创理论，强调心的君主地位，认为天癸是心(脑)与肾交合下所分泌的物质，六阴、六阳是天癸最基本的物质，其核心是精阴、精阳，且夏老认为心肾相交，水火既济，精神互用，才能维持健康的生殖节律。以此辨治，夏老认为DOR的主要病因病机是心肾失交，天癸乏源，精阴精阳不足，治疗上采用宁心调周、滋阴助阳法，强调以人为本，用药之余重视心理疏导，未病先防，运用自拟经验方滋阴育精汤经后期调补精阴，加减茯苓补心汤经前期调补精阳，灵活化裁，效果显著。文中所举医案证属心肾不交，夏老从宁心实肾、调补精阴精阳着手，结合调周法辨证施治，终获良效。[结论] 国医大师夏桂成教授基于“心(脑)-肾-子宫轴学说”及“六阴六阳”理论，对DOR病因病机的认识及治疗均具独到见解，为中医药调控生殖节律健康，治疗DOR提供了新的思路，疗效确切，值得临床推广。 |
| 英文摘要: |
| [Objective] To summarize the clinical experience of traditional Chinese medicine Master XIA Guicheng in the treatment of diminished ovarian reserve(DOR). [Methods] Through learning from the Professor XIA， collecting and summarizing the understanding of the etiology and pathogenesis of DOR based on theories of “heart(brain)-kidney-uterus axis” and “six Yin and six Yang” by Professor XIA， it expounded the scheme and uniqueness of Professor XIA’s treatment of the disease. Furthermore，it reported a test case to analyze and verify Professor XIA’s theories and experience. [Results] These theories are originally created by Professor XIA， which emphasize the monarchical status of the heart， and he believes that Tiangui is the substance merged and secreted by the heart(brain) and kidney. Six Yin and six Yang are the most basic substances of Tiangui， and its core is essence-Yin and essence-Yang. In addition， Professor XIA believes that the key to maintain a healthy reproductive rhythm is to achieve the heart-kidney merging， water-fire combination， and heart(brain)-kidney interaction. To analyze the syndrome differentiation with these theories， Professor XIA believes that the main etiology and pathogenesis of DOR is disharmony of the heart and kidney， which leads to insufficient production of Tiangui and the insufficiency of both essence-Yin and essence-Yang. Professor XIA uses the method of tranquilizing the mind and regulating menstrual cycle， and the therapy of nourishing Yin and tonifying Yang to treat DOR. At the same time， he quitely emphasizes the concept of people-oriented. Furthermore， he also pays attention to the psychological counseling of patients in addition to medication. After menstruation， Ziyin Yujing Decoction is used to tonify essence-Yin; before menstruation，modified Fuling Buxin Decoction is used to tonify essence-Yang， modified flexibly with remarkable effect. The case listed in this study belonged to the type of disharmony between heart and kidney， Professor XIA started from tranquilizing the mind， strengthening the kidney， adjusting the essence-Yin and essence-Yang， combined with the method of regulating menstrual cycle， and finally achieved good therapeutic effect. [Conclusion] Based on theories of “heart(brain)-kidney-uterus axis” and “six Yin and six Yang”， Professor XIA has unique views on the etiology， pathogenesis and treatment of DOR， providing a new idea for the treatment of DOR and the regulation of reproductive rhythm and health by TCM， which was effective and worthy to generalize in clinic. |
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