文章摘要
黄鑫,高思宇,高智.高智治疗输卵管阻塞性不孕症经验[J].浙江中医药大学学报,2021,(2):146-149.
高智治疗输卵管阻塞性不孕症经验
GAO Zhi’s Experience in Treating Tubal Obstructive Infertility
投稿时间:2020-06-15  
DOI:10.16466/j.issn1005-5509.2021.02.009
中文关键词: 不孕症  输卵管阻塞  寒证  自拟外敷方  少腹逐瘀汤  高智  名老中医经验  医案
英文关键词: infertility  tubal obstructive  the coldness pattern  self-made formulas for external application  Shaofu Zhuyu Decoction  GAO Zhi  famous TCM doctor’s experience  medical records
基金项目:国家中医药管理局全国名老中医药专家传承工作室建设项目(国中医药人教发[2014]20号);陕西省第六批老中医药专家学术经验继承工作实施方案(陕中医药发[2018]29号)
作者单位E-mail
黄鑫 榆林市中医医院 陕西榆林 719000  
高思宇 榆林市中医医院 陕西榆林 719000  
高智 榆林市中医医院 陕西榆林 719000 376489062@qq.com 
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中文摘要:
      [目的]总结高智教授治疗输卵管阻塞性不孕症的经验。[方法]通过跟师学习、师徒问答、记录病案、查阅资料的方式,从论治理论、治法治则方面分析总结高老治疗本病的学术观点和临床经验,并列举验案佐证。[结果]高老认为输卵管阻塞性不孕症多属寒证,病理过程为“寒-瘀-水”,而“寒”为根本。治疗方面,高老用中药外敷、内服结合的方法,外敷以艾叶、细辛、川椒等酒浸热敷下腹部子宫输卵管体表投影处,内服药以少腹逐瘀汤化裁,整体调节人体内环境。所举验案辨为阳虚寒凝证,高老以外敷药散寒通络,配合内服药暖宫助阳,疗效甚佳。[结论]高智教授从“寒”入手论治输卵管阻塞性不孕症,以温阳暖宫散寒、活血利水通络为主要方法,内外结合,方法简便,疗效良好,值得传承和推广。
英文摘要:
      [Objective] To summarize famous traditional Chinese medicine(TCM) doctor Professor GAO Zhi’s experience in treating tubal obstructive infertility(TOI). [Methods]Through learning from teacher, questioning and answering between teacher and apprentices, collecting clinical case records, and consulting data, this paper sorted out Professor GAO’s academic viewpoints and clinical experiences on TOI from the theory, therapeutic principle and methods, and presented one empirical case as evidence. [Results] In Professor GAO’s opinion, TOI is often a cold syndrome, and the pathological process was from coldness to blood stasis to water, with coldness as the root. From this perspective, Professor GAO treats the disease with the combination of external application of TCM and internal medicine. The external application is a mixed paste of Artemisia argyi, Asarum, Zanthoxylum bungeanum, and alcohol over the surface projection of the lower abdominal uterus and fallopian tube; the internal medicine is adjusted on the base of Shaofu Zhuyu Decoction, in order to balance overall inner body environment. The case was differentiated as deficiency of Yang and cold coagulation, and achieved good results after treated with external application drugs to dispel cold and dredge the channels and collaterals, and internal medicine to warm the uterus and tonify Yang. [Conclusion] Professor GAO treats TOI from the coldness pattern and the main method is warming Yang, warming the uterus, dispersing cold, promoting blood circulation, promoting diuresis and dredging collaterals. Combined with internal and external means, the method is simple and effective, which is worthy of inheritance and promotion.
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