文章摘要
从改善子宫内膜容受性文献厘析中药复方的治疗法则
Analysis of the therapeutic rules of Chinese herbal compounds from the literature on improving the endometrial receptivity
投稿时间:2021-01-02  修订日期:2021-01-02
DOI:
中文关键词: 子宫内膜容受性  中药复方  补肾  活血  健脾  疏肝
英文关键词: Endometrial receptivity  Chinese herbal compound  Bu shen  Huo xue  Jian pi  Shu gan
基金项目:国家自然科学基金项目(面上项目,重点项目,重大项目)
作者单位邮编
宋玙璠 华中科技大学同济医学院附属同济医院 430030
周凡茹 华中科技大学同济医学院附属同济医院中医科 
张楚 华中科技大学同济医学院附属同济医院 
李凡 华中科技大学同济医学院附属同济医院中医科 
胡茹楠 华中科技大学同济医学院附属同济医院中医科 
黄燕靖 华中科技大学同济医学院附属同济医院中医科 
张明敏 华中科技大学同济医学院附属同济医院 430030
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中文摘要:
      子宫内膜容受性不足是导致妊娠失败的关键原因之一,现代医学手段疗效有限,中医中药具有独特优势。鉴于中药复方的异质性较大,目前尚缺乏规律总结,该研究针对改善子宫内膜容受性的中药复方进行汇总和梳理。结果显示,补肾、活血、健脾、疏肝是改善子宫内膜容受性的重要法则。四物汤、四君子汤、寿胎丸等经典名方是常用打底方。其中补肾药物常用菟丝子、熟地;活血药物常用当归、丹参;健脾类药物常用茯苓、白术;而疏肝理气类药物常用香附、陈皮。临床上多基于此,针对不同疾病的病证特点进行加减治疗。
英文摘要:
      The deficiency of endometrial receptivity is one of the key factors leading to pregnancy failure. Currently, the effect of modern medicine is limited in this area, while the traditional Chinese medicine (TCM) has unique advantages. In view of the heterogeneity of TCM compounds and the lack of unified cognition, this work summarized and combed the TCM compounds in improving endometrial receptivity. Results showed that tonifying kidney, activating blood circulation, strengthening spleen, and soothing liver were the most commonly used therapeutic methods to facilitate the endometrial receptivity. Classic prescriptions such as Si wu soup, Si jun zi soup, and Shou tai pills are commonly used as the basic formulas. Among them, dodder and radix rehmanniae praeparata are commonly used for kidney tonifying; Chinese angelica and salvia miltiorrhiza are mostly used to promote the blood circulation. The most commonly used spleen-strengthening drugs were poria cocos and atractylodes. The most commonly used drugs for soothing the liver are cyperus rotundus and tangerine peel. Based on this, drug addition and subtraction therapy is carried out according to the characteristics of different diseases in the clinical practice.
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