王云铭治疗卵巢储备功能下降所致不孕的经验

doi:10.20047/j.issn1673-7210.2023.31.30

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摘要本文探讨王云铭老先生对卵巢储备功能下降所致不孕的病因病机认识及治法概要。卵巢储备功能下降是不孕症临床常见原因之一，病机繁复，病久难愈。王云铭认为，卵巢储备功能下降所致不孕的病机是以肾虚为本，血瘀为标，为本虚标实之证；病位在胞宫、肾、心，与肝、脾、肺三脏关系密切，与冲脉、任脉、督脉三脉相互联系。治则治法方面以“益肾、活血、畅脉”为核心，主张补肾调冲、暖巢养泡以顾其本，活血化瘀、化痰祛湿以治其标，具有整体兼顾、分期治疗、因势利导、多脏同调、内外兼修的治疗特点，在遣方用药方面善用血肉有情之品及虫类药物，阴阳并补、通补兼施，为中医药治疗卵巢储备功能下降所致不孕提供了新的思路与方法。

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	靳凡钰1　　白煜君1　　张登山2

关键词 ：卵巢储备功能下降, 不孕症, 王云铭, 淄博王氏妇科, 老中医经验

Abstract：This paper explores the etiology and pathology and the summary of treatment of diminshed ovarian reserve in Wang Yunming. Diminshed ovary reserve is one of common clinical pathogeny in infertility, the pathogenesis is complex, and chronic disease is difficult to heal. Wang Yunming believes that the pathogenesis of diminshed ovarian reserve is based on the deficiency of the kidney, the stagnation of qi, which is deficiency in origin and excess in superficislity; disease located in the uterus, kidney, and heart, involving the liver, spleen, and lung, which is connected with governor channel, conception channel, and thoroughfare channel. In terms of treatment, it agrees with the core treatment principle of “nourishing kidney and activating blood and unobstructed vessels”. It advocates tonifying kidney and regulating thoroughfare channel, warming ovary, and nourishing follicle to take care of its root; promoting blood circulation and removing blood stasis, eliminating phlegm and dampness to treat its symptoms, which has taking into account the overall, staging treatment, leading things by trend, coordinating multiple organs, and curing through both internal and external. In medication, Wang Yunming is adept in using sentient flesh and blood products and insect drugs, tonifying Yin and Yang and applying both general and tonic, it provides a new idea and method for treating infertility with decreased diminshed ovarian reserve infertility.

Key words： Diminshed ovary reserve Infertility Wang Yunming Zibo Wang’s Gynecology Famous traditional Chinese medicine experts clinical experience

基金资助:山东省中医药科技项目（2021M109）；
山东省中医药高层次人才培育项目（505026）；
山东省中医药特色疗法入选项目（鲁卫函〔2021〕455号）；
山东省淄博市医药卫生科研项目（20231504103）。

通讯作者: 张登山（1980-），男，医学博士，副主任医师，硕士生导师；研究方向：中医药治疗不孕不育的临床研究。

作者简介: 靳凡钰（1997-），男，山东中医药大学第一临床医学院2022级中医妇科学专业在读硕士研究生；研究方向：中医药治疗不孕不育的临床研究。

引用本文:

靳凡钰1　　白煜君1　　张登山2. 王云铭治疗卵巢储备功能下降所致不孕的经验[J]. 中国医药导报, 2023, 20(31): 142-145,175.
JIN Fanyu1 BAI Yujun1 ZHANG Dengshan2. Discussion on the experience of Wang Yunming in treating diminshed ovarian reserve infertility. 中国医药导报, 2023, 20(31): 142-145,175.

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https://www.yiyaodaobao.com.cn/CN/10.20047/j.issn1673-7210.2023.31.30 或 https://www.yiyaodaobao.com.cn/CN/Y2023/V20/I31/142