|
|
Director Wang Junling’s experience in the treatment of early threatened abortion combined with subchorionic hematoma with Jiaoai Decoction |
LIU Yulei NING Yan TENG Hui YU Donghui WANG Junling |
Department of Traditional Chinese Medicine, Shenzhen Maternal and Child Healthcare Hospital, Southern Medical University, Guangdong Province, Shenzhen 518028, China |
|
|
Abstract According to Director Wang Junling, the main pathogenesis of fetal leakage and threatened abortion is the loss of spleen and kidney, qi and blood, chong and conception channels, of which deficiency of kidney qi is the main cause. Subchorionic hematoma belongs to blood accumulation of menstrual separation and belongs to the category of “static blood”. The main pathogenesis of early threatened abortion combined with subchorionic hematoma is kidney deficiency and blood stasis, kidney deficiency is the foundation and blood stasis is the standard. The main treatment is to tonify kidney qi, and to activate blood circulation to stop bleeding. It is emphasized that blood stasis does not go away and blood does not return to meridians. Only proper blood circulation can achieve the purpose of hemostasis. In clinical practice, Jiaoai Decoction is commonly used to activate blood circulation and stop bleeding, Shoutai Pills to tonifying kidney for preventing miscarriage, and at the same time, attention should be paid to the observation of the condition of the disease and treat it according to the syndrome, so as to achieve the goal of “treating the disease and stabilizing the fetus simultaneously”.
|
|
|
|
|
[1] 丁艳婷,孟金来.绒毛膜下血肿的研究进展[J].现代妇产科进展,2019,28(10):791-793.
[2] 李清,朱瑾,华克勤.绒毛膜下血肿孕妇妊娠结局的荟萃分析[J].中华医学杂志,2016,96(17):1383-1385.
[3] 陆洋,李慧,李晓红.先兆流产合并绒毛膜下血肿293例妊娠结局分析[J].吉林医学,2015,36(12):2453-2455.
[4] 黄烨,陈纬,刁军成.Ca125、HCG、P对早期先兆流产患者妊娠结局预测的比较[J].重庆医科大学学报,2016,9(3):253-256.
[5] 方芳,陈晓勇.早期先兆流产合并绒毛膜下血肿的影响因素及中医证型分布规律[J].中国现代医生,2018,56(32):129-132.
[6] 龚轩,付小忍.论《金匮要略》妊娠篇桂枝汤与芎归胶艾汤的组方思路[J].中医临床研究,2016,8(13):31-33.
[7] 周鸿,黄含含,张静泽,等.川芎-当归药对研究进展[J].中成药,2015,37(1):184-188.
[8] Zou YF,Fu YP,Chen XF,et al. Purification and Partial Structural Characterization of a Complement Fixating Polysaccharide from Rhizomes of Ligusticum chuanxiong [J]. Molecules,2017,22(2):287.
[9] 郑传柱,贾梅,李慧,等.胶艾汤与四物汤对子宫出血模型大鼠保血功效的比较研究[J].中国药理学通报,2015, 31(5):739-740.
[10] 蒋晓煌,蒋孟良,贺卫和,等.胶艾汤不同炮制组方对动物激素水平与凝血机制的影响[J].湖南中医药大学学报,2017,37(6):591-593.
[11] Gaiday AN,Tussupkaliyev AB,Bermagambetova SK,et al. Effect of homocysteine on pregnancy:A systematic review [J]. Chem Biol Interact,2018,293(1):70-76.
[12] 郭义红,李晓彬,陈亮,等.小剂量低分子肝素联合免疫球蛋白治疗难治性先兆流产合并绒毛膜下血肿效果评价[J].临床和实验医学杂志,2017,16(16):1623-1627.
[13] 舒宏广,付志红,吴飞华.活血化瘀法治疗先兆流产文献的Meta分析[J].中国中医基础医学杂志,2019,25(1):85-87.
[14] 钱婧,赖明星,邢利威,等.中医药改善血栓前状态的研究现状分析[J].云南中医学院学报,2016,34,(11):2637-2642.
[15] 桂香玲,陆启滨.补肾活血中药治疗血栓前状态复发性流产的研究进[J].南京中医药大学学报,2018,41(3):92-97.
[16] 高飞霞,巫海旺,郜洁,等.寿胎丸治疗先兆流产:随机对照试验的Meta分析[J].中华中医药学刊,2016,34,(11):2637-2642.
[17] 余佩琳,王俊玲,李亚,等.寿胎丸加味方治疗先兆流产合并宫腔积血的临床观察[J].中国实验方剂学杂志,2017, 23(3):155-158.
[18] 余佩琳,刘新玉,李亚,等.寿胎丸含药血清对人早孕滋养层细胞增殖、侵袭、迁移能力的影响[J].上海中医药杂志,2017,51(2):85-88.
[19] 余佩琳,刘新玉,刘昱磊,等.寿胎丸含药血清对自然流产患者滋养层细胞凋亡相关蛋白表达的影响[J].中医杂志,2017,58(18):1590-1593.
[20] 王瑞华.滋肾育胎丸配合地区孕酮治疗先兆流产合并宫腔积血临床研究[J].深圳中西医结合杂志,2018,28(6):36-38. |
|
|
|