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[中医与40例不孕症患者的临床特征]

[Clinical characteristics of traditional Chinese medicine and 40 cases of infertility patients].

作者信息

Niu Cong, Ma Kun, Li Min

机构信息

Department of Traditional Chinese Medicine, Liuzhou Maternal and Child Health Hospital, Liuzhou 545000, China.

China Academy of Chinese Medical Sciences, Beijing 100700, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2016 Mar;41(5):960-964. doi: 10.4268/cjcmm20160532.

DOI:10.4268/cjcmm20160532
PMID:28875655
Abstract

In order to understand the characteristics of traditional Chinese medicine(TCM) syndrome types, the typical symptoms of different patients and the analysis of professor MA's medication characteristics of the treatment for infertility patients were analyzed. Totally 40 cases of infertile women treated in Xiyuan hospital and TCM out-patient department of China Academy of Chinese Medical Sciences in the past five years were randomly selected to classify their symptoms, signs and the four diagnostic situations in the first diagnosis, summarize syndromes and typical symptoms and analyze the characteristics of medication with Ma. Randomly selected nearly five years in 40 cases of infertile women with China Academy of Chinese Medical Sciences Xiyuan hospital and Chinese medicine out-patient department treatment, first diagnosed by symptoms, signs and the four diagnostic situation. According to the results, kidney yang deficiency: 10 cases (25%), kidney yin deficiency: 6 cases (15%), phlegm dampness: 3 cases (7.5%), liver qi stagnation: 3 cases (7.5%), blood stasis in the uterus: 7 cases (17.5%), deficiency of kidney yin deficiency and phlegm dampness: 1 cases (2.5%), kidney yin deficiency syndrome of liver qi stagnation: 2 cases (accounted for 5%), deficiency of kidney yang deficiency syndrome of liver qi stagnation: 1 cases (2.5%), phlegm dampness syndrome of liver qi stagnation:1 cases (2.5%), kidney yin deficiency syndrome, blood stasis and stagnation in the uterus 2 cases (accounted for 5%), liver qi stagnation syndrome and blood stasis in the uterus 2 cases (accounted for 5%), deficiency of kidney yang deficiency syndrome of liver qi stagnation syndrome and blood stasis in the uterus, 1 cases (2.5%). Typical symptoms were dominated by backache, pain and cold in the lower abdomen, followed by thirst, dry throat, more menstrual blood clots, more petechial hemorrhages at tongue, dysphoria, premenstrual breast pain, irritability, chest distress and greasy in mouth, leucorrhea, semiliquid stool or coprostasis. 40 cases of infertility patients showed obvious curative effect after the treatment of professor Ma's medication.

摘要

为了解中医证型特点,分析不同患者的典型症状及马教授治疗不孕症患者的用药特点。随机选取中国中医科学院西苑医院及中医门诊部过去五年收治的40例不孕女性患者,对其初诊时的症状、体征及四诊情况进行分类,总结证候及典型症状,并分析马氏用药特点。随机选取中国中医科学院西苑医院及中医门诊部近五年收治的40例不孕女性患者,依据症状、体征及四诊情况进行初诊。结果显示,肾阳虚:10例(25%),肾阴虚:6例(15%),痰湿:3例(7.5%),肝郁气滞:3例(7.5%),子宫血瘀:7例(17.5%),肾阴虚兼痰湿:1例(2.5%),肾阴虚肝郁证:2例(占5%),肾阳虚肝郁证:1例(2.5%),痰湿肝郁证:1例(2.5%),肾阴虚血瘀证:2例(占5%),肝郁血瘀证:2例(占5%),肾阳虚肝郁血瘀证:1例(2.5%)。典型症状以腰酸、下腹冷痛为主,其次为口渴、咽干、月经血块多、舌瘀点多、烦躁、经前乳房胀痛、易怒、胸闷、口腻、白带多、便溏或便秘。40例不孕患者经马教授用药治疗后疗效显著。

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