Discussion on the differentiation and treatment of infertility based on the theory of ascending and descending of yin and yang

WU Xiaomin; WANG Yong; DU Zifei

doi:10.3969/j.issn.2095-6606.2023.06.018

您当前的位置：

首页 >

文章列表页 >

Discussion on the differentiation and treatment of infertility based on the theory of ascending and descending of yin and yang

Theoretical Exploration | 更新时间：2023-12-08

- Discussion on the differentiation and treatment of infertility based on the theory of ascending and descending of yin and yang
- Modern Chinese Clinical Medicine Vol. 30, Issue 6, Pages: 80-83(2023)
- 作者机构：
  
  1.揭阳市慈云医院　揭阳　522031
  2.广州医科大学附属中医医院
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.2095-6606.2023.06.018
  CLC： R271.14
- Published：30 November 2023，
  
  Received：05 December 2022，
- 稿件说明：
移动端阅览
WU Xiaomin, WANG Yong, DU Zifei. Discussion on the differentiation and treatment of infertility based on the theory of ascending and descending of yin and yang. [J]. Modern Chinese Clinical Medicine 30(6):80-83(2023)
DOI：

WU Xiaomin, WANG Yong, DU Zifei. Discussion on the differentiation and treatment of infertility based on the theory of ascending and descending of yin and yang. [J]. Modern Chinese Clinical Medicine 30(6):80-83(2023) DOI： 10.3969/j.issn.2095-6606.2023.06.018.

摘要

不孕症为临床常见的生殖障碍疾病。阴阳辨证体系为辨证外感内伤杂病之总纲，阴阳中有升降，机体气机升降协调、达到阴平阳秘，故能孕育。阴阳理论对于不孕症的诊治有一定指导作用。阴阳升降的内涵包括：阳升阴降，重在脾胃；阴升阳降，重在心肾。不孕症中阴阳升降失常具体表现为：清阳下陷，阴火上升；心火亢盛、肾水枯竭。从阴阳升降辨治不孕症的思路主要有：健脾温阳，和胃滋阴；水火相济，交通心肾。

Abstract

Infertility is a common reproductive disorder. The theory system of yin-yang syndrome differentiation in TCM is the overarching principle of syndrome differentiation of external contraction

internal damage and miscellaneous diseases. There are ascending and descending movement in yin and yang

and only when the ascending and descending of qi are well coordinated

so that yin is calm and yang is sound

can it give rise to the nurturing and cultivation of life. Therefore

the theory of yin and yang plays a guiding role in the diagnosis and treatment of infertility. This includes: the essence of ascending of yang and descending of yin lies primarily in the spleen and stomach

while the heart and kidney are key to the descending of yang and ascending of yin. The abnormal fluctuation of yin and yang in infertility is manifested as: sinking of clear yang sink and rising of yin fire

exuberance of heart fire and exhaustion of kidney water. The main ideas of differentiation and treatment of infertility can thus be: fortifying the spleen and warming yang

harmonizing the stomach and nourishing yin

promoting the harmony of water and fire and restoring interaction between the heart and kidney.

关键词

阴阳升降不孕症阳升阴降阴升阳降脾胃心肾

Keywords

ascending and descending of yin and yanginfertilityascending of yang and descending of yindescending of yang and ascending of yinspleen-stomachheart-kidney

references

罗颂平，谈勇. 中医妇科学[M].北京：人民卫生出版社, 2015.

沙正华，李静，黄雪琪，等. 沈绍功教授治疗不孕症临床用药规律研究[J].现代中医临床，2020, 27(2): 13-16.

刘淑文，张淑霞，刘玉双，等.不孕症的病因病机分析[J].实用妇科内分泌电子杂志，2019, 6(12): 70.

张子和. 儒门事亲[M].邓铁涛，赖畴，整理.北京：人民卫生出版社, 2005: 147.

邢玉瑞，胡勇，张惜燕. 中医阳升阴降与阳降阴升理论研究[J].中华中医药杂志，2022, 37(1): 105-108.

赵献可. 医贯[M].北京：人民卫生出版社, 1959: 79.

许芸，王芙蓉.李东垣“阳升阴降”与朱丹溪“阴升阳降”之比较研究[J].中国民族民间医药，2022, 31(6): 10-13.

黄元御. 四圣心源[M].徐静，宋白杨，校注.北京：中国医药科技出版社, 2020: 8.

周之干. 周慎斋医学全书[M].武国忠，点校.海口：海南出版社, 2010: 12-13.

朱震亨. 局方发挥[M].竹剑平，校注.北京：中国中医药出版社, 2021: 26.

朱震亨. 格致余论[M].刘更生，点校.天津：天津科学技术出版社, 2000: 47-48.

张金枫，胡荣魁，任苏妍，等.从《周易》阴阳理论探讨月经病的周期调治[J].南京中医药大学学报，2023, 39(3): 205-209.

张玉涵. 基于数据挖掘研究国医大师夏桂成教授补天种玉丹治疗排卵障碍性不孕症的遣方规律[D]. 南京：南京中医药大学，2022.

傅山. 傅青主女科[M].肖承悰，主编.北京：人民卫生出版社, 2015.

曾冰冰. 中医药治疗未破裂卵泡黄素化综合征致不孕的临床研究[D]. 南京：南京中医药大学，2017.

李东垣. 内外伤辨惑论[M].2版.田翠时，校注.北京：中国医药科技出版社, 2019: 5.

厉健，宗惠，刘宏奇.补肾、祛湿、活血法治疗不孕症[J].中医杂志，2020, 61(11): 997-999,1003.

张景岳. 妇人规[M].北京：中国医药科技出版社, 2017: 4.

王菊平，喻嵘，廖心悦，等. 明清医案不孕症用药规律研究[J].中医药临床杂志，2022, 34(8): 1500-1504.

刘美辰. 基于数据挖掘和网络药理学的古方治疗痰湿型不孕症的用药规律及机制分析[D]. 哈尔滨：黑龙江中医药大学，2023.

张雯雯. 温经汤治疗胞宫虚寒型不孕的临床观察与研究[D]. 济南：山东中医药大学，2021.

于琴，周娟，赵以琳，等.中医外治法治疗不孕症临床研究进展[J].河南中医，2021, 41(12): 1923-1927.

洪靖，谭辉.叶天士治疗闭经学术思想探讨[J].中国中医基础医学杂志，2019, 25(2): 161-162,174.

沈婷，赵宏利. 赵宏利运用半夏泻心汤治疗不孕症心得[J].成都中医药大学学报，2021, 44(2): 87-90.

侯秀红，王烨，赵婷. 黄连阿胶汤加味方对卵巢储备功能影响的临床研究[J].河北中医药学报，2019, 34(4): 41-44.

黎晓静，张皓，张志玲，等.左归饮加黄连阿胶汤联合针刺治疗多囊卵巢综合征不孕症的临床观察[J].广州中医药大学学报，2021, 38(10): 2145-2151.

张永康，曹方，乔荣跃.阴升阳降是达到阴平阳秘的必然运行形式[J].中华中医药杂志，2016, 31(12): 4902-4904.

谈勇.谈勇效方治验——滋阴补阳方序贯[J].江苏中医药，2022, 54(9): 1-2.

朱震亨. 金匮钩玄[M].北京：人民卫生出版社, 1980: 2.

闫垍炟. 明清两代冲脉与阳明关系的文献研究[D]. 北京：北京中医药大学，2020.

宋元元，丛慧芳，吴丹.丛慧芳教授从心肝肾论治不孕症临床经验[J].中国中医药现代远程教育，2020, 18(18): 68-70.

白芳，王芬，吴福宁.滋阴补阳中药序贯疗法结合克罗米芬治疗多囊卵巢综合征不孕症35例[J].湖南中医杂志，2022, 38(1): 17-20.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

TCM master Xiao Chengzong’s experience in treating infertility due to premature ovarian failure

“阳化气，阴成形”在卵巢早衰诊治中的体现

沈绍功教授治疗不孕症临床用药规律研究

The clinical humanistic demands of infertile women under the perspective of narrative medicine

Relationship between increased blood viscosity and infertility

Related Author

XIAO Chengzong

LU Yiqin

YAN Qingya

Songping Luo

Jie Gao

Wenli Liu

黄雪琪

杨金生

Related Institution

Dongzhimen Hospital, Beijing University of Chinese Medicine

Guangzhou University of Chinese Medicine

The First Affiliated Hospital of Guangzhou University of Chinese Medicine

Exchange and Cooperation Center of Taiwan Hong Kong and Macao, State Administration of TCM

Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences

⁰