林寒梅教授认为盆腔炎性不孕症的病位在胞宫、冲任、胞脉,其根本病机为肾虚,正气不足,邪气趁虚而入。治疗应当从肾论治,正气实则邪气不扰内。林寒梅教授秉持“从肾论治”的治则,在以补肾为核心的同时,高度重视对各种兼夹证的治疗,根据...林寒梅教授认为盆腔炎性不孕症的病位在胞宫、冲任、胞脉,其根本病机为肾虚,正气不足,邪气趁虚而入。治疗应当从肾论治,正气实则邪气不扰内。林寒梅教授秉持“从肾论治”的治则,在以补肾为核心的同时,高度重视对各种兼夹证的治疗,根据患者的临床症状及体征辨证论治,并根据患者的月经周期配合相应的治法,同时搭配中药灌肠,微波治疗,任督脉灸等外治法,内外合治。提高了疾病治愈率及妊娠率,临床疗效显著。Professor Lin Hanmei believes that the disease of pelvic inflammatory infertility is located in the cell palace, Chongren and cell pulse, and its basic pathogenesis is kidney deficiency, lack of healthy qi and evil qi. Treatment should be from the kidney to treat, positive qi actually does not disturb the evil qi. According to the principle of “treating from kidney” and on the basis of tonifying kidney, Professor Lin Hanmei attaches great importance to the treatment of various double-syndrome, according to the clinical symptoms and signs of the patient, and according to the menstrual cycle of the patient with the corresponding treatment, at the same time with traditional Chinese medicine enema, microwave treatment, Ren and Dou pulse moxibustion and other external treatment, internal and external treatment. The cure rate and pregnancy rate of the disease were improved, and the clinical effect was remarkable.展开更多
目的:观察牡丹散加减联合抗生素治疗慢性盆腔炎性不孕症气滞血瘀型的临床疗效。方法:将90例河南省人口和计划生育科学技术研究院妇科生殖内分泌门诊就诊的有生育要求的慢性盆腔炎性不孕症女性患者采用随机数字表法随机分为两组,每组45...目的:观察牡丹散加减联合抗生素治疗慢性盆腔炎性不孕症气滞血瘀型的临床疗效。方法:将90例河南省人口和计划生育科学技术研究院妇科生殖内分泌门诊就诊的有生育要求的慢性盆腔炎性不孕症女性患者采用随机数字表法随机分为两组,每组45例。对照组采用抗生素治疗,于月经期给予注射用头孢唑肟钠2 g联合奥硝唑氯化钠注射液100 m L,静脉滴注,2次/d,连续治疗5 d后停药,于下1个月经周期再继续按此方法治疗;治疗组在对照组治疗基础加用牡丹散加减(牡丹皮、桂心、当归、延胡索、莪术、牛膝、赤芍、荆三棱、炙甘草),1剂/d,水煎,200 m L/d,2次/d,口服。两组治疗期间均畅情志,调饮食,忌食生冷刺激、肥甘厚味食物等,注意静卧休息,禁房事。两组均以4周为1个月经周期,连续治疗3个月经周期,随访半年。结果:治疗组痊愈20例,有效22例,无效3例,有效率为93.33%;对照组痊愈9例,有效19例,无效17例,有效率为62.22%。两组对比,差别有统计学意义(P<0.01)。治疗组持续妊娠(或分娩)率较对照组明显提高(P<0.05)。结论:牡丹散加减联合抗生素治疗慢性盆腔炎性不孕症气滞血瘀型疗效较好,能够提高持续妊娠(或分娩)率。展开更多
文摘林寒梅教授认为盆腔炎性不孕症的病位在胞宫、冲任、胞脉,其根本病机为肾虚,正气不足,邪气趁虚而入。治疗应当从肾论治,正气实则邪气不扰内。林寒梅教授秉持“从肾论治”的治则,在以补肾为核心的同时,高度重视对各种兼夹证的治疗,根据患者的临床症状及体征辨证论治,并根据患者的月经周期配合相应的治法,同时搭配中药灌肠,微波治疗,任督脉灸等外治法,内外合治。提高了疾病治愈率及妊娠率,临床疗效显著。Professor Lin Hanmei believes that the disease of pelvic inflammatory infertility is located in the cell palace, Chongren and cell pulse, and its basic pathogenesis is kidney deficiency, lack of healthy qi and evil qi. Treatment should be from the kidney to treat, positive qi actually does not disturb the evil qi. According to the principle of “treating from kidney” and on the basis of tonifying kidney, Professor Lin Hanmei attaches great importance to the treatment of various double-syndrome, according to the clinical symptoms and signs of the patient, and according to the menstrual cycle of the patient with the corresponding treatment, at the same time with traditional Chinese medicine enema, microwave treatment, Ren and Dou pulse moxibustion and other external treatment, internal and external treatment. The cure rate and pregnancy rate of the disease were improved, and the clinical effect was remarkable.
文摘目的:观察牡丹散加减联合抗生素治疗慢性盆腔炎性不孕症气滞血瘀型的临床疗效。方法:将90例河南省人口和计划生育科学技术研究院妇科生殖内分泌门诊就诊的有生育要求的慢性盆腔炎性不孕症女性患者采用随机数字表法随机分为两组,每组45例。对照组采用抗生素治疗,于月经期给予注射用头孢唑肟钠2 g联合奥硝唑氯化钠注射液100 m L,静脉滴注,2次/d,连续治疗5 d后停药,于下1个月经周期再继续按此方法治疗;治疗组在对照组治疗基础加用牡丹散加减(牡丹皮、桂心、当归、延胡索、莪术、牛膝、赤芍、荆三棱、炙甘草),1剂/d,水煎,200 m L/d,2次/d,口服。两组治疗期间均畅情志,调饮食,忌食生冷刺激、肥甘厚味食物等,注意静卧休息,禁房事。两组均以4周为1个月经周期,连续治疗3个月经周期,随访半年。结果:治疗组痊愈20例,有效22例,无效3例,有效率为93.33%;对照组痊愈9例,有效19例,无效17例,有效率为62.22%。两组对比,差别有统计学意义(P<0.01)。治疗组持续妊娠(或分娩)率较对照组明显提高(P<0.05)。结论:牡丹散加减联合抗生素治疗慢性盆腔炎性不孕症气滞血瘀型疗效较好,能够提高持续妊娠(或分娩)率。
