排卵障碍性疾病"异病同治":"天癸"本质及与排卵障碍性疾病关系的探讨
Zhongguo Zhong yao za zhi = Zhongguo zhongyao zazhi = China journal of Chinese materia medica(2022)
Abstract
"异病同治"的本质是病证结合,病证结合是中医认识疾病、治疗疾病的经典模式.该文认为异病同治是排卵障碍性疾病的最佳治疗模式:排卵障碍性疾病具有共同的病机特点,即"肾-天癸-冲任-胞宫轴"的紊乱,肾是生殖轴的重要基础,肾精、肾阳、肾气是推动生殖轴运转的关键物质和动力,冲任是重要传输路径,"天癸"是其中起承转合的上游物质,与心脑肾相关,在排卵机制中起到关键作用,是生殖轴功能的高度体现和凝结.在排卵障碍性疾病中常见的"天癸"异常有四:癸水不足、阴虚阳弱、重阴偏盛、时相性异常,"天癸"动态变化可以导致不同疾病的发生,如多囊卵巢综合征、高泌乳素血症,这些疾病最终指向排卵障碍性不孕的共同结局.故以天癸为切入点,将几种排卵障碍性疾病总结统一,异病同治,是不孕病的治疗趋势.
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Key words
Tiangui,common therapeutic principle for different diseases,ovulatory disorders
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