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情志因素致复发性流产的中西医机理及中医诊疗思路探赜 被引量:8

Exploring the Mechanism of Chinese and Western Medicine for Recurrent Spontaneous Abortion and Traditional Chinese Medicine Diagnosis and Treatment Caused by Emotional Factors
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摘要 基于现代心理应激与中医情志致病理论,分析情志因素导致复发性流产(Recurrent spontaneous abortion,RSA)的中西医机理。研究发现心理应激等情志因素导致RSA的生物学机制包含了内分泌系统、中枢神经系统、氧化应激、免疫防御等方面;心神受扰、肝气郁结导致脾肾亏虚是情志因素导致RSA的中医学病机,提出了从心论治、从肝论治及中医情志疗法的诊疗思路。 Based on the modern theory of psychological stress and emotional pathogenesis in traditional Chinese medicine,this paper analyzes the mechanism of recurrent spontaneous abortion(RSA)caused by emotional factors.Studies have found that the biological mechanism of RSA caused by emotional factors such as psychological stress includes endocrine system,central nervous system,oxidative stress,immune defense and other aspects;spleen and kidney deficiency caused by mental disturbance and liver qi stagnation are the TCM pathogenesis of RSA caused by emotional factors,and the diagnosis and treatment ideas of treating from the heart,treating from the liver and TCM emotional therapy are proposed.
作者 阮媛媛 刘玉楠 薛苗苗 赵佳琳 霍艳 高帅 徐广立 张维怡 陈萍 RUAN Yuan-yuan;LIU Yu-nan;XUE Miao-miao;ZHAO Jia-lin;HUO Yan;GAO Shuai;XU Guang-li;ZHANG Wei-yi;CHEN Ping(The First Clinical Medical College,Henan University of Chinese Medicine,Zhengzhou 450000,China;The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China)
出处 《南京中医药大学学报》 CAS CSCD 北大核心 2023年第10期992-998,共7页 Journal of Nanjing University of Traditional Chinese Medicine
基金 国家自然科学基金面上项目(82074167) 河南省自然科学基金面上项目(202300410265) 河南省中医药科学研究专项课题(20-21ZY2022)。
关键词 复发性流产 情志致病 心理应激 生物学机制 recurrent spontaneous abortion emotional pathology psychological stress biological mechanism
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