摘要
基于“虚气留滞”理论探讨排卵障碍性不孕症的病机与辨治规律,认为该病以虚气留滞为核心病机,其演变进程包含虚气、气滞、留滞3个环节,此三环节隶属于三焦气、血、津液生成与输布的功能体系。究其根本,脾肾两虚导致三焦气化失司是本病发生的基础;关键在于肝肺气机不畅,致使三焦气道壅塞;而湿、痰、瘀等病理产物的留滞则为罹病之标。治疗需依据疾病演变的不同侧重辨证施治,遵循补虚培本、通滞治标的原则。补虚以补益脾肾、恢复三焦气化功能为要,通滞则以行气为主,兼以化湿、祛痰、逐瘀。“虚气留滞”病机理论与排卵障碍性不孕症的病机演变及证候特点相契合,为中医药治疗该病提供了动态、系统的临床诊疗新视角与思路。
This study explores the pathogenesis and treatment feature of ovulatory disorder infertility(ODI)from the perspective of"deficiency of Qi(气)and stagnation".It proposes that this syndrome pattern constitutes the core pathogenesis of ODI,evolving through three interconnected stages:Qi deficiency,Qi stagnation,pathogen retention.These stages manifest within the functional system governed by the Sanjiao,responsible for generating and distributing Qi,blood,and body fluids.Fundamentally,the disease originates from deficiency of the spleen and kidneys,leading to dysfunctional Qi transformation in the Sanjiao.The central pathogenic mechanism involves impaired Qi movement in the liver and lungs,causing obstruction of Qi pathways in the Sanjiao.Retention of pathological products(dampness,phlegm,and blood stasis)constitutes the secondary,symptomatic aspect.Treatment must be tailored to the disease stage,adhering to the principles:nourishing human body by invigorating spleen and kidneys,as well as restoring Qi transformation function of the Sanjiao to treat the disease essentially,and expelling stagnation by promoting Qi circulation,accompanied by resolving dampness,eliminating phlegm,and removing stasis,to relieve the symptoms.This theory aligns dynamically with ODI's pathogenic progression and syndrome characteristics,providing a systematic TCM framework for the diagnosis and clinical management of ODI.
出处
《中医临床研究》
2025年第30期143-148,共6页
Clinical Journal Of Chinese Medicine
关键词
排卵障碍性不孕
虚气留滞
三焦
Ovulatory disorder infertility
Deficiency of Qi and Stagnation
Sanjiao
