先兆流产的中医辨证论治——62例临床分析

作者	单位
黄含英	上海中医学院附属岳阳医院妇科
乐秀珍	上海中医学院附属岳阳医院妇科
陈雪芬	上海中医学院附属岳阳医院妇科

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中文摘要:

62例先兆流产采用中医辨证论治,结果疗效良佳者57例(91.9%),无效而流产者5例(8.1%)。其中属脾肾阳虚型者疗效较佳,因而认为辨证分型对先兆流产的防治及决定保胎的适应症有一定的临床实用价值。

英文摘要:

This paper reports the planned treatment of threatened abortion based on TCM diagnosis.Of the 62 cases under discussion,including 33 who had had case histories of abortion(28 cases of which got conceived again within one year after abortion),31 came under the category ofPi Shen Yang Xu(PSYX 脾肾阳虚,deficiency of vital energy in the spleen and kidney),28 under the category of Gan Shen Yin Xu(GSYX 肝肾阴虚,deficiency of essence in the liver and kidney),and 3 under the category of Qi Xue Liang Xu(QXLX 气血两虚,deficiency of both energy and blood). As a result of the treatment,57 cases(91.9%)proved to be successful,while 5(8.1%)were failures.A gynecological examination disclosed that patients under the category of PSYX recovered completely or showed definite signs of recovery,with such symptoms as vaginal bleeding,lumbodynia,tenesmus,abdominal pain, abnormal pulse-manifestation and coating on the tongue either vanishing or clearly indicating a turn for the better. Furthermore,the patients in question were found without exception to have maintained their ability of normal pregnancy and delivery.The results,however,were not so satisfactory for the categories of GSYX and QXLX.In spite of the treatment,4(14.3%)of the 28 cases under the former category and 1(33.3%)of the latter category met with failure,resulting unfortunately in spontaneous abortion. The authors of this paper hold,therefore,that the planned treatment based on TCM diagnosis for threatened abortion has theoretical as well as practical value to the prophylaxis and treatment of threatened abortion and the determination of the indication of continuing pregnancy.Some suggestions were also made by the authors.

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