Infertility syndromes, for women, should account for more than 52%~60%, according to the situation in China, it may be more. From our long-term clinical observation, the following three syndromes are more common.
The first is the functional infertility certificate, which accounts for about 40% of the total infertility certificate, the so-called functional infertility certificate , There are two main cases, ovulation dysfunction and poor. Most of them are related to the deficiency of kidney yin and gui water. Among them, polycystic ovary syndrome is the most common, followed by insufficiency of corpus luteum function, which not only leads to infertility, but also leads to infertility, that is, inability to conceive and achieve fertility. Insufficiency of yang water is related, and infertility syndromes are particularly common. In the treatment, Chinese medicine has obvious advantages;
The second is inflammatory obstructive infertility syndrome. Regarding genital inflammatory lesions, please refer to the characteristics of medication that have been introduced in “Pelvic Inflammation Medication Experience”, so I will not go into details.
The third is immune infertility syndrome. With the development of medical science, some unexplained infertility syndromes have been It was found to be related to immune factors. Today, we can only introduce its drug experience from the very common general immune infertility syndromes. As far as functional infertility is concerned, there are Bushen Zhuge Decoction, Bushen and Ovulation Promoting Decoction, and Spleen and Kidney-invigorating Ovulation Promoting Decoction. Decoction, Wenyang Ovulation Promoting Decoction, Resolving Phlegm and Ovulation Promoting Decoction, Ziyin Huoxue Shengjing Decoction, and Ziyin Yikang Decoction, Zhuyang Yikang Decoction, etc. The prescriptions explored above have achieved positive curative effects after long-term clinical application. The following will be analyzed one by one.
1. Kidney-tonifying soup
【Recipe name】The original name of this prescription is Zhu Yun Tang, which is a prescription for promoting fertilization by invigorating the kidney and helping the yang, warming the uterus. The key is to nourish the kidney and help the yang. Helping the yang and warming the palace has always been the most commonly used method in the treatment of infertility and infertility in traditional Chinese medicine. The seeds of nourishing the kidney and helping the yang and warming the palace are consistent, so it is named as nourishing the kidney and helping the pregnancy. soup.
[Composition] Salvia, Chibaishao, Huaiyam, Fried Danpi, Poria 10g each, Amethyst first fried 12~15g, Sichuan Broken and dodder seeds each 12g, Ziheche 6~9g, fried Bupleurum 5g, green calyx plum 5g.
[Dosage] 1 dose a day, decocted in water and divided into 2 times, after the ovulation period between menstrual periods, until the menstrual period stops.
[Efficacy] Invigorating the kidneys and yang, warming the uterus and promoting pregnancy.
[Indications] Infertility syndrome due to partial deficiency of kidney yang, membranous dysmenorrhea due to deficiency of kidney yang, endometriosis Disorders, etc.
【Prescription Solution】Infertility syndromes are mostly related to kidneys, and yang deficiency and palace cold are especially common. Therefore, invigorating the kidneys, helping the yang, and warming the uterus are the essential methods for seeds. Therefore, this prescription is based on the addition and subtraction of Zhang Jingyue’s Yulinzhu. Yulinzhu was originally a formula for nourishing yang in blood, so Salvia, Chibaishao, or Siwu Decoction, are used as the basis. Therefore, adding Huai yam and dogwood meat is a medicine for nourishing yin and nourishing liver and kidney. We believe that those who want to help yang should first nourish yin, which is the meaning of yin and yang, and yam can also help restore the corpus luteum. hormone action.
Chuan Duan, Dodder, Ziheche have the effect of tonifying kidney-yang, because the function of the corpus luteum is not perfect, although it is related to the deficiency of kidney-yang, but To be precise, it should be related to the water of Guiyang. The water of Yang is contained in the blood. Therefore, in the blood to help the yang, it must nourish the yin and help the yang in the blood. Also, but it is more yang, so it is often added with amethyst, amethyst helps the sun warm the palace, and amethyst must be reused in the fertility soup, so the dosage is more, and in view of the insufficiency of luteal function, most of them are accompanied by liver stagnation. The syndrome of qi stagnation, so fried Bupleurum and green calyx plum should be added to the prescription to soothe the liver and relieve stagnation, which not only relieves the symptoms of liver stagnation, but also achieves the purpose of regulating qi and removing blood stasis by soothing the liver and relieving stagnation. Use according to the needs of clinical symptoms.
[Clinical Application]
( 1) Infertility syndrome due to luteal insufficiency and kidney-yang deficiency: late menstruation, or irregular menstruation, heavy menstrual volume, purple-red color, blood clots, dizziness, backache, chest tightness and irritability, premenstrual breast distention, lower abdomen cold Sensation, loose stools during menstruation, thin and stringy pulse, red tongue, white and yellow greasy coating, this recipe can be added with Cyperus fragrans, Wulingzhi, etc.
(2) Membranous dysmenorrhea with partial deficiency of kidney yang, endometriosis: irregular menstruation, less menstrual flow, or Many, purple-red, with blood clots, or rotten flesh-like blood clots, severe pain during menstruation, soreness in the waist and abdomen, chest tightness and irritability, thin pulse, purple edge of the tongue, white and greasy coating. Lingzhi, Yanhu and other products.
[Addition and subtraction] When this prescription is used in specific clinical applications, there are often additions and subtractions. And use Angelica; such as premenstrual periodFor those with red leakage, bright red color without blood clots, salvia and red peony should also be removed, and black angelica and thistle should be used. Black angelica, eucommia, parasitic, antler gum and other products, or antler cream can also be used; if the chest is tight and irritable, and the breast pain is quite severe, you should add Uncaria, Tribulus terrestris, Guangyujin and other products; such as abdominal distension, gas, stool If you have diarrhea, you can go to Ziheche, add simmered wood incense, stir-fried Atractylodes, Amomum, etc. to adjust it.
【Clinical Experience】This prescription is a commonly used prescription in gynecology clinic, and it is also a prescription with good curative effect. The application of this prescription has the following experience.
(1) Significance of the combination of prescriptions: Bushen Zhuge Decoction, the main prescription is to help the yang and warm the palace, while the cold palace is infertile. The main aspect of traditional Chinese medicine gynecology treatment of infertility syndrome, the ancient prescription Qinguiwan, is actually a prescription for the treatment of infertility due to cold in the palace.
(2) Research on yang deficiency and palace cold: It must be recognized that yang deficiency can lead to palace cold, and palace cold is caused by yang deficiency. So yang deficiency is important.
(3) Importance of medication timing: The medication timing for yang deficiency and palace cold symptoms is very important. The first is the time of the menstrual cycle. The kidney-tonifying and yang-boosting medicines must be taken in the first half of the premenstrual period. The second is the daily time of taking the medicine. You should choose the morning and noon to take the medicine every day. That is, the yang medicine must be taken during the yang time, which can achieve the advantage of the time phase. The regularity of the time phase change will help the recovery of the yang in the body. .
(To be continued)