中医药研究论丛

242.4 习惯性流产的中西医观点文献探讨
TJ TCM.24(2) : 45-56, 2021
习惯性流产的中西医观点文献探讨
Viewpoints of Recurrent Pregnancy Loss
in Traditional Chinese Medicine and Western Medicine
杨雅龄1 邢郁欣1,2*
1 高雄医学大学附设医院中医部,高雄,台湾
2 义守大学学士後中医学系,高雄,台湾
【摘要】
习惯性流产对於怀孕的妇女与家庭而言对身心都造成极大的影响,本文尝试藉由文献搜寻来探讨中西医学习惯性流产的病因病机与治疗方式,以期未来利用中西医结合治疗习惯性流产的问题。
从各大电子期刊资料库搜寻的文献显示习惯性流产的危险因子及可能原因如孕妇年龄、子宫体异常、基因染色体异常、前次流产次数、内分泌系统疾患、免疫疾患如抗磷脂抗体症候群、凝血功能异常等等,但超过一半以上的习惯性流产患者没有确定诊断。胎孕的形成在於先天之肾气、母体後天之脾胃化生的气血所育养。若肾气亏虚,冲任不固,则胎失所系;脾胃失调,生化乏源,则胎失所养,造成冲任损伤、胎元不固以致滑胎。现今临床上发现子宫肌瘤、子宫内膜异位、与免疫相关的疾患、人工流产日渐增多,易形成瘀血内阻胞宫,胎失血养。在补肾健脾、益气养血的安胎基本原则之下,活血化瘀亦是安胎的重要一环。
【关键词】滑胎、习惯性流产、补肾健脾、活血化瘀
 
Ya-Ling Yang1Yi-Shin Eng1,2*
1Department of Traditional Chinese Medicine, Kaohsiung Medical University Chung-Ho
Memorial Hospital, Taiwan
2The school of Chinese Medicine for post baccalaureate, I-Shou University, Kaohsiung, Taiwan
【Summary】
Recurrent pregnancy loss can cause great frustration to pregnant women and their families on both physical and mental sides. This article attempts to research the etiology, pathogenesis and treatments of recurrent pregnancy loss in traditional Chinese medicine and Western medicine, with a view to integrate traditional Chinese medicine and Western medicine to treat recurrent pregnancy loss in the future.
Through literature searching from major journal databases, the risk factors and possible causes of recurrent pregnancy loss, such as the age of pregnant women, uterine abnormalities, genetic chromosomal abnormalities, the number of previous abortions, endocrine disorders, immune disorders such as antiphospholipid antibody syndrome, blood coagulation dysfunction, etc. However, more than half of patients with recurrent pregnancy loss have no confirmed diagnosis. In traditional Chinese medicine theory, the formation of fetal pregnancy is nourished by innate kidney qi and acquired spleen qi from mother. Insufficiency of kidney qi and spleen qi would lead to poor nutrition to fetus, which may cause miscarriage.
Nowadays, uterine myoma, endometriosis, immune-related diseases, and artificial abortion cases increase in clinical practice. These gynecological and obstetrical problems make women become easily forming blood stasis in the uterus causing miscarriage. The basic principles of miscarriage prevention in traditional Chinese medicine are supplementing kidney and fortifying spleen, boosting qi and nourishing blood. Last but not least, enhancing blood circulation and removing blood stasis is also an important part of miscarriage prevention.
 
【Keywords】Recurrent Pregnancy Loss; Recurrent Miscarriage; Supplementing Kidney and Fortifying Spleen; Enhancing Blood Circulation and Removing Blood Stasis