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本癇( 癫) 前症於台湾地区的发生率约为2~8%，是造成孕产妇死亡的三大原因之一。
在妊娠11 周左右的初唐检测( 抽血加透明带检查) 时，很多孕妇会加做子癇前症早期风
险评估，胎盘生长因子(PlGF)、怀孕相关血浆蛋白A(PAPP-A) 筛检，搭配子宫动脉血流
阻力评估胎盘的功能，一旦发现子癇前症高风险，妇产科医师会给予阿斯匹灵减少血流
阻力，可以想像成类似中药的”活血化瘀”药。
中医古籍中有观察到这些现象，传统中医认为胎元不固，属胎漏、胎动不安的范畴，
原因可能是母体气血虚弱、先天肾气不足、血瘀、血热、感染、外伤、手术等，现代医
学又加入了试管植入的人为因素，必须根据病因不同，随症治之。文中举列一案例，妊
娠13 周突然大出血的34 岁孕妇，经辨证施治後，於36 周产下一子。相较於西方主流医
学的治疗，中医的治疗相对多元且弹性，除了补肾健脾养血外，我们还有疏肝、清热、
活血祛瘀、升提止血等方法可以使用。
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The incidence of preeclampsia in Taiwan is about 2-8%, and it is one of the three major
causes of maternal death. During the early pregnancy test around 11 weeks of pregnancy, many pregnant women will undergo early preeclampsia risk assessment, placental growth factor (PlGF), and pregnancy-associated plasma protein A (PAPP-A) screening. The examination is combined with the uterine artery blood flow resistance to evaluate the function of the placenta. Once a high risk of preeclampsia is found, the obstetrician and gynecologist will give aspirin to reduce the blood flow resistance, which can be imagined as a drug promoting blood circulation and removing blood stasis in traditional Chinese medicine.
These phenomena have been observed in ancient Chinese medicine books. While the fetal is not solid can be categorized as antepartum hemorrhage, placental abruption and placenta praevia.
The reasons may be maternal qi and blood insufficient, congenital insufficient of kidney qi, blood stasis, blood heat, infection, trauma, and surgery, etc. Modern medicine has added the artificial factor of test tube implantation, which must be treated according to the cause of the disease.
This article cites a case of a 34-year-old pregnant woman suffered sudden heavy bleeding at 13 weeks of pregnancy. After syndrome differentiation and treatment in NUWA TCM clinic, she gave birth to a son at 36 weeks. Compared with the treatment of mainstream Western medicine, he treatment of traditional Chinese medicine is relatively diverse and flexible. In addition to ourishing the kidneys, strengthening the spleen and nourishing the blood, we can also use ethods such as soothing the liver, clearing away heat, activating blood circulation and removing lood stasis, and lifting to stop bleeding.
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【Keywords】 preeclampsia, placental growth factor (PlGF), pregnancy-associated plasma protein A (PAPP-A), uterine artery blood flow resistance, traditional Chinese medicine, antepartum hemorrhage, placental abruption, placenta praevia,
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105.9 中医对孕妇子癇前症治疗之临床心得
