长春中医药大学学报2025,Vol.41Issue(10):1096-1100,5.DOI:10.13463/j.cnki.cczyy.2025.10.009
曲凡基于"肾主生殖"理论治疗卵巢功能下降临证经验
Qu Fan's clinical experience in treating diminished ovarian function based on the theory of kidney governing reproduction
摘要
Abstract
This paper summarizes Professor Qu Fan's experience in treating diminished ovarian function.Professor Qu takes"kidney governing reproduction"as the core,and believes that the pathogenesis is"deficiency of kidney essence and imbalance of thoroughfare and conception vessels",belonging to deficiency in origin and excess in superficiality.The treatment is based on tonifying the kidney,and distinguishing yin and yang.For nourishing kidney yin,medicines such as Fructus Rubi and Rhizoma Polygonati are used;for warming and tonifying kidney yang,Herba Epimedii and Herba Cistanches are selected,emphasizing mutual promotion of yin and yang.Meanwhile,the liver and spleen are taken into account,using Fructus Citri Sarcodactylis and Radix Bupleuri to disperse stagnated liver qi,and Radix Pseudostellariae and Rhizoma Atractylodis Macrocephalae to invigorate the spleen.For phlegm-dampness and blood stasis,Spina Gleditsiae is used to resolve phlegm,and Radix Salviae Miltiorrhizae and Rhizoma Chuanxiong are used to activate blood circulation.Treatment is administered according to the menstrual cycle:nourishing kidney yin in follicular phase,warming yang and activating blood in ovulatory phase,consolidating thoroughfare and conception vessels in luteal phase,and promoting menstruation in menstrual phase.Emphasis is laid on psychosomatic treatment and daily care,forming a unique diagnosis and treatment system with remarkable curative effect,providing reference for clinical practice.关键词
卵巢功能下降/肾主生殖/用药策略/临证经验/中医妇科Key words
diminished ovarian function/kidney governing reproduction/medication strategy/clinical experience/traditional Chinese medicine gynecology分类
医药卫生引用本文复制引用
牛聪,来玉芹,郭钦源,李心悦,周天一,王芳芳,曲凡..曲凡基于"肾主生殖"理论治疗卵巢功能下降临证经验[J].长春中医药大学学报,2025,41(10):1096-1100,5.基金项目
柳州市中医内服外治卵巢储备功能下降重点实验室(柳科通[2024]3号) (柳科通[2024]3号)
浙江省生育健康研究中医药重点实验室(浙卫发[2022]32号) (浙卫发[2022]32号)