HE Chengyao's Experience in Treating Recurrent Miscarriage Comorbid with Subclinical Hypothyroidism with the Method of Warming and Supplementing by Stages

OU Yan; ZHANG Taiwei; HUA Zhaozhao; WEN Xiaomin; ZHOU Yiyuan

doi:10.13288/j.11-2166/r.2024.15.004

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HE Chengyao's Experience in Treating Recurrent Miscarriage Comorbid with Subclinical Hypothyroidism with the Method of Warming and Supplementing by Stages

更新时间：2024-08-01

- HE Chengyao's Experience in Treating Recurrent Miscarriage Comorbid with Subclinical Hypothyroidism with the Method of Warming and Supplementing by Stages
- Journal of Traditional Chinese Medicine Vol. 65, Issue 15, Pages: 1544-1549(2024)
- 作者机构：
  
  1.贵州中医药大学，贵州省贵阳市南明区市东路50号，550002
  2.贵州中医药大学第一附属医院
  3.贵州中医药大学第二附属医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2024.15.004
  CLC：
- Received：03 November 2023，
  
  Revised：2024-01-10，
  
  Published：02 August 2024
- 稿件说明：
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欧燕,张泰魏,华诏召等.何成瑶运用温补法周期调治复发性流产合并亚临床甲状腺功能减退症经验[J].中医杂志,2024,65(15):1544-1549.

OU Yan,ZHANG Taiwei,HUA Zhaozhao,et al.HE Chengyao's Experience in Treating Recurrent Miscarriage Comorbid with Subclinical Hypothyroidism with the Method of Warming and Supplementing by Stages[J].Journal of Traditional Chinese Medicine,2024,65(15):1544-1549.
欧燕,张泰魏,华诏召等.何成瑶运用温补法周期调治复发性流产合并亚临床甲状腺功能减退症经验[J].中医杂志,2024,65(15):1544-1549. DOI： 10.13288/j.11-2166/r.2024.15.004.

OU Yan,ZHANG Taiwei,HUA Zhaozhao,et al.HE Chengyao's Experience in Treating Recurrent Miscarriage Comorbid with Subclinical Hypothyroidism with the Method of Warming and Supplementing by Stages[J].Journal of Traditional Chinese Medicine,2024,65(15):1544-1549. DOI： 10.13288/j.11-2166/r.2024.15.004.

摘要

总结何成瑶教授治疗复发性流产合并亚临床甲状腺功能减退症的临证经验。认为肾阳不足为发病之本，五脏功能减退、三焦枢机不畅为病机关键环节。临证遵《周易》阳数之分，主张以9个月为复发性流产合并亚临床甲状腺功能减退症的基本调治周期。孕前前半周期（前3个月）治宜温枢三焦，常用右归丸为基础方温补肾阳，并配伍活血化瘀、调畅气机之品；孕前后半周期（后3个月）治宜养精育胞，常用五子衍宗丸加减；孕后（一般调治3个月）治宜补肾固冲、益气养血为主，佐以温补心阳，常用自拟补肾安胎方（寿胎丸合温胞饮化裁而成）。同时配合生活、饮食调护以调和阴阳，改善体质。

Abstract

This paper summarized the clinical experience of Professor HE Chengyao in treating recurrent miscarriage complicated with subclinical hypothyroidism. It is believed that kidney

yang

insufficiency is the root of the disease， while the functional decline of the five

zang

（脏） organs and the obstruction of the

sanjiao

（三焦） pivot are the key links of the pathogenesis. In clinical practice， the division of

yang

numbers in the

Book of Changes

（《周易》） is followed， and 9 months is advocated as the basic treatment cycle for recurrent miscarriage complicated with subclinical hypothyroidism. Duri

ng the first half of the period before pregnancy （the first 3 months）， it is recommended to warm the pivot and

sanjiao

（三焦）， and

Yougui Pills

（右归丸） is commonly used as the basic prescription to warm and supplement the kidney

yang

， together with the medicinals of invigorating blood and dissolving stasis， regulating and unblocking

movement. During the second half of the period before pregnancy （the second 3 months）， it is better to nourish essence and nature the embryo commonly with

Wuzi Yanzong Pills

（五子衍宗丸） in modification. After pregnancy （the third 3 months）， it is suggested to supplement kidney and consolidate

chong mai

（冲）， replenish

and nourish blood mainly， supplemented by warming and nourishing heart

yang

， and self-made

Bushen Antai Formula

（补肾安胎方） which is modified based on the combination of

Shoutai Pills

（寿胎丸） and

Wenbao Beverage

（温胞饮） is commonly used.Additionally， it is recommended to adjust lifestyle and diet so as to balance

yin

and

yang

and improve the physical condition.

关键词

Keywords

references

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