马大正从痰湿论治肥胖型不孕症经验
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R249;R271.9

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江苏省第四批临床中医优秀人才研修项目(苏中医科教函〔2021〕20号)


MADazheng'sExperienceinTreatingObesity-RelatedInfertilityfromPhlegm-Dampness
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    摘要:

    马大正主任中医师认为肥胖型不孕症的病因病机为饮食不节、情志不畅等因素损伤脾胃,使脾虚失 运、肝郁气滞、阳气不足,终致体内津液运化失常,水湿内停久留化成痰湿,痰湿或内阻或久蕴化热,壅滞胞 宫,发为不孕。治疗时通常分湿热蕴结、痰浊中阻、阳虚水湿内停三型论治,对应运用清热祛湿、通腑泄浊 法,健脾行气、化痰除湿法,温阳化气、健脾祛湿法,选用防风通圣散、苍附导痰汤、苓桂术甘汤为主方加减 治疗,疗效显著。

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    Abstract:Chief Chinese medicine Physician MA Dazheng believes that the etiology and pathogenesis of obesity- related infertility are the damage of spleen and stomach cause by irregular diet,emotional distress,and other factors, leading to spleen deficiency and impaired transportation, liver qi stagnation, and yang qi insufficiency. These conditions ultimately result in abnormal fluid metabolism within the body,causing water-dampness to accumulate and transform into phlegm-dampness. Phlegm-dampness may either obstruct internally or transform into heat over time, congesting the uterus and leading to infertility. During the treatment,it is typically categorized into three types:damp- heat accumulation, phlegm-turbidity obstruction, and yang deficiency with internal retention of water-dampness. Corresponding treatment methods include clearing heat and removing dampness,unblocking the bowels and expelling turbidity,strengthening the spleen and promoting qi,resolving phlegm and removing dampness,warming yang and transforming qi,and strengthening the spleen and removing dampness. The primary prescriptions used are Fangfeng Tongsheng Powder,Cangfu Daotan Decoction and Linggui Zhugan Decoction,with modifications based on the patient's condition,yielding significant therapeutic effects.

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何太文,张利,指导:马大正.马大正从痰湿论治肥胖型不孕症经验[J].新中医,2025,57(16):219-223

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  • 在线发布日期: 2025-08-26
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