Guo zhiqiang to tubal obstructive infertility experiences

Li jun XueXiaoOu WangBiQin Beijing university of Chinese medicine dongzhimen hospital

China's traditional Chinese medicine reported

        Beijing university of Chinese medicine dongzhimen hospital famous professor guo zhiqiang gynecologic experts the card for many years, diagnosis and treatment of infertility, habitual abortion, such as uterine bleeding gynecological diseases has accumulated rich clinical experience. For the treatment of infertility tubal obstructive, guo zhiqiang, says professor of the disease in the main pathogenesis is cold dampness stasis ", promoting blood circulation to remove WenTong to cure, desiccant for law (hereinafter referred to as WenTong law), the oral medicine and retention enema treatment, the effect is remarkable.

        Tubal obstructive infertility is one of the main reasons for the infertility, accounts for about 20% ~ 40% of female sterility. In recent years, with the spread disease, the palace infection, endometriosis, increase of the number of diseases such as tuberculosis, oviduct infertility risk of obstructive gradually increasing trend. Western medicine treatment of oviduct infertility using the most liquid obstructive art, oviduct intubation laparoscopic surgery or using oviduct inflammatory separation such as plastic solution and surgical treatment, but recurrent and appear of ectopic pregnancy risk is bigger. In recent years, along with the continuous development of assisted reproductie technologies, in vitro fertilization (IVF)-the embryo transfer (IVF-ET) also become solve important method of fallopian tube obstructive infertility. But because the cost is higher, and the effect is not good enough and with traumatic wait for a reason, most patients also hard to accept. Professor guo zhiqiang the card nearly 50 years, especially good at treating infertility. According to not complete count, nearly 10 years already heal obstructive tubal infertility patients to thousands of people. We have the teacher study with, and the treatment of oviduct infertility tutor obstructive part of the system of research and summarize, we will introduce the experience as follows.

        Evil resistance contexts, kidney Yang loss is the main pathogenesis

        About oviduct infertility cause obstructive, the YiZong JinJian · gynecological method gist "yue:" for a deposition of blood cell, new blood shall not be conceived, or because the cold cell taken conceived of heat can't, or because of body and much sputum, lipid membranes congestion in the cytoplasm and infertility, all the fine when, according to the card from modulation, since the son can have." Points out that blood stasis, cold evil, heat evil and phlegmy wet is infertile major disease evil. The disease mainly due to the hot and humid, wet poison, cold dampness of the evil invade within, the evil influence and the qi and blood stasis cardiac veins form, day long lead to the pulse block, not pure implantation and taken into infertility.

        GuoLao also think oviduct infertility is the basic pathogenesis of obstructive and resistance context. But there are many patients through the line tubes was liquid or cosmetic surgery after that oviduct tubes, and it is hard to pregnancy. The main reason is such patients also exist deficiency of the kidney. Kidney Yang for the roots of the sun be the spirit, is the source of life, with the promotion, always role. Patients feel hot and humid wet poison of the evil, doctors commonly used cold cool quality heal, day long cold cool drug damage kidney Yang; Or feeling cold dampness of the evil, cold sex stagnate and wet sex viscous, all can inhibit sun be the spirit. Kidney Yang blunt as the palace in always lost, delayed qi and blood stasis cell operation and resistance pulse, lead to the pulse impassability, can't taken fine conceived. So tubal infertility patients with clinical obstructive of often accompanied by the lower abdomen and the waist cold pain, heat is comfortable, down capacity is much, the color white matter loose, the late period, quantity is little color dark, the night the symptom such as frequent micturition.

        Combined with western medicine analysis, the evil influence after the invasion, long-term in pelvic viscera, can gradually lead to abnormal cells, metamorphic, organization deformation, connective tissue hyperplasia obvious, even stiff, causing tubal peristalsis or inside tubal dysfunction cilium swings, causing tubal organic disease. More than impassable tube with pelvic extensive adhesion, can affect ovarian local blood supply, make ovarian lack of nutrition, cause ovarian function obstacle, such as follicular bad, ovulation barriers and corpus luteum function not congruent. Such were the kidneys reproductive function disorder, be for kidney. To sum up, GuoLao think oviduct infertility is the main pathogenesis obstructive haemorrheological nature, Yang and blood stasis.

        To WenTong promoting blood circulation to remove dehumidifier, with

        Cold-induced febride cloud: "no child is a rush of blood stasis, yu blood to the son also can have." According to the deficiency of the kidney haemorrheological nature blood stasis main pathogenesis, GuoLao WenTong promoting blood circulation to remove, the paper puts forward the dehumidification for law (hereinafter referred to as WenTong method) tubal infertility treatment obstructive, using oral medicine and TCM retention enema treatments. Oral party to cassia twig, faeries spleen, three edges and shows, angelica, river xiong, root, sichuan, leech as beef shanks basic party, the menstrual cycle and patients with disease concurrently appropriate add to the flavor. Menstrual period and cinnamon, motherwort, liu slave to send blood by the temperature, remove stasis new born; The late period (follicular stage) and store, tangshen, Fried white atractylodes, etc. To promote qi and follicular; The early days (corpus luteum stage) and radix morindae officinalis, lock Yang, raspberry, atractylodes macrocephala koidz with temperature and kidney function, improve the corpus luteum spleen; The lower abdomen both before and breast pain and irritability, depression and upset symptoms, add Fried ZhiKe char attached, litchi, sweet orange leaf to nuclear, ShuGan qi, and do the gas pain; And god, heart palpitations shortness of breath, fatigue strength, food not sweet, loose stools, down more, color white matter the thin, add the codonopsis pilosula, grilled astragalus, Fried white atractylodes to fill gas spleen; With hydrosalpinx, add CheQianZi, pigs lingya genkwanin wet water line, with.

        Enema party use our NingKun liquid treatment to remove from the pharmacy. Herbs aconiti, cassia twig, with three edges, kelp, betel shows, myrrh, etc, to remove every night NingKun liquid 100 ml retention enema, menstrual period of service. 3 months for a period of treatment, drug use march to review the uterus angiography and uterine tubal tubes liquid was performed.

        Party of guizhi by the temperature unclogged arteries, to help YangHang stasis, and with the promotion of other drug efficacy. The faeries XinWen aconiti, spleen, warming the kidney, can repair the fire of the way and strong Yang way, promote reproductive organ development, and dispel the cold dampness of the evil. Angelica, three edges and shows such as root, remove blood stasis, dredging, according to the modern pharmacology study, has the effect of the Chinese medicine for activating blood circulation and eliminating stasis can regulate the fallopian tube and pelvic organizations synthesis metabolism, so as to promote the function recovery fallopian tube. In addition, rhiozma small cold, heat cool blood, can assist the cognition to the drugs cause of heat. Leeches and insect drugs FeiLing go channeling, can display drawing to remove blood stasis, carved away disease. Sichuan blood ~ regulate the menstrual function, goodness down, will lead the medicine to the second liver and kidney downward, to make medicine. The medicine share, with the temperature kidney Yang, role for activating blood circulation and eliminating stasis, already can absorb inflammatory lesions, separation adhesion, repair the connective tissue hyperplasia, oviduct tubes; And can make the fallopian tube cilia tissue repair and return to a normal physiological function.

        We have to GuoLao using this method treatment of oviduct infertility cases obstructive part is summarized, and the result shows that the fallopian tube obstruction of the cure rate was 9.89% and not strict birth control part of the pregnancy rate was 10% within the patients, the total effective rate was 40.66%, while the law can improve the corpus luteum function role.

        Typical cases

        Ma mou, female, 33, sichuan people, November 2009 my first time. Patients before menstruation rule, in 4 years ago people once, after people have not pregnant. Menstrual quantity to reduce half, the line a lower abdomen pain, chills, waist sour leg soft, defecate pond. Usually in each overworked or meet after cold bilateral lower abdomen to drag the pain, the waist sour leg soft, down capacity is much, the color white matter thin, brothers don't temperature, night urination 1 ~ 2 times. The end time menstruation on October 12, 2009. Fundamental temperature duplex, high temperature period for 10 days. In January 2009 the outer court check uterine fallopian tube iodine oil imaging and bilateral oviduct lift on the author, the jammed. Spouse semen normal routine. Tongue qualitative slightly dark, moss thin white, pulse heavy fine.

        Diagnosis: secondary sterility.

        Syndrome differentiation and disease differentiation and combination of kidney Yang with insufficient blood stasis. Oral party to cassia twig, faeries spleen, three edges and shows, angelica, river xiong, root, sichuan, leech as the basic party beef shanks, menstrual period and cinnamon, motherwort, liu slave, fry send large-headed atractylodes; The store later, tangshen, add Fried white atractylodes; The early 3 arris, shows, to leeches, and radix morindae officinalis, lock Yang, raspberry, astragalus char. In our hospital since NingKun fluid enema pharmaceutical removing stasis, menstrual period and fundamental temperature for 14 days after high temperature is stopped.

        December 15, 2009 appointment, v. period has expired 4 days, fundamental temperature high temperature phase has lasted 18 days, a dull pain in the abdomen, breast pain, the more without discomfort. To check urine pregnancy test positive, diagnosed with pregnancy. Because the patient have infertility history, the fetus is precious son, to do Chinese medicine defend treatment. Follow the patients in September 20, 2010 natural labor a healthy baby boy.