CAJ | 학술논문

[目的]总结浙江陈木扇女科陈氏安胎法治疗先兆流产的临床体会。[方法]分析陈氏对先兆流产病因病机的认识，总结陈氏安胎的治疗用药特色，分析临床典型案例，概括出陈氏安胎的临床经验体会。[结果]对先兆流产，陈氏认为其主要病机是胎火上炎，气血虚弱，脾肾不足，而至胎元不固，或胎动不安，或胎漏不止。治疗上陈氏安胎倡导清热凉血、补益气血、健脾补肾的方法。陈氏安胎“防”“治”结合，安胎用药以“调和”为主。[结论]陈氏安胎法治疗先兆流产特色明显，临床经验丰富，值得传承推广。
[목적]총결절강진목선녀과진씨안태법치료선조유산적림상체회。[방법]분석진씨대선조유산병인병궤적인식，총결진씨안태적치료용약특색，분석림상전형안례，개괄출진씨안태적림상경험체회。[결과]대선조유산，진씨인위기주요병궤시태화상염，기혈허약，비신불족，이지태원불고，혹태동불안，혹태루불지。치료상진씨안태창도청열량혈、보익기혈、건비보신적방법。진씨안태“방”“치”결합，안태용약이“조화”위주。[결론]진씨안태법치료선조유산특색명현，림상경험봉부，치득전승추엄。
Objective] To summarize the clinical experience to treat threatened abortion with Zhejiang Chen Mushan Gynecology calming fetus. [Method] By analyzing the understanding of Chen’s Gynecology to etiology and pathogenesis of threaten abortion, to review typical cases and summarize its characteristic of treatment, to sum up the clinical experience of threatened abortion. [Result]The etiology of threaten abortion of Chen ’s Gynecology is due to fetus fire flaring up, qi and blood deficiency, spleen and kidney insufficiency, therefor causing fetus yuan qi not solid, fetus unease and/or threatened abortion. The paper introduces Chen’s miscarriage prevention and proposes to treat threatened abortion by focusing on tonifying qi and blood, strengthening kidney and spleen, clearing heat and cooling blood, integrating prevention with treatment, emphasizing in harmonizing in the treatment. [Conclusion] Chen’s treating method for threatened abortion by calming fetus has accumulated rich clinical experiences with strong characteristics, it is worth to inheritance and popularizing.