HE Chengyao's Experience in Treating Recurrent Miscarriage Comorbid with Subclinical Hypothyroidism with the Method of Warming and Supplementing by Stages
10.13288/j.11-2166/r.2024.15.004
- VernacularTitle: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
- Author:
Yan OU
1
;
Taiwei ZHANG
2
;
Zhaozhao HUA
3
;
Xiaomin WEN
2
;
Yiyuan ZHOU
2
Author Information
1. Guizhou University of Traditional Chinese Medicine，Guiyang，550002
2. The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine
3. The Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine
- Publication Type:Journal Article
- Keywords:
recurrent miscarriage;
hypothyroidism;
warming and supplementing;
experience of famous doctors;
HE Chengyao
- From:
Journal of Traditional Chinese Medicine
2024;65(15):1544-1549
- CountryChina
- Language:Chinese
-
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. During 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 qi 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 qi 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.
