中西医结合治疗卵巢储备功能减退的理论与实践OA
An Academic Exploration of the Integration of Traditional Chinese and Western Medicine for the Treatment of Ovarian Reserve Hypofunction
现代中医对卵巢储备功能减退的认知已从传统"肾虚为本"的单核模式,演进为以"肝肾协同稳态失衡"为核心的动态系统模式.肝失疏泄作为连接社会心理应激与生殖功能衰竭的关键枢纽,其理论地位被提升至与肾虚并重.本文系统建构了"情志→肝郁→乘脾→化火→汲肾→血瘀"的病机链条,并对"血瘀""郁热"等病理因素的现代内涵进行了再界定.在治疗上,主张从"辨证论治"升级为"病证结合、周期调控、靶向修复"的整合策略,强调针灸、情志疗法的治疗地位.本文论证了中西医结合应从"优势互补"走向"范式融合",通过构建三级整合治疗目标与协同解释模型,为实现生殖健康领域的理论创新与临床突破提供新框架.
Abstrac Modern Chinese medicine's understanding of ovarian reserve hypofunction has evolved from the tradi-tional mononuclear model centered on"kidney deficiency as the root,"to a dynamic systems model centered on the"imbalance of liver-kidney homeostasis."This shift has elevated the theoretical significance of liver dys-function,positioning it on a par with kidney deficiency as a critical nexus linking psychosocial stress and repro-ductive disorders.In this study,we systematically construct a pathogenesis chain characterized by the sequence:"emotion → liver depression → spleen → fire → kidney → blood stasis,"and we redefine the modern implica-tions of pathological factors such as"blood stasis"and"stagnant heat."From a therapeutic perspective,the pa-per advocates for an evolution from the traditional"syndrome differentiation and treatment"approach to an inte-grated strategy that combines"disease and syndrome management,cyclical regulation,and targeted repair."It further underscores the therapeutic roles of acupuncture and emotional therapy.Ultimately,this paper argues for a paradigm shift in the integration of traditional Chinese and Western medicine,moving from a model of"com-plementary advantages"to one of"paradigmatic integration."In conclusion,this paper advocates for a transition from the concept of"complementary advantages"to"paradigm fusion"in the integration of traditional Chinese and Western medicine.This shift aims to establish a novel framework for theoretical innovation and clinical ad-vancement in reproductive health.The proposed approach involves the development of three-level integrated treatment objectives and a synergistic interpretation model.
陈巧利;冯桂玲;欧阳竞锋;张子琦
汝州市第一人民医院,河南汝州 467500宁德师范学院,福建宁德 352100||福建省毒物与药物毒理学重点实验室,福建宁德 352106中国中医科学院医学实验中心,北京 100700中国中医科学院医学实验中心,北京 100700
医药卫生
卵巢储备功能减退中西医结合病证结合范式融合理论探讨
Ovarian reserve hypofunctionIntegrated traditional Chinese and Western medicineDisease and syndrome combinationParadigm fusionTheoretical discussion
《国医论坛》 2026 (2)
19-23,5
福建省自然科学基金项目(2021J011173)宁德师范学院校级专项资助计划科研项目(2021ZX402).
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