何嘉琳论治宫腔粘连的经验探析OA

Intrauterine adhesions are one of the main causes of secondary infertility,with the core pathogenesis be-ing abnormal fibrosis and repair after endometrial injury.Professor HE Jialin,a nationally renowned traditional Chinese medicine(TCM)practitioner,based on the"Three Causes of Gynecological Diseases"theory and modern reproductive medicine,proposed a"deficiency in the root and excess in the branch"pathogenesis of intrauterine adhesions and in-novatively established a"classification and staging treatment plan."For mild cases,TCM is advocated to treat the root cause and regulate menstruation;for moderate to severe cases,a combination of TCM and Western medicine is recom-mended.According to the three stages of endometrial repair after hysteroscopy,corresponding to the TCM pathogenesis of"blood stasis and heat accumulation-Qi and blood deficiency-malnourishment of the extraordinary meridians,"a treatment plan was proposed:"clearing heat,cooling blood,and stopping bleeding in the acute postoperative phase;tonifying Qi and blood to support the body's resistance in the tissue proliferation phase;and filling the extraordinary meridians to nourish the uterus in the endometrial remodeling phase."This approach has shown excellent clinical ef-ficacy.