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黎小斌治疗卵巢储备功能下降经验介绍OA

Introduction to LI Xiaobin's Experience in Treating Diminished Ovarian Reserve

中文摘要英文摘要

介绍黎小斌教授治疗卵巢储备功能下降的临床经验.卵巢储备功能下降是女性从正常向绝经过渡的生理过程,过早或过快的下降会引发一系列内分泌疾病,属中医不孕、月经先后不定期、经水早断、闭经范畴.黎小斌教授认为此类疾病病机以肾虚为本,肝郁为枢,脾虚为要,三脏同病,虚实夹杂,本虚标实.治疗时当异病同治,以补肾填精为主,贯穿始终,兼顾疏肝理气或健脾益气,主张专人专方,针对不同年龄阶段、不同生育需求以及不同的生理阶段进行个性化治疗.同时,结合饮食调摄、规律作息、适度运动及情志疏导等综合调摄,常可获得良效.

This paper introduces Professor LI Xiaobin's clinical experience in treating diminished ovarian reserve(DOR).The diminishment of ovarian reserve is a physiological process in women transitioning from normal to menopause.Premature or accelerated decline can lead to a series of endocrine disorders.DOR falls under the categories of infertility,irregular menstrual cycles,premature menopause,and amenorrhea in traditional Chinese medicine.Professor LI Xiaobin contends that kidney deficiency serves as the root cause for the pathogenesis of DOR,liver stagnation as the pivot,and spleen deficiency as the key,involving disorder of kidney,liver,and spleen,with deficiency interwoven with excess and deficiency in root and excess in branch.In treatment,different diseases should be treated with the same method,focusing primarily on tonifying kidney and replenishing essence throughout the course,while also soothing liver and regulating qi or invigorating spleen and replenishing qi as appropriate.Professor LI advocates for personalized prescriptions tailored to different age groups,different fertility needs,and different physiological stages.In addition,comprehensive regulation integrating dietary adjustments,regular routines,moderate exercise,and emotional counseling often yields good outcomes.

冯莞童;骆赟韵;黎小斌

广州中医药大学第二临床医学院,广东 广州 510405广州中医药大学第二临床医学院,广东 广州 510405||广东省中医院,广东 广州 510120广州中医药大学第二临床医学院,广东 广州 510405||广东省中医院,广东 广州 510120

医药卫生

卵巢储备功能下降肾虚为本肝郁为枢脾虚为要黎小斌

Diminished ovarian reserveKidney deficiency as the root causeLiver stagnation as the pivotSpleen deficiency as the keyLI Xiaobin

《新中医》 2026 (16)

129-135,7

广东省基础与应用基础研究基金企业联合基金面上项目(2023A1515220224)广东省中医药局面上项目(20232047)广东省中医院中医药科学技术研究专项(YN2024GZRPY006)

10.13457/j.cnki.jncm.2026.16.019

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