從《醫(yī)旨緒余》“種子之道"探討卵巢儲(chǔ)備功能減退合并復(fù)發(fā)性流產(chǎn)的證治思路

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本文引用：.從《醫(yī)旨緒余》“種子之道"探討卵巢儲(chǔ)備功能減退合并復(fù)發(fā)性流產(chǎn)的證治思路[J].湖南中醫(yī)藥大學(xué)學(xué)報(bào)，2025，45（4）：742-747.

[關(guān)鍵詞]卵巢儲(chǔ)備功能減退；種子之道；復(fù)發(fā)性流產(chǎn)；臟腑辨證；卵巢功能[中圖分類號(hào)]R271 [文獻(xiàn)標(biāo)志碼]A [文章編號(hào)]doi：10.3969/j.issn.1674-070X.2025.04.024

[Abstract]Diminishedovarianreserve （DOR）andrecurrent spontaneous abortion （RSA），ascommon gynecological reproductive endocrinedisodes，hibitpotentialpatholgicaloectiosInDORpatintsdeclingoocyeualityleadstaicasdatef embryonicaneuploidypredisposingthemtoRSA.Conversely，therepeatedpregnancylosexperiencedbyRSApatientsinducsstress responses thatacelerateovarianfunctiondcline.Bthconditionsadverselyafectwomen'sreproductiveandmentalhealthThe Ming DynastyphysicianSUNYikui，inthechapterof"RevsedTraditionalFolkTextonFertilityofhismedicaltreatiseYiZhiXuYu （RemnantsofMedicalDecre）eferdtotefourprciplesofouishingteterusnurturingspesandovasingthign reinforcingdefiiencyaste"WayofSding，hichissentialforuccsfulconceptionuidedbyistoreticalfraeokts paperholdsthatthepathogenesisofDORcomplicatedwithRSAprimarilyinvolveskidneydeficiencyacompaniedbyspleen deficiency，liverqistagnationandbloodsasis.Therapeuticstrategiesfocusonfouraspects：optimizingtheuterineevioent improvingfertilizedovumqualitypromotingregularovulationandimplementingtimelypregnancymaintenance.Troughsquntial pre-conceptonandostocptioitervetiosinteatingbothtoifngndgatingthrapisndadresingtealfboth menand women，this approach aims to reduce miscarriage ratesand enhancefertilityoutcomes inDOR patients with RSA.

[Keywords]diminishedovarianreserve;WayofSeeding;recurrentspontaneousabortion;paterndiffrentiationofzang-fu organs; ovarian function

卵巢儲(chǔ)備功能減退（diminishedovarianreserve，DOR）是指卵巢內(nèi)卵母細(xì)胞數(shù)量減少和（或）質(zhì)量下降的生殖內(nèi)分泌疾病，提示女性生育潛能降低，并增加排卵障礙性不孕及流產(chǎn)的風(fēng)險(xiǎn)。（剩余11256字）