[1]张驰,苏同生,万兆新.名中医苏同生从“冲脉”论治子宫内膜异位症性不孕经验[J].陕西中医,2025,46(6):822-825.[doi:DOI:10.3969/j.issn.1000-7369.2025.06.021]
　ZHANG Chi,SU Tongsheng,WAN Zhaoxin.Experience of famous traditional Chinese medicine doctor SU Tongsheng in treating infertility caused by endometriosis from perspective of “chong meridian”[J].,2025,46(6):822-825.[doi:DOI:10.3969/j.issn.1000-7369.2025.06.021]
点击复制

名中医苏同生从“冲脉”论治子宫内膜异位症性不孕经验
分享到：

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年6期
页码:
822-825
栏目:
名中医经验
出版日期:
2025-06-05

文章信息/Info

Title:
Experience of famous traditional Chinese medicine doctor SU Tongsheng in treating infertility caused by endometriosis from perspective of “chong meridian”
作者:
张驰1; 苏同生2; 万兆新2
（1.陕西中医药大学针灸推拿学院,陕西 咸阳 712046；2.陕西省中医医院，陕西 西安 710003)
Author(s):
ZHANG Chi1; SU Tongsheng2; WAN Zhaoxin2
(1.College of Acupuncture Moxibustion and Tuina,Shaanxi University of Chinese Medicine,Xianyang 712046,China；2.Shaanxi Provincial Hospital of Chinese Medicine,Xi’an 710003，China)
关键词:
子宫内膜异位症; 冲脉; 针药结合; 不孕; 炎症; 粘连
Keywords:
Endometriosis; Chong meridian; Combination of acupuncture and medication; Infertility; Chronic inflammation; Adhesions
分类号:
R 711.71
DOI:
DOI:10.3969/j.issn.1000-7369.2025.06.021
文献标志码:
A
摘要:
总结苏同生教授从“冲脉”论治子宫内膜异位症性不孕的临床经验。子宫内膜异位症性不孕（EMs）指子宫内膜组织出现在子宫腔以外的部位，引发慢性炎症、粘连以致不孕。苏同生教授认为子宫内膜异位症性不孕的病机主要为肾精气虚、脾虚气衰、肝郁血瘀、寒凝血瘀、冲任失调等，治宜以调理冲任，滋补脾肾，兼顾疏肝散寒为主，经络方面涉及督任冲三脉与肝脾肾三经，病位在胞宫。他传承精华，守正创新，因冲脉为“血海”“十二经脉之海”与“五脏六腑之海”，其气化功能直接影响月经及生殖，故着重发挥冲脉的作用，使用“冲”类处方综合治理子宫内膜异位症性不孕，特色鲜明。在临床实践中辅以针灸，以冲脉交会穴为主穴，注重神经节段效应，取得了较好的效果。
Abstract:
This article summarizes Professor SU Tongsheng’s clinical experience in treating infertility caused by endometriosis from the perspective of “Chong Meridian”.Endometriosis-related infertility (EMs) refers to the presence of endometrial tissue outside the uterine cavity,leading to chronic inflammation,adhesions,and infertility.Professor SU Tongsheng believes that the pathogenesis of endometriosis-related infertility mainly involves kidney deficiency,spleen deficiency,liver depression with blood stasis,cold coagulation with blood stasis,and disorder of Chong and Ren meridians.The treatment should focus on regulating Chong and Ren meridians,nourishing the spleen and kidney,and taking into account the dispersion of liver depression and the elimination of cold.The involved meridians include the Du,Ren,and Chong meridians,as well as the liver,spleen,and kidney meridians,with the location of the disease being the uterus.He adheres to the essence of traditional medicine,innovates while maintaining the orthodoxy,and emphasizes the role of the Chong meridian,which is known as the “sea of blood” “sea of the twelve meridians”,and “sea of the five zang and six fu organs”.Its qi transformation function directly affects menstruation and reproduction.Therefore,he uses "Chong" type prescriptions to comprehensively treat endometriosis-related infertility,with distinct characteristics.In clinical practice,he also uses acupuncture,mainly focusing on the meeting points of the Chong meridian,paying attention to the segmental effect of the nervous system,achieving good results.

参考文献/References:

[1]陈思凯,祝洪澜,昌晓红.雌激素微生态理论在子宫内膜异位症发病机制中的研究进展[J].中国妇产科临床杂志,2024,25(4):367-369.
[2]陈曼,林虹,王玉莲,等.子宫内膜异位症相关不孕患者体外受精/卵胞浆内单精子注射助孕方案的比较[J].实用医学杂志,2020,36(17):2415-2419.
[3]苏德慧,杨欣.妇科手术对卵巢储备功能的影响[J].中国实用妇科与产科杂志,2023,39(9):887-890.
[4]李亚欣,傅金英,李东东,等.基于“不通则痛”探讨中医药治疗子宫内膜异位症痛经机制的研究进展[J].世界中医药,2024,19(17):2696-2703.
[5]陈曦,李良松,彭静.温针灸配合内异止痛方加减治疗子宫内膜异位症的临床研究[J].辽宁中医杂志,2022,49(5):98-101.
[6]范伟森,于潇,齐英华,等.基于“女子以肝为先天”探讨卵巢型子宫内膜异位症性不孕症的论治思路与方法[J].中医药学报,2023,51(1):1-3.
[7]汪婷婷,施春晖,柯雪爱.加味生化汤联合中医定向透药疗法对人工流产患者子宫复旧的影响[J].中国妇幼保健,2022,37(23):4428-4432.
[8]黄羚,江媚.从肾-天癸-冲任-胞宫生殖轴论补肾活血法改善子宫内膜容受性低下[J].辽宁中医杂志,2021,48(10):45-48.
[9]支娜,张虹,莫倩,等.基于古今文献浅析冲脉病的临床诊断[J].中国中医基础医学杂志,2023,29(8):1257-1259.
[10]游纹静,曹火亮,游世晶.冲脉参与心肺主导下的血气循环浅析[J].河南中医,2024,44(8):1169-1172.
[11]胡荣军,毛佳瑜.电针联合补肾祛瘀方治疗子宫内膜异位症的疗效观察及对血清CA125和CA199的影响[J].上海针灸杂志,2024,43(6):645-650.
[12]兰柔,刘韵韵,肖秋凯,等.“通元针法”联合精玉药灸治疗肾虚血瘀型反复种植失败疗效观察[J].中国针灸,2023,43(12):1405-1410.
[13]谢依璇,李瑞.针灸治疗冲脉病证的临床举隅[J].中医临床研究,2022,14(13):49-52.
[14]杨玉玲,杨新鸣.冲任失调与卵巢早衰[J].现代中西医结合杂志,2021,30(1):66-69.
[15]李赛,李东,辛喜艳,等.基于复杂网络分析中药人工周期治疗排卵障碍性不孕症的用药规律[J].吉林中医药,2019,39(2):206-212.
[16]李佩双,徐红梅,彭佳华,等.女性“任脉通”“太冲脉盛”客观指征辨析[J].江西中医药,2021,52(9):12-14.
[17]申向一,贺娟.基于《黄帝内经》探究冲脉概念及临床应用[J].中医杂志,2024,65(15):1525-1530.
[18]郭珊珊.神经节段效应对泌尿生殖系统疾病取穴的影响初探[J].针灸临床杂志,2019,35(6):60-63.
[19]李凡舒,孙艳荣,张艳,等.卵巢癌神经调控的研究进展[J].解剖学报,2024,55(5):647-653.
[20]唐远伟,崔翔,刘坤,等.针刺不同穴位调节子宫运动功能的自主神经机制研究[J].针刺研究,2020,45(9):708-713.
[21]郭珊珊,傅心昊,秦照梅,等.基于数据挖掘的神经节段效应对取穴规律的影响[J].成都中医药大学学报,2019,42(4):65-69.
[22]周晨,刘群,辛娟娟,等.基于神经肌肉接头兴奋传递研究得气针感调控机制的思路探讨[J].中国中医基础医学杂志,2022,28(10):1658-1663.
[23]马丽然,王婷婷,肖双双,等.补肾填精解郁中药联合电针八髎穴治疗薄型子宫内膜的临床研究[J].中国中医基础医学杂志,2024,30(8):1380-1383.
[24]羊璞,効迎春,惠建荣.近5年针灸治疗卵巢早衰的基础与临床研究进展[J].现代中西医结合杂志,2020,29(8):901-905.
[25]李净,郜洁,陈思,等.子宫穴治疗妇科疾病的古代文献分析[J].广州中医药大学学报,2020,37(4):790-794.
[26]李紫明,陈坚义,孙爽,等.浅析天枢穴之枢机作用[J].中国针灸,2020,40(12):1319-1321.
[27]陈蕊,任路.基于“肾脑相济”理论探析不孕导致情志异常的因机证治[J].辽宁中医药大学学报,2024,26(4):207-210.
[28]梁忠喆,李道成,张亚文,等.电针辅助中药治疗子宫内膜异位症对肿瘤标志物水平的影响[J].世界中医药,2020,15(17):2639-2642.
[29]彭静,苏同生.电针对子宫内膜异位症相关性不孕的调节机制研究[J].针灸临床杂志,2022,38(10):98-102.
[30]赵萌,柳榴,权效珍,等.电针结合红外线照射对反复着床失败患者子宫内膜容受性、胚胎移植及妊娠情况的影响[J].现代生物医学进展,2019,19(23):4549-4552,4535.

相似文献/References:

[1]胡贞君,刘笑梅△,曹保利.复方莪术散治疗子宫内膜异位症疗效及其分子学研究进展*[J].陕西中医,2019,(9):1315.
[2]张 莉,金 晶,季 菲△.丹莪妇康煎膏联合孕三烯酮治疗子宫内膜异位症疗效及对患者CA125、TNF-α和IL-6水平的影响*[J].陕西中医,2020,(10):1370.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.007]
[3]李承秋,吕文艺,金 凡,等.活血消异汤联合米非司酮对子宫内膜异位症患者血清MMP-3、CA125、EMAb水平的影响[J].陕西中医,2021,(3):297.[doi:DOI:10.3969/j.issn.1000-7369.2020.03.006]
　LI Chengqiu,LV Wenyi,JIN Fan,et al.Effect of Huoxue Xiaoyi decoction combined with mifepristone on the serum levels of MMP-3,CA125 and EMAb in patients with endometriosis[J].,2021,(6):297.[doi:DOI:10.3969/j.issn.1000-7369.2020.03.006]
[4]陈亚杰,闻 姬.子宫内膜异位症中西医认识及治疗研究进展[J].陕西中医,2021,(10):1486.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.043]
[5]余 震,柳 洲.消瘤方对子宫内膜异位症大鼠盆腔粘连的影响[J].陕西中医,2022,(1):13.[doi:DOI:10.3969/j.issn.1000-7369.2022.01.003]
　YU Zhen,LIU Zhou.Effect and the mechanism of Xiaoliu decoction on pelvic adhesion in rats with endometriosis[J].,2022,(6):13.[doi:DOI:10.3969/j.issn.1000-7369.2022.01.003]
[6]董秀娟,曹若愚,于洪基,等.大蒜素对子宫内膜异位症大鼠异位病灶及缺氧诱导因子-1α表达的影响[J].陕西中医,2022,(4):432.[doi:DOI:10.3969/j.issn.1000-7369.2022.04.005]
　DONG Xiujuan,CAO Ruoyu,YU Hongji,et al.Effects of Allicin on the ectopic lesions and the expression of HIF-1α in rats with endometriosis[J].,2022,(6):432.[doi:DOI:10.3969/j.issn.1000-7369.2022.04.005]
[7]赵 娜,周灵雪,杨向荣.桂枝茯苓胶囊联合戈舍瑞林对子宫内膜异位症患者子宫动脉血流动力学及Th1/Th2细胞因子的影响[J].陕西中医,2022,(4):446.[doi:DOI:10.3969/j.issn.1000-7369.2022.04.008]
　ZHAO Na,ZHOU Lingxue,YANG Xiangrong.Effects of Guizhi Fuling capsule combined with goserelin on uterine artery hemodynamics and Th1/Th2 cytokines in endometriosis patients[J].,2022,(6):446.[doi:DOI:10.3969/j.issn.1000-7369.2022.04.008]
[8]刘 叶,赵亚芹.活血通络解毒汤治疗子宫内膜异位症疗效及对患者卵巢功能的影响[J].陕西中医,2022,(4):450.[doi:DOI:10.3969/j.issn.1000-7369.2022.04.009]
　LIU Ye,ZHAO Yaqin.Therapeutic effect of Huoxue Tongluo Jiedu decoction on endometriosis and its influence on ovarian function of patients[J].,2022,(6):450.[doi:DOI:10.3969/j.issn.1000-7369.2022.04.009]
[9]宋梦杨,连 方.连方教授治疗子宫内膜异位症经验[J].陕西中医,2022,(4):511.[doi:DOI:10.3969/j.issn.1000-7369.2022.04.026]
　SONG Mengyang,LIAN Fang.LIAN Fang's experience in treating endometriosis with Quyu Jiedu decoction[J].,2022,(6):511.[doi:DOI:10.3969/j.issn.1000-7369.2022.04.026]
[10]杨润雨,陈 瑶,冯晓玲.中医药治疗子宫内膜异位症致不孕研究进展[J].陕西中医,2023,(5):670.[doi:DOI:10.3969/j.issn.1000-7369.2023.05.032]
　YANG Runyu,CHEN Yao,FENG Xiaoling.Research progress of traditional Chinese medicine in the treatment of infertility caused by endometriosis[J].,2023,(6):670.[doi:DOI:10.3969/j.issn.1000-7369.2023.05.032]

备注/Memo

备注/Memo:
国家中医药管理局科研项目（2019XZZXZJ010）
更新日期/Last Update: 2025-06-09