[1]王晶晶,汤玲.基于朱丹溪“六郁”学说探讨不孕症[J].陕西中医,2025,46(12):1669-1672,1690.[doi:DOI:10.3969/j.issn.1000-7369.2025.12.017]
 WANG Jingjing,TANG Ling.Exploring infertility based on ZHU Danxi’s “Six-depression” theory[J].,2025,46(12):1669-1672,1690.[doi:DOI:10.3969/j.issn.1000-7369.2025.12.017]
点击复制

基于朱丹溪“六郁”学说探讨不孕症

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年12期
页码:
1669-1672,1690
栏目:
学术探讨
出版日期:
2025-12-05

文章信息/Info

Title:
Exploring infertility based on ZHU Danxi’s “Six-depression” theory
作者:
王晶晶汤玲
(北京中医药大学附属东直门医院,北京100010)
Author(s):
WANG Jingjing TANG Ling
(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100010,China)
关键词:
六郁朱丹溪不孕症辨郁施治助孕郁致不孕
Keywords:
Six depressionZHU DanxiInfertilityDistinguish depression and treatAssisting pregnancyInfertility due to stagnation
分类号:
R 749.41
DOI:
DOI:10.3969/j.issn.1000-7369.2025.12.017
文献标志码:
A
摘要:
不孕症是妇科临床的疑难病与多发病之一,中医助孕常以虚立论。然而,随着社会与生活环境的改变,女性的精神压力日渐增大,加之饮食不节等不良生活习惯的形成,导致实证在不孕症发病过程中的地位越发明显。“六郁”理论为朱丹溪首创,本文通过论述“六郁”理论与不孕的联系,认为“六郁”是不孕症发病的一大关键因素,并提出临证应重视“辨郁施治”,旨在为不孕症的中医诊治提供参考借鉴。
Abstract:
Infertility is one of the difficult and frequently-occurring diseases in gynecology clinic.Traditional Chinese medicine (TCM) is often based on deficiency.However,with the change of social and living environment,the mental stress of women is increasing day by day,coupled with the appearance of unhealthy living habits such as improper diet,which leads to the more obvious position of evidence in the pathogenesis of infertility.The theory of “six depression” was initiated by ZHU Danxi.This paper discusses the relationship between the theory of “six depression” and infertility,and holds that “six depression” is a key factor in the pathogenesis of infertility,and puts forward that “differentiation of depression and treatment” should be paid attention to in clinical practice,aiming at providing reference for the diagnosis and treatment of infertility in traditional Chinese medicine.

参考文献/References:

[1]代玮,郭艺红.2023年欧洲人类生殖与胚胎学学会《不明原因不孕症的诊断与治疗指南》解读[J].实用妇产科杂志,2024,40(7):527-531.
[2]郭佳易,贺丰杰,李楠.基于“二阳之病发心脾”探讨肠道微生物群与不孕症的关系[J].北京中医药大学学报,2023,46(6):836-841.
[3]罗颂平.从阴阳论女性生殖调节[J].中医杂志,2018,59(23):2013-2016.
[4]曾晶,周芳,刘天洋,等.补肾健脾方治疗卵巢储备功能减退相关不孕脾肾两虚证临床观察[J].中医药导报,2024,30(1):70-74.
[5]黄佩俐.123例不孕症患者心理因素的调查与研究[D].北京:北京中医药大学,2014.
[6]张梦洁,张琼月,闫李婕,等.从“六郁”论治小儿变应性鼻炎[J].中国中医急症,2023,32(2):264-268.
[7]王望,曹继刚,王齐开,等.从六郁论治勃起功能障碍的理论与临床实践[J].环球中医药,2023,16(1):141-144.
[8]季顺欣,冯晓玲.朱丹溪妇科临证探析[J].中国中医基础医学杂志,2019,25(12):1646-1647,1661.
[9]韦细连,朱晨晨.女性抑郁症与月经周期的联系和中西医治疗干预的新思路[J].中华中医药杂志,2018,33(7):2739-2743.
[10]韩延华,王敏,张雪芝.从“肝主冲任”论治妇科杂病[J].中华中医药杂志,2013,28(11):3284-3286.
[11]刘程程.不孕症中医证型分布规律及相关因素分析[D].沈阳:辽宁中医药大学,2021.
[12]刘燕,丁秀芳,严志祎,等.肝郁脾虚证的中医理论基础探讨[J].中华中医药杂志,2018,33(4):1254-1257.
[13]段丽敏,袁媛,赵强,等.基于“郁病相生理论”探析慢性胃炎伴焦虑抑郁状态病机与治则[J].陕西中医,2025,46(6):800-804.
[14]钟洁媚,吕雄,曾凤珊,等.基于“气血肝脾”理论论述吕雄教授治疗良性甲状腺结节经验[J].陕西中医,2022,43(2):240-243.
[15]王冬盈,黄煦格,郜洁,等.子宫内膜异位症中医证候分布的文献研究[J].广州中医药大学学报,2022,39(6):1441-1446.
[16]王亚男,李佳,吴兆利,等.基于“痰湿不孕”探讨多囊卵巢综合征的辨治思路[J].辽宁中医杂志,2024,51(12):42-45.
[17]申航旗,何燕南.从“肥胖不孕”探讨肥胖对多囊卵巢综合征的影响[J].陕西中医,2024,45(1):84-87.
[18]姜西利,李伟莉,张红.基于“肥胖不孕”理论从脾论治肥胖型多囊卵巢综合征不孕症[J].山西中医药大学学报,2024,25(7):753-758.
[19]高远,张景明,佟雅婧,等.基于“一气周流”理论探讨从“中气”治疗多囊卵巢综合征[J].陕西中医,2025,46(2):233-236,240.
[20]李晓蕾.从肝论治不明原因不孕症的因机症治[D].哈尔滨:黑龙江中医药大学,2012.
[21]王宏艳.疏肝解郁治疗不孕症27例临床观察[J].内蒙古中医药,2016,35(16):5.
[22]安丹丹,庞秀花.柴胡疏肝散加减治疗妇科病医案4则[J].新中医,2022,54(10):66-69.
[23]宋省省.定经汤联合针刺疗法治疗肾虚肝郁型多囊卵巢综合征致不孕症患者的效果研究[J].实用妇科内分泌电子杂志,2024,11(2):57-59.
[24]陈英华,姚美玉,高珊.定经汤异病同治的临床应用[J].中国中医药现代远程教育,2017,15(15):70-71.
[25]何若苹.国医大师何任活血化瘀治疗不孕不育经验探析[J].中华中医药杂志,2013,28(12):3559-3561.
[26]余欣慧,徐云霞,李伟莉.李伟莉教授“从瘀论治”不孕症经验总结[J].陕西中医,2021,42(6):780-782.
[27]鲁颖晔,陈少春.浙江何氏妇科治疗子宫内膜异位症不孕经验介绍[J].新中医,2024,56(10):184-187.
[28]吕烈洋.田玉美教授治疗不孕症学术思想及临床经验研究[D].武汉:湖北中医药大学,2017.

备注/Memo

备注/Memo:
国家重点研发计划项目(2019YFC1710102)
更新日期/Last Update: 2025-12-08