不孕症中醫用藥分析

目的：分析歸納不孕症患者之中醫用藥規律，以供臨床參考。方法：回溯分析桃園長庚醫院2004年至2014年間，治療不孕症之中醫處方治則及用藥。結果：所有中藥處方中，最常使用的方劑種類為補益劑(50.06%)，其次為和解劑(17.63%)、理血劑(13.12%)。最常使用單方及單味藥為左歸丸(15.36%)和香附(6.56%)。結論：不孕症患者主要病機為腎虛、肝鬱、血虛、血瘀、痰濕，因而相應使用治療藥物以補腎、疏肝、理血、化痰祛濕為主。

關鍵字

中醫；不孕症

並列摘要

Objective: The aim of this study is to investigate the characteristics and utilization of traditional Chinese medicine among patients with infertility. Methods: We retrospec-tively collected medical records of patients with infertility at the Taoyuan Chang Gung Memorial Hospital between 2004 and 2014. Data including demographic data and tradi-tional Chinese medicine treatment prescriptions were analyzed. Results: Zuo-Gui-Wan (Left Side Replenishing Teapills) (15.36%) and Xiang-Fu (Cyperi Rhizoma) (6.56%) were the most frequently prescribed herbal formula and single herb, respectively. Conclusion: According to the results of our research, tonifying the kidney, dispersing stag-nated liver Qi, regulating of blood, clearing damp and resolving phlegm are major ther-apeutic principles guiding infertility treatment. Our data represents the consensus of experts' knowledge and experience with regard to herbal selection for the treatment of infertility.

並列關鍵字

Chinese medicine ； infertility

參考文獻

Frotner, Kimberly B.(ed.),Szymanski, Linda M(ed.),Fox, Harold E.(ed.),Wallach, Edward E.(ed.)(2007).John Hopkins Manual of Gynecology and Obstetrics.Lippincott Williams & Wilkins.

Google Scholar

Mascarenhas, MN,Flaxman, SR,Boerma, T(2012).National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys.PLoS Med..9,e1001356.