中醫治療月經先後不定期與不孕症之臨床病例

Irregular Menstruation Accompanying By Abnormal Menstrual Blood Volume and Infertility In Obese Female Undergoing Traditional Chinese Medicine Treatment: A case report

劉盈盈(Liu Ying-Ying) ； 廖麗蘭(Liao Li-Lan)

《中醫內科醫學雜誌》 18卷1期 (2020/06) Pp. 77-99

https://doi.org/10.7102/JTCIM.202006_18(1).0007

摘要

本例病案報告為33歲女性，自107年月經不按期來潮及不孕已一年半，於108年09月06日來本院中醫門診診治。治療原則以調整病患的月經週期與恢復卵巢機能為主。藉由辨證論治調整病患脾肝腎臟腑，來治療月經不規則與不孕症。經過三個月中醫藥物治療後，病患月經來潮、月經經色、經量、伴隨症狀改善並於108年11月受孕，安胎調理至109年01月04日。希望其治療成果可作為日後月經先後不定期及不孕症的患者治療參考。

關鍵字

月經不規則 ； 月經先後不定期 ； 不孕症

並列摘要

This case is a 33-year-old female came to Dr. Liao's OPD for Chinese medicine treatment because of menstruation at irregular intervals for two years and infertility since 2018. In this article, we mainly discuss about how Chinese medicine takes a hand of infertility treatment. Infertility is defined as inability of a couple to conceive after 12 months of regular intercourse without use of contraception in women less than 35 years of age; and after six months of regular intercourse without use of contraception in women 35 years and older. Various factors cause infertility, such as male factor, ovulatory dysfunction, tubal damage, endometriosis, coital problems, cervical factor and unexplained. After analyzing the problems of this patient, Spleen, Kidney and Liver zang fu are taken into account. Qi Zhi(Qi stagnation), Xue Yu(blood stasis), Shen Xu(kidney vacuity) are adjusted and the condition of the menstrual cycle and ovarian function is improved. The patient successfully conceived by four times intervention and under modifying kidney vacuity, dispersing phlegm and coursing depression and rectifying Qi treatment. The course is from September 6, 2018 to January 04, 2019. We demonstrated the experience in this case report for clinical reference and application.

並列關鍵字

Irregular Menstruation ； Infertility ； Traditional Chinese Medicine

參考文獻

Practice Committee of the American Society for Reproductive Medicine, Definitions of infertility and recurrent pregnancy loss, Fertility and Sterility, Volume 90, Issue 5, Supplement, November 2008:S60.

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

Hull MG, Glazener CM,etal, Population study of causes, treatment, and outcome of infertility, Br Med J (Clin Res Ed). 1985;291(6510):1693.

Practice Committee of American Society for Reproductive Medicine, Diagnostic evaluation of the infertile female: a committee opinion., Fertil Steril. 2012;98(2):302.

清馮兆張。馮氏錦囊秘錄女科精要‧嗣育門緒論。田思勝：馮兆張醫學全書。第一版(卷十七)。北京：中國中醫藥出版社，1999：486-487