運用中醫月經週期療法治療不孕症之病例報告

本病例為一位34歲已婚女性，五年前曾有一次萎縮卵的過去病史，維持無避孕的正常性生活五年而未懷孕，故求診中醫治療。所使用的調理方法是中醫月經週期療法為主軸，以補腎為基礎，於月經週期的不同階段分別給予不同的中藥，並搭配體質辨證為輔，經辨證後診斷為肝陰血虛、腎陽氣虛、夾血瘀。治療主要分成兩大方向，經後期以滋陰養血為主，經前期則以補氣補陽為主，治療期間同時請患者測量基礎體溫以評估月經週期與療效。患者經服用兩個月中藥後自然受孕，懷孕十二周內持續使用中藥安胎，於足月自然產一健康男嬰。兩年後，患者36歲，因已無避孕十個月仍未受孕故再次求診，以同樣的方法治療，經服用中藥三個月後自然受孕，亦足月自然產一健康男嬰。

關鍵字

不孕症；中醫月經週期療法；基礎體溫

並列摘要

This 34-year-old married woman had an obstetric history of blighted ovum five years ago. After that, she maintained a normal sexual life without contraception but had not been pregnant for five years. Therefore, she sought treatment at our traditional Chinese medicine (TCM) outpatient department (OPD). Her TCM patterns were the combination of Liver Yin and Blood deficiency, Kidney Qi and Yang deficiency, and Blood stasis. TCM cycle therapy was used as the main treatment method, moreover, according to the principle of TCM cycle therapy, herbal medicines to nourish yin and blood during the follicular phase, and that to tonify yang and qi during the luteal phase were prescribed. During the treatment, the patient was asked to measure basal body temperature, in order to determine the phase the patient was in, and to evaluate the efficacy of the treatment. After two months' TCM herbal medicine, the patient conceived naturally. Two years later, when this patient was 36 years old, she went to our TCM OPD again after a failure of being pregnancy by regular sexual life for ten months. After taking herbal medicine with similar principles as mentioned above for three months, she conceived naturally again. Both of her pregnancies ended in the delivery of a healthy full-term baby.

並列關鍵字

Infertility ； traditional Chinese medicine cycle therapy(TCM cycle therapy) ； basal body temperature(BBT)

參考文獻

Practice Committee of tAmerican Society for Reproductive Medicine. Definitions of infertility and recurrent pregnancy loss. Fertility and Sterility 90:S60, 2008.

Google Scholar

Thoma ME, McLain AC, Louis JF, et al. Prevalence of infertility in the United States as estimated by the current duration approach and a traditional constructed approach. Fertility and Sterility 99:1324, 2013.