从《医旨绪余》“种子之道"探讨卵巢储备功能减退合并复发性流产的证治思路

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本文引用：.从《医旨绪余》“种子之道"探讨卵巢储备功能减退合并复发性流产的证治思路[J].湖南中医药大学学报，2025，45（4）：742-747.

[关键词]卵巢储备功能减退；种子之道；复发性流产；脏腑辨证；卵巢功能[中图分类号]R271 [文献标志码]A [文章编号]doi：10.3969/j.issn.1674-070X.2025.04.024

[Abstract]Diminishedovarianreserve （DOR）andrecurrent spontaneous abortion （RSA），ascommon gynecological reproductive endocrinedisodes，hibitpotentialpatholgicaloectiosInDORpatintsdeclingoocyeualityleadstaicasdatef embryonicaneuploidypredisposingthemtoRSA.Conversely，therepeatedpregnancylosexperiencedbyRSApatientsinducsstress responses thatacelerateovarianfunctiondcline.Bthconditionsadverselyafectwomen'sreproductiveandmentalhealthThe Ming DynastyphysicianSUNYikui，inthechapterof"RevsedTraditionalFolkTextonFertilityofhismedicaltreatiseYiZhiXuYu （RemnantsofMedicalDecre）eferdtotefourprciplesofouishingteterusnurturingspesandovasingthign reinforcingdefiiencyaste"WayofSding，hichissentialforuccsfulconceptionuidedbyistoreticalfraeokts paperholdsthatthepathogenesisofDORcomplicatedwithRSAprimarilyinvolveskidneydeficiencyacompaniedbyspleen deficiency，liverqistagnationandbloodsasis.Therapeuticstrategiesfocusonfouraspects：optimizingtheuterineevioent improvingfertilizedovumqualitypromotingregularovulationandimplementingtimelypregnancymaintenance.Troughsquntial pre-conceptonandostocptioitervetiosinteatingbothtoifngndgatingthrapisndadresingtealfboth menand women，this approach aims to reduce miscarriage ratesand enhancefertilityoutcomes inDOR patients with RSA.

[Keywords]diminishedovarianreserve;WayofSeeding;recurrentspontaneousabortion;paterndiffrentiationofzang-fu organs; ovarian function

卵巢储备功能减退（diminishedovarianreserve，DOR）是指卵巢内卵母细胞数量减少和（或）质量下降的生殖内分泌疾病，提示女性生育潜能降低，并增加排卵障碍性不孕及流产的风险。（剩余11256字）