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中西整合醫學雜誌

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篇名 妊娠惡阻文獻綜述
卷期 9:1
並列篇名 A Review Article of Morning Sickness in Pregnancy
作者 楊育書陳榮洲
頁次 41-50
關鍵字 妊娠惡阻病因病機治療方劑藥物使用頻率Morning sickness in pregnancyEtiology and pathogenesisTherapeutic prescriptionsHerbs using frequency
出刊日期 200706

中文摘要

本文主要回溯傳統中醫有關妊娠惡阻的文獻,從中瞭解古代醫家對惡阻的病因病機理論及治療方藥,經整理分類出妊娠惡阻的病因病機有三大要點,分別是(1)胃虛、痰飲、氣逆,(2)鬱、怒、肝血燥,及(3)體質肥瘦。在治療妊娠惡阻上,六君子湯、二陳湯和小半夏加茯苓湯為最常用基本方劑,從藥物統計的使用頻率分析,最常用的藥物依序為陳皮、甘草、生薑、茯苓、白朮、人參、半夏。依中醫辨證可分十大證型,包括陰虛夾熱、胃寒、外感、情鬱、衛任血虛、濕濁、痞滿、食滯、清氣不升、逆氣不降等。此外,針灸、敷穴、穴位注射、藥膳、芳香療法對妊娠惡阻的治療亦有相關描述。

英文摘要

The presence was mainly reviewed the articles about pregnancy morning sickness in Traditional Chinese Medicine, in order to understand etiology and pathogenesis theory as well as therapeutic prescriptions and herbs of morning sickness from ancient Chinese physicians writers. It was summarized and classified to three key points, which of (1) stomach vacuity, phlegm-rheum and qi counterflow, (2) depression, anger and liver blood dryness, as well as (3) constitution of obesity and thin respectively. The text that Six Gentlemen Decoction, Double Vintage Decoction and Minor Pinellia Decoction Plus Poria were commonly basic prescriptions used on treatment of pregnancy morning sickness. From Chinese herbs using frequency of statistical analysis, tangerine peel, licorice, fresh ginger poria, ovate atractylodes, ginseng and pinellia in order were commonly medicinal to treat morning sickness in pregnancy. It might divide to ten types of Zheng according identify patterns of Chinese Medicine included yin vacuity with heat, stomach cold, external contraction, emotional depression, blood vacuity of the conception and penetrating vessels, damp turbidity, glomus and fullness, food accumulation, the clear qi un-upbeating and qi counterflow un-downbeating. In addition, acupuncture and moxibustion, external packing points, acupoints injection, dietary therapy and aromatherapy for pregnancy morning sickness also had correlatively description.

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