蔡亚平 周士源 吴飞华

    【摘 要】 排卵功能障碍是导致不孕症的首要因素，包括无排卵和黄体功能不全。促排卵是治疗排卵障碍性不孕的常用方法。西医治疗常采用克罗米芬、来曲唑、促性腺激素及促性腺激素释放激素类似物等进行综合治疗，经多年临床验证，诱导排卵疗效肯定，但在治疗时会引起药物不良反应，如多胎妊娠、卵巢过度刺激综合征、子宫内膜增生不良等临床问题。中医药治疗排卵障碍性不孕亦具有较好的疗效，与西医治疗相比，具有妊娠率高、并发症少等优势。文章总结周士源教授治疗运用中药调周法治疗排卵障碍性不孕的临证经验。周士源教授认为排卵障碍主要责之于肾中阴阳转化与消长失衡，引发月经不调，故而调理月经为治疗排卵障碍性不孕的关键，巧用中药周期疗法以助孕治疗，取得良好的临床效果。

    【关键词】 中药调周法；排卵障礙；不孕症；周士源

    【中图分类号】R271.9? 【文献标志码】 A? 【文章编号】1007-8517(2024)02-0100-04

    DOI：10.3969/j.issn.1007-8517.2024.02.zgmzmjyyzz202402022

    The Experience of Professor Zhou Shiyuan Using Traditional Chinese Medicine to Treat Ovulation Infertility

    CAI Yaping1 ZHOU Shiyuan2 WU Feihong2*

    1.Medical College of Nanchang Institute of Technology，Nanchang 330006，China；

    2.The Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine，Nanchang 330006，China

    Abstract：Ovulatory dysfunction is the leading contributor of infertility，including anovulation and luteal insufficiency.Ovulation promotion is a common method to treat ovulation disorder infertility.Western medicine treatment often use clomiphene，letrozole ......