刘昱磊 宁艳 滕辉

    [摘要] 王俊玲主任认为胎漏、胎动不安的主要病机为脾肾、气血、冲任二脉的耗损，其中肾气虚为主要病因。绒毛膜下血肿属于离经之血积存体内，属于“瘀血”范畴。早期先兆流产合并绒毛膜下血肿主要病机为肾虚血瘀，肾虚为本，血瘀为标。治疗方面以补肾气为主，兼以活血止血，强调瘀血不去，血不归经，只有恰当的活血才能达到止血的目的。临床常用胶艾汤活血止血，寿胎丸补肾安胎，同时注意病情观测，随证治之，达到“治病与安胎并举”的目的。

    [关键词] 名医经验;王俊玲;绒毛膜下血肿;先兆流产;胶艾汤

    [中图分类号] R249? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-7210(2020)10(b)-0139-04

    [Abstract] According to Director Wang Junling， the main pathogenesis of fetal leakage and threatened abortion is the loss of spleen and kidney， qi and blood， chong and conception channels， of which deficiency of kidney qi is the main cause. Subchorionic hematoma belongs to blood accumulation of menstrual separation and belongs to the category of “static blood”. The main pathogenesis of early threatened abortion combined with subchorionic hematoma is kidney deficiency and blood stasis， kidney deficiency is the foundation and blood stasis is the standard. The main treatment is to tonify kidney qi， and to activate blood circulation to stop bleeding. It is emphasized that blood stasis does not go away and blood does not return to meridians. Only proper blood circulation can achieve the purpose of hemostasis. In clinical practice ......