[摘要] 先兆流产中医临床治疗多以补益为主，补肾、健脾或者益气养血等，慎用活血化瘀药，但是临证中血瘀证亦不少见。本文分析先兆流产“瘀”的中医病因病机、西医发病机制，阐述活血化瘀安胎法在血栓前状态、宫腔积血以及宫腔粘连中的应用，介绍临床常用活血化瘀中药，并以医案论之。

    [关键词] 先兆流产；血瘀；活血化瘀；医案

    [中图分类号] R271.9 [文献标识码] B [文章编号] 1673-9701(2017)30-0134-04

    [Abstract] TCM clinical treatment of threatened abortion is based mostly on tonifying， nourishing the kidney， invigorating the spleen or reinforcing qi and nourishing blood. Drugs for promoting blood circulation and removing blood stasis are used with caution ......