〔摘要〕 总结雷磊教授运用角药治疗输卵管性不孕经验，认为输卵管性不孕的病机可概括为“四实两虚”，即血瘀证、寒凝血瘀证、湿热瘀阻证、气滞血瘀证4种实证病机，脾气虚、肾阳虚2种虚证病机。提出了六大治法，即血瘀证治宜活血化瘀;血瘀夹杂寒、湿、热者如寒凝血瘀证、湿热瘀阻证除活血化瘀外，还应治宜温经散寒、清热祛湿;气滞血瘀证治宜疏肝理气;脾气虚证治宜补脾益气养血;肾阳虚证治宜滋肾助阳养巢。其6种治法对应不同的角药配伍。雷磊教授多年来致力于输卵管性不孕的研究，有着丰富的临床经验，在辨证论治的基础上结合中药的配伍机制治疗疾病，疗效显著，颇受好评。文章整理了雷磊教授依据不同证型选用角药组成及其配伍机制，并例举出医案供临床探讨。

    〔关键词〕 名医经验;雷磊;角药;配伍特点;输卵管性不孕;临床经验

    〔中图分类号〕R271.14"""""""" 〔文献标志码〕A""""""""" 〔文章编号〕doi：10.3969/j.issn.1674-070X.2025.02.030

    〔收稿日期〕2024-10-11

    〔基金项目〕湖南省教育厅科学研究项目(23A0306);湖南省卫生健康委员会科研计划项目(C202305016294)。

    〔通信作者〕*雷" 磊，男，教授，主任医师，博士研究生导师，E-mail：516575476@qq.com。

    LEI Lei's experience in treating tubal infertility with triplet combinations of Chinese medicines based on the differentiation of \"four excesses and two deficiencies\"

    LI Canmei1， LEI Lei2*

    1. The First Clinical School of Chinese Medicine， Hunan University of Chinese Medicine， Changsha， Hunan 410007， China;

    2. Hunan University of Chinese Medicine， Changsha， Hunan 410208， China

    〔Abstract〕 This paper summarizes Professor LEI Lei's experience in treating tubal infertility with triplet combinations of Chinese medicines. It is concluded that the pathogenesis of tubal infertility can be summarized as \"four excesses and two deficiencies\" ......