Article(id=1317115246230229949, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1317115025307845060, articleNumber=null, orderNo=null, doi=10.13193/j.issn.1673-7717.2026.05.011, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=null, receivedDateStr=null, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1791954345518, onlineDateStr=2026-10-14, pubDate=1778342400000, pubDateStr=2026-05-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1791954345518, onlineIssueDateStr=2026-10-14, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1791954345518, creator=13701087609, updateTime=1791954345518, updator=13701087609, issue=Issue{id=1317115025307845060, tenantId=1146029695717560320, journalId=1255847919539208197, year='2026', volume='44', issue='5', pageStart='1', pageEnd='258', issueExtLink='null', onlineDate='null', pubDate='1778342400000', pubDateStr='2026-05-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1791954292847, creator='13701087609', updateTime=1791958713604, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1317133567340171275, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1317115025307845060, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1317133567340171276, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1317115025307845060, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=57, endPage=60, ext={EN=ArticleExt(id=1317115246456722366, articleId=1317115246230229949, tenantId=1146029695717560320, journalId=1255847919539208197, language=EN, title=Effect of Modified Tiaochong Decoction (调冲汤加减) in Treatment of Infertility of Kidney Deficiency and Liver Depression and Its Effect on Hormone Levels, columnId=1256183361521967297, journalTitle=Chinese Archives of Traditional Chinese Medicine, columnName=Target on National Project, runingTitle=null, highlight=null, articleAbstract=
Objective

To investigate the effect of Modified Tiaochong Decoction (调冲汤加减) in the treatment of infertility of kidney deficiency and liver depression and its effect on hormone levels of the patients.

Methods

From January 2023 to January 2024, 98 cases of infertility patients with kidney deficiency and liver stagnation were selected and simply randomized into groups, with 49 cases in each group. The control group was given conventional western medicine clomiphene, and the observation group was given Tiaochong Decoction combined with conventional western medicine. The clinical efficacy, traditional Chinese medicine (TCM) syndrome scores, hormone levels[follicle stimulating hormone (FSH), luteinizing hormone (LH), testosterone (T) ], maximum follicle diameter, endometrial thickness, ovulation rate and pregnancy rate of two groups were compared.

Results

The total effective rate of treatment in the observation group was 95.92% (47/49), higher than that in the control group[81.63% (40/49) ] (P<0.05) . After treatment, the symptoms scores of TCMin the observation group were lower (P<0.05) . At the end of the treatment and 6 months after treatment, the serum levels of FSH, LH and T in the observation group were lower (P<0.05) . The maximum follicular diameter and endometrial thickness of the observation group at the end of treatment and 6 months after treatment were higher than those of the control group (P<0.05). The ovulation rate and pregnancy rate in the observation group were higher (P<0.05) .

Conclusion

The combination of Modified Tiaochong Decoction combined with conventional western medicine can improve the uterine physiological function and the treatment effect by regulating hormone secretion, relieve the clinical signs of the infertility patients with kidney deficiency and liver depression, and increase the pregnancy rate.

, authors=Xiaochuan YAN1, Chenyun MIAO2, Beibei LIN1, Yun SUN1, authorsList=Xiaochuan YAN, Chenyun MIAO, Beibei LIN, Yun SUN, authorCompany=null, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1317115246838404031, articleId=1317115246230229949, tenantId=1146029695717560320, journalId=1255847919539208197, language=CN, title=调冲汤加减治疗肾虚肝郁型不孕效果及对激素水平的影响研究, columnId=1256183362172142382, journalTitle=中华中医药学刊, columnName=国家项目点击, runingTitle=null, highlight=null, articleAbstract=
目的

探讨调冲汤加减治疗肾虚肝郁型不孕的效果及对患者激素水平的影响。

方法

选取2023年3月—2024年3月门诊就诊的98例肾虚肝郁型不孕患者,简单随机分为两组,每组49例。对照组予以常规西药来曲唑,观察组予以调冲汤加减联合常规西药。比较两组临床疗效、治疗前后中医证候积分、激素水平[卵泡刺激素(follicle stimulating hormone,FSH)、促黄体生成素(luteinizing hormone,LH)、睾酮(testosterone,T)]、最大卵泡直径、子宫内膜厚度、周期排卵率、妊娠率。

结果

观察组治疗总有效率95.92%(47/49),高于对照组的81.63%(40/49)(P<0.05);观察组疗程结束后中医证候积分低于对照组(P<0.05);观察组疗程结束后、治疗后6个月血清FSH、LH、T水平低于对照组(P<0.05);观察组疗程结束后、治疗后6个月最大卵泡直径、子宫内膜厚度高于对照组(P<0.05);观察组周期排卵率、妊娠率均高于对照组(P<0.05)。

结论

调冲汤加减联合常规西药能通过调节激素分泌,改善子宫生理机能,提高治疗效果,缓解肾虚肝郁型不孕患者临床体征,提升妊娠率。

, authors=颜晓钏1, 缪晨韵2, 林倍倍1, 孙云1, authorsList=颜晓钏, 缪晨韵, 林倍倍, 孙云, authorCompany=null, correspAuthors=null, authorNote=

颜晓钏(1985-),女,浙江瑞安人,副主任中医师,硕士,研究方向:妇科疾病的中西医结合治疗。

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颜晓钏(1985-),女,浙江瑞安人,副主任中医师,硕士,研究方向:妇科疾病的中西医结合治疗。

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颜晓钏(1985-),女,浙江瑞安人,副主任中医师,硕士,研究方向:妇科疾病的中西医结合治疗。

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Increased N6-methyladenosine causes infertility is associated with FTO expression[J]. J Cell Physiol, 2018, 233 (9) : 7055-7066., articleTitle=null, refAbstract=null), Reference(id=1319630415099449371, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[2], rfOrder=1, authorNames=null, journalName=null, refType=null, unstructuredReference=NIAEI G, AMIR TAGHAVI B, NIAEI A. V64Mmutation in leukemia inhibitory factor gene in women infertility[J]. Iran J Public Health, 2017, 46 (7) : 1003-1004., articleTitle=null, refAbstract=null), Reference(id=1319630415179141148, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[3], rfOrder=2, authorNames=null, journalName=null, refType=null, unstructuredReference=WALTERS K A, EDWARDS MC, TESIC D, et al. The role of central androgen receptor actions in regulating the hypothalamic-pituitary-ovarian axis[J]. Neuroendocrinology, 2018, 106 (4) : 389-400., articleTitle=null, refAbstract=null), Reference(id=1319630415254638621, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[4], rfOrder=3, authorNames=null, journalName=null, refType=null, unstructuredReference=张赏,牛丽花,刘相蓝,等.舒郁助孕煎治疗情志致肝气郁结型不孕症80例临床观察[J].中华中医药杂志,2018,33(6):2704-2706., articleTitle=null, refAbstract=null), Reference(id=1319630415330136094, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[5], rfOrder=4, authorNames=null, journalName=null, refType=null, unstructuredReference=祝燕莉,王冰玉,逯自强,等.补肾调周联合清利通络法治疗输卵管炎性不孕症的疗效及对TNF-α、ICAM-1水平影响[J].中华中医药学刊,2018,36(8):1927-1929., articleTitle=null, refAbstract=null), Reference(id=1319630415409827871, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[6], rfOrder=5, authorNames=null, journalName=null, refType=null, unstructuredReference=KARABULUT A, DEMIRTAŞÖ, SÖNMEZ S, et al. Assessing factors associated with infertility using a couple-based approach[J]. Int J Gynaecol Obstet, 2017, 137 (1) : 96-98., articleTitle=null, refAbstract=null), Reference(id=1319630415476936736, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[7], rfOrder=6, authorNames=null, journalName=null, refType=null, unstructuredReference=MODARRESI R, AMINSHARIFI A, FOROUGHINIA F. Impact of Spirulina supplementation on Semen parameters in patients with idiopathic male infertility: a pilot randomized trial[J]. Urol J, 2019, 16 (1) : 78-82., articleTitle=null, refAbstract=null), Reference(id=1319630415548239905, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[8], rfOrder=7, authorNames=null, journalName=null, refType=null, unstructuredReference=CALVERT J K, FENDERESKI K, GHAED M, et al. The male infertility evaluation still matters in the era of high efficacy assisted reproductive technology[J]. Fertil Steril, 2022, 118 (1) : 34-46., articleTitle=null, refAbstract=null), Reference(id=1319630415615348770, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[9], rfOrder=8, authorNames=null, journalName=null, refType=null, unstructuredReference=AYDINŞ, KILIÇDAĞ E B, AYTAÇ P Ç, et al. Prospective randomized controlled study of a microfluidic chip technology for sperm selection in male infertility patients[J]. Andrologia, 2022, 54 (6) : e14415., articleTitle=null, refAbstract=null), Reference(id=1319630415674069027, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[10], rfOrder=9, authorNames=null, journalName=null, refType=null, unstructuredReference=ZHOU X L, SHI H, ZHU S P, et al. Effects of vitamin E and vitamin C on male infertility: a meta-analysis[J]. Int Urol Nephrol, 2022, 54 (8) : 1793-1805., articleTitle=null, refAbstract=null), Reference(id=1319630415732789284, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[11], rfOrder=10, authorNames=null, journalName=null, refType=null, unstructuredReference=李然,郭颖.基于网络药理学及分子对接探讨二至天癸方治疗女性不孕症的作用机制[J].中国药理学通报,2022,38(1):126-133., articleTitle=null, refAbstract=null), Reference(id=1319630415804092453, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[12], rfOrder=11, authorNames=null, journalName=null, refType=null, unstructuredReference=宋美杉,连方.中医特色疗法在女性不孕症中的应用研究[J].中国中医基础医学杂志,2022,28(4):654-657., articleTitle=null, refAbstract=null), Reference(id=1319630415879589926, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[13], rfOrder=12, authorNames=null, journalName=null, refType=null, unstructuredReference=夏红.补肾调肝方对肾虚肝郁型不孕患者机体内环境及妊娠率的影响[J].四川中医,2016,34(9):134-137., articleTitle=null, refAbstract=null), Reference(id=1319630415942504487, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[14], rfOrder=13, authorNames=null, journalName=null, refType=null, unstructuredReference=张翠珍,蔡连香.蔡连香运用精血理论治疗不孕症经验[J].中医杂志,2016,57(21):1815-1817., articleTitle=null, refAbstract=null), Reference(id=1319630416009613352, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[15], rfOrder=14, authorNames=null, journalName=null, refType=null, unstructuredReference=叶咏菊,黄素英.蔡氏多囊方联合来曲唑治疗肾虚痰瘀型多囊卵巢综合征不孕症疗效观察[J].浙江中医杂志,2022,57(2):104-105., articleTitle=null, refAbstract=null), Reference(id=1319630416072527913, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[16], rfOrder=15, authorNames=null, journalName=null, refType=null, unstructuredReference=STILLEY J A W, SEGALOFF D L. FSH actions and pregnancy: looking beyond ovarian FSH receptors[J]. Endocrinology, 2018, 159 (12) : 4033-4042., articleTitle=null, refAbstract=null), Reference(id=1319630416135442474, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[17], rfOrder=16, authorNames=null, journalName=null, refType=null, unstructuredReference=BASHIR S T, BAERWALD A R, GASTAL M O, et al. Follicle growth and endocrine dynamics in women with spontaneous luteinized unruptured follicles versus ovulation[J]. Hum Reprod, 2018, 33 (6) : 1130-1140., articleTitle=null, refAbstract=null), Reference(id=1319630416194162731, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[18], rfOrder=17, authorNames=null, journalName=null, refType=null, unstructuredReference=MANTHEY A L, CHIU K, SO K F. Effects of Lycium barbarum on the visual system[J]. Int Rev Neurobiol, 2017, 135: 1-27., articleTitle=null, refAbstract=null), Reference(id=1319630416278048812, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[19], rfOrder=18, authorNames=null, journalName=null, refType=null, unstructuredReference=DONG X L, CAO S S, ZHOU L P, et al. Ethanol extract of fructus ligustri lucidi increased circulating 1, 25 (OH) 2 D3 levels, but did not improve calcium balance in mature ovariectomized rats[J]. Am J Chin Med, 2016, 44 (6) : 1237-1253., articleTitle=null, refAbstract=null), Reference(id=1319630416491958317, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[20], rfOrder=19, authorNames=null, journalName=null, refType=null, unstructuredReference=喻琴,王东升,张世栋,等.阳起石、菟丝子与淫羊藿对肾阳虚大鼠性激素及其受体表达的影响[J].中国兽医学报,2019,39(3):535-540., articleTitle=null, refAbstract=null), Reference(id=1319630416571650094, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[21], rfOrder=20, authorNames=null, journalName=null, refType=null, unstructuredReference=柴智,王协和,樊慧杰,等.五子衍宗丸对生殖系统的保护作用及其临床研究进展[J].中华中医药杂志,2016,31(9):3662-3664., articleTitle=null, refAbstract=null), Reference(id=1319630416655536175, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[22], rfOrder=21, authorNames=null, journalName=null, refType=null, unstructuredReference=李加云,王琪琳,温蕊瑜,等.基于痰瘀虚理论探讨戴丽冰教授辨治不孕症思路[J].中国中医药现代远程教育,2022,20(12):75-77., articleTitle=null, refAbstract=null), Reference(id=1319630416722645040, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[23], rfOrder=22, authorNames=null, journalName=null, refType=null, unstructuredReference=刘路路,伍娟娟.补肾活血法治疗薄型子宫内膜不孕症的研究进展[J].中医药信息,2022,39(6):81-84., articleTitle=null, refAbstract=null), Reference(id=1319630418366812209, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[24], rfOrder=23, authorNames=null, journalName=null, refType=null, unstructuredReference=段凌燕,陈思思,李永平,等.基于“补五脏之阴”刍议覆盆子在妇科杂病中的应用[J].实用中医内科杂志,2020,34(5):24-27., articleTitle=null, refAbstract=null), Reference(id=1319630418459086898, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[25], rfOrder=24, authorNames=null, journalName=null, refType=null, unstructuredReference=沈瑞扬,陈谊明,莫颖茵,等.补肾调肝合剂联合针刺治疗肾虚肝郁型排卵障碍性不孕临床研究[J].新中医,2020,52(23):108-111., articleTitle=null, refAbstract=null), Reference(id=1319630418547167283, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[26], rfOrder=25, authorNames=null, journalName=null, refType=null, unstructuredReference=李健萍.补肾调肝汤治疗排卵障碍性不孕的疗效及对患者卵泡和子宫内膜生长发育和血液流变学的影响[J].当代医学,2020,26(34):99-101., articleTitle=null, refAbstract=null), Reference(id=1319630418626859060, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[27], rfOrder=26, authorNames=null, journalName=null, refType=null, unstructuredReference=张梅.左归疏肝汤加减对肾虚肝郁多囊卵巢综合征患者治疗价值观察[J].实用妇科内分泌电子杂志,2019,6(18):117,125., articleTitle=null, refAbstract=null), Reference(id=1319630418702356533, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[28], rfOrder=27, authorNames=null, journalName=null, refType=null, unstructuredReference=李梅,杨梅,赵琦,等.当归的临床运用及用量研究[J].贵州中医药大学学报,2023,45(6):32-36., articleTitle=null, refAbstract=null), Reference(id=1319630418790436918, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[29], rfOrder=28, authorNames=null, journalName=null, refType=null, unstructuredReference=蒋璐瑶,郭昕瑜,陈泽然,等.针灸治疗黄体功能不全不孕症的系统评价和Meta分析[J].临床医学研究与实践,2022,7(7):9-13., articleTitle=null, refAbstract=null), Reference(id=1319630418857545783, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1317115246230229949, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[30], rfOrder=29, authorNames=null, journalName=null, refType=null, 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调冲汤加减治疗肾虚肝郁型不孕效果及对激素水平的影响研究
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颜晓钏 1 , 缪晨韵 2 , 林倍倍 1 , 孙云 1
中华中医药学刊 | 国家项目点击 2026,44(5): 57-60
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中华中医药学刊 |国家项目点击 2026 , 44 (5) : 57 -60
调冲汤加减治疗肾虚肝郁型不孕效果及对激素水平的影响研究
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颜晓钏1, 缪晨韵2, 林倍倍1, 孙云1
作者信息
  • 1.浙江中医药大学附属温州市中医院,浙江 温州 325000
  • 2.浙江中医药大学生命科学学院,浙江 杭州 310053
作者简介:

颜晓钏(1985-),女,浙江瑞安人,副主任中医师,硕士,研究方向:妇科疾病的中西医结合治疗。

Effect of Modified Tiaochong Decoction (调冲汤加减) in Treatment of Infertility of Kidney Deficiency and Liver Depression and Its Effect on Hormone Levels
Xiaochuan YAN1, Chenyun MIAO2, Beibei LIN1, Yun SUN1
Affiliations
  • 1. Wenzhou Traditional Chinese Medicine Hospital of Zhejiang Chinese Medical University, Wenzhou 325000, Zhejiang, China
  • 2. College of Life Sciences, Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang, China
出版时间: 2026-05-10 doi: 10.13193/j.issn.1673-7717.2026.05.011
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目的

探讨调冲汤加减治疗肾虚肝郁型不孕的效果及对患者激素水平的影响。

方法

选取2023年3月—2024年3月门诊就诊的98例肾虚肝郁型不孕患者,简单随机分为两组,每组49例。对照组予以常规西药来曲唑,观察组予以调冲汤加减联合常规西药。比较两组临床疗效、治疗前后中医证候积分、激素水平[卵泡刺激素(follicle stimulating hormone,FSH)、促黄体生成素(luteinizing hormone,LH)、睾酮(testosterone,T)]、最大卵泡直径、子宫内膜厚度、周期排卵率、妊娠率。

结果

观察组治疗总有效率95.92%(47/49),高于对照组的81.63%(40/49)(P<0.05);观察组疗程结束后中医证候积分低于对照组(P<0.05);观察组疗程结束后、治疗后6个月血清FSH、LH、T水平低于对照组(P<0.05);观察组疗程结束后、治疗后6个月最大卵泡直径、子宫内膜厚度高于对照组(P<0.05);观察组周期排卵率、妊娠率均高于对照组(P<0.05)。

结论

调冲汤加减联合常规西药能通过调节激素分泌,改善子宫生理机能,提高治疗效果,缓解肾虚肝郁型不孕患者临床体征,提升妊娠率。

调冲汤加减  /  肾虚肝郁  /  不孕  /  中医证候积分  /  最大卵泡直径  /  子宫内膜厚度
Objective

To investigate the effect of Modified Tiaochong Decoction (调冲汤加减) in the treatment of infertility of kidney deficiency and liver depression and its effect on hormone levels of the patients.

Methods

From January 2023 to January 2024, 98 cases of infertility patients with kidney deficiency and liver stagnation were selected and simply randomized into groups, with 49 cases in each group. The control group was given conventional western medicine clomiphene, and the observation group was given Tiaochong Decoction combined with conventional western medicine. The clinical efficacy, traditional Chinese medicine (TCM) syndrome scores, hormone levels[follicle stimulating hormone (FSH), luteinizing hormone (LH), testosterone (T) ], maximum follicle diameter, endometrial thickness, ovulation rate and pregnancy rate of two groups were compared.

Results

The total effective rate of treatment in the observation group was 95.92% (47/49), higher than that in the control group[81.63% (40/49) ] (P<0.05) . After treatment, the symptoms scores of TCMin the observation group were lower (P<0.05) . At the end of the treatment and 6 months after treatment, the serum levels of FSH, LH and T in the observation group were lower (P<0.05) . The maximum follicular diameter and endometrial thickness of the observation group at the end of treatment and 6 months after treatment were higher than those of the control group (P<0.05). The ovulation rate and pregnancy rate in the observation group were higher (P<0.05) .

Conclusion

The combination of Modified Tiaochong Decoction combined with conventional western medicine can improve the uterine physiological function and the treatment effect by regulating hormone secretion, relieve the clinical signs of the infertility patients with kidney deficiency and liver depression, and increase the pregnancy rate.

Modified Tiaochong Decoction (调冲汤加减)  /  kidney deficiency and liver depression  /  infertility  /  TCM syndrome score  /  maximum follicular diameter  /  endometrial thickness
颜晓钏, 缪晨韵, 林倍倍, 孙云. 调冲汤加减治疗肾虚肝郁型不孕效果及对激素水平的影响研究. 中华中医药学刊, 2026 , 44 (5) : 57 -60 . DOI: 10.13193/j.issn.1673-7717.2026.05.011
Xiaochuan YAN, Chenyun MIAO, Beibei LIN, Yun SUN. Effect of Modified Tiaochong Decoction (调冲汤加减) in Treatment of Infertility of Kidney Deficiency and Liver Depression and Its Effect on Hormone Levels[J]. Chinese Archives of Traditional Chinese Medicine, 2026 , 44 (5) : 57 -60 . DOI: 10.13193/j.issn.1673-7717.2026.05.011
  • 国家自然科学基金青年科学基金项目(82305296)
参考文献 引证文献
排序方式:
[1]
DING C Y, ZOU Q Y, DING J, et al. Increased N6-methyladenosine causes infertility is associated with FTO expression[J]. J Cell Physiol, 2018, 233 (9) : 7055-7066.
[2]
NIAEI G, AMIR TAGHAVI B, NIAEI A. V64Mmutation in leukemia inhibitory factor gene in women infertility[J]. Iran J Public Health, 2017, 46 (7) : 1003-1004.
[3]
WALTERS K A, EDWARDS MC, TESIC D, et al. The role of central androgen receptor actions in regulating the hypothalamic-pituitary-ovarian axis[J]. Neuroendocrinology, 2018, 106 (4) : 389-400.
[4]
张赏,牛丽花,刘相蓝,等.舒郁助孕煎治疗情志致肝气郁结型不孕症80例临床观察[J].中华中医药杂志,2018,33(6):2704-2706.
[5]
祝燕莉,王冰玉,逯自强,等.补肾调周联合清利通络法治疗输卵管炎性不孕症的疗效及对TNF-α、ICAM-1水平影响[J].中华中医药学刊,2018,36(8):1927-1929.
[6]
KARABULUT A, DEMIRTAŞÖ, SÖNMEZ S, et al. Assessing factors associated with infertility using a couple-based approach[J]. Int J Gynaecol Obstet, 2017, 137 (1) : 96-98.
[7]
MODARRESI R, AMINSHARIFI A, FOROUGHINIA F. Impact of Spirulina supplementation on Semen parameters in patients with idiopathic male infertility: a pilot randomized trial[J]. Urol J, 2019, 16 (1) : 78-82.
[8]
CALVERT J K, FENDERESKI K, GHAED M, et al. The male infertility evaluation still matters in the era of high efficacy assisted reproductive technology[J]. Fertil Steril, 2022, 118 (1) : 34-46.
[9]
AYDINŞ, KILIÇDAĞ E B, AYTAÇ P Ç, et al. Prospective randomized controlled study of a microfluidic chip technology for sperm selection in male infertility patients[J]. Andrologia, 2022, 54 (6) : e14415.
[10]
ZHOU X L, SHI H, ZHU S P, et al. Effects of vitamin E and vitamin C on male infertility: a meta-analysis[J]. Int Urol Nephrol, 2022, 54 (8) : 1793-1805.
[11]
李然,郭颖.基于网络药理学及分子对接探讨二至天癸方治疗女性不孕症的作用机制[J].中国药理学通报,2022,38(1):126-133.
[12]
宋美杉,连方.中医特色疗法在女性不孕症中的应用研究[J].中国中医基础医学杂志,2022,28(4):654-657.
[13]
夏红.补肾调肝方对肾虚肝郁型不孕患者机体内环境及妊娠率的影响[J].四川中医,2016,34(9):134-137.
[14]
张翠珍,蔡连香.蔡连香运用精血理论治疗不孕症经验[J].中医杂志,2016,57(21):1815-1817.
[15]
叶咏菊,黄素英.蔡氏多囊方联合来曲唑治疗肾虚痰瘀型多囊卵巢综合征不孕症疗效观察[J].浙江中医杂志,2022,57(2):104-105.
[16]
STILLEY J A W, SEGALOFF D L. FSH actions and pregnancy: looking beyond ovarian FSH receptors[J]. Endocrinology, 2018, 159 (12) : 4033-4042.
[17]
BASHIR S T, BAERWALD A R, GASTAL M O, et al. Follicle growth and endocrine dynamics in women with spontaneous luteinized unruptured follicles versus ovulation[J]. Hum Reprod, 2018, 33 (6) : 1130-1140.
[18]
MANTHEY A L, CHIU K, SO K F. Effects of Lycium barbarum on the visual system[J]. Int Rev Neurobiol, 2017, 135: 1-27.
[19]
DONG X L, CAO S S, ZHOU L P, et al. Ethanol extract of fructus ligustri lucidi increased circulating 1, 25 (OH) 2 D3 levels, but did not improve calcium balance in mature ovariectomized rats[J]. Am J Chin Med, 2016, 44 (6) : 1237-1253.
[20]
喻琴,王东升,张世栋,等.阳起石、菟丝子与淫羊藿对肾阳虚大鼠性激素及其受体表达的影响[J].中国兽医学报,2019,39(3):535-540.
[21]
柴智,王协和,樊慧杰,等.五子衍宗丸对生殖系统的保护作用及其临床研究进展[J].中华中医药杂志,2016,31(9):3662-3664.
[22]
李加云,王琪琳,温蕊瑜,等.基于痰瘀虚理论探讨戴丽冰教授辨治不孕症思路[J].中国中医药现代远程教育,2022,20(12):75-77.
[23]
刘路路,伍娟娟.补肾活血法治疗薄型子宫内膜不孕症的研究进展[J].中医药信息,2022,39(6):81-84.
[24]
段凌燕,陈思思,李永平,等.基于“补五脏之阴”刍议覆盆子在妇科杂病中的应用[J].实用中医内科杂志,2020,34(5):24-27.
[25]
沈瑞扬,陈谊明,莫颖茵,等.补肾调肝合剂联合针刺治疗肾虚肝郁型排卵障碍性不孕临床研究[J].新中医,2020,52(23):108-111.
[26]
李健萍.补肾调肝汤治疗排卵障碍性不孕的疗效及对患者卵泡和子宫内膜生长发育和血液流变学的影响[J].当代医学,2020,26(34):99-101.
[27]
张梅.左归疏肝汤加减对肾虚肝郁多囊卵巢综合征患者治疗价值观察[J].实用妇科内分泌电子杂志,2019,6(18):117,125.
[28]
李梅,杨梅,赵琦,等.当归的临床运用及用量研究[J].贵州中医药大学学报,2023,45(6):32-36.
[29]
蒋璐瑶,郭昕瑜,陈泽然,等.针灸治疗黄体功能不全不孕症的系统评价和Meta分析[J].临床医学研究与实践,2022,7(7):9-13.
[30]
赵旌屹,马凯乐,张伟,等.重构本草——白芍[J].长春中医药大学学报,2024,40(1):16-19.
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doi: 10.13193/j.issn.1673-7717.2026.05.011
  • 首发时间:2026-10-14
  • 出版时间:2026-05-10
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国家自然科学基金青年科学基金项目(82305296)
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    1.浙江中医药大学附属温州市中医院,浙江 温州 325000
    2.浙江中医药大学生命科学学院,浙江 杭州 310053
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