中医杂志

总结魏绍斌教授运用周期序贯疗法治疗子宫内膜异位症性不孕的经验。认为肝郁肾虚、瘀血内阻是核心病机，治疗应以疏肝滋肾活血为原则，并根据月经周期施以序贯疗法。备孕阶段拟定四期疗法，即行经期予自拟解郁调经方以疏肝行气、活血止痛，经后期予自拟滋和育泡方以滋肾养血、疏肝行气，经间期予自拟疏肝通络方以疏肝活血、温阳通络，经前期予自拟培元助孕方以补肾健脾、调经助孕。避孕阶段拟定二期疗法，即非经期予自拟行气消癥方以行气活血、散结消癥，行经期治法方药与备孕阶段此期相同。同时辅以中成药、耳穴压丸、穴位贴敷等治疗以增强临床疗效。

This paper summarizes the experience of professor WEI Shaobin in treating endometriosis infertility(EI) using the cycle sequential therapy. It is believed that liver constraint, kidney deficiency and blood stasis internal accumulation are the core pathogenesis of EI. Accordingly, the treatment principle is to soothe the liver, nourish the kidney and activate blood, with sequential therapy administered according to the menstrual cycle. For the preconception period, a four-phase therapeutic approach was developed. During the menstrual phase, a self-made Jieyu Tiaojing Formula （解郁调经方） was administered to soothe the liver, regulate qi, dispel stasis and relieve pain. During the postmenstrual phase, self-made Zihe Yupao Formula（滋和育泡方） was administered to nourish the kidney, replenish blood, and regulate liver qi. During the intermenstrual phase, self-made Shugan Tongluo Formula （疏肝通络方） was administered to soothe the liver, promote blood circulation, warm yang, and unblock collaterals. During the premenstrual phase, self-made Peiyuan Zhuyun Formula （培元助孕方） was used to tonify the kidney and fortify the spleen, regulate menstruation and assist fertility. A two-phase therapeutic approach was developed for the contraceptive period. During the non-menstrual phase, self-made Xingqi Xiaozheng Formula （行气消癥方） was used to move qi, remove concretions, and dissipate masses. During the menstrual phase, the therapeutic principles and prescriptions were the same as those applied in the preconception period. Additionally, Chinese patent medicines, auricular acupuncture, acupoint application, and other treatments are employed to further improve clinical efficacy.