国医大师夏桂成从“心不宁则肾不实、心不静则阴不足”论治薄型子宫内膜

Chinese medicine master XIA Guicheng treated thin endometrium based on the theory that “mental restlessness leads to kidney deficiency and mental agitation results in yin insufficiency”

关键词:  薄型子宫内膜  心-肾-子宫轴  养心奠基方  夏桂成  国医大师

Key words:  thin endometrium  heart-kidney-uterus axis  Yangxin Dianji Prescription  XIA Guicheng  Chinese medicine master

摘要:

薄型子宫内膜是导致女性月经过少及不孕的常见难治性疾病之一。文章基于国医大师夏桂成“心不宁则肾不实、心不静则阴不足”的核心理论，系统探讨薄型子宫内膜的中医病机，提出以“调心”为核心的治疗策略，尤其注重经后期的调治。临床创制养心奠基方，并灵活运用调心五法，实现心肾相交、阴阳调和，从而有效改善子宫内膜厚度，为中医药治疗薄型子宫内膜提供了新的思路与方法。

Abstract:

Thin endometrium is a common and challenging gynecological condition associated with scanty menstruation and infertility. Based on the theory proposed by Chinese medicine master XIA Guicheng that "mental restlessness leads to kidney deficiency, and mental agitation results in yin insufficiency", this paper explores the pathogenesis of endometrium. The treatment strategy emphasizes regulating heart function, particularly during the postmenstrual phase, through the innovative formulation Yangxin Dianji Prescription and the flexible application of five heart-regulating methods. This approach aims to calm the heart, strengthen the kidney, enrich yin, and restore the balance of the heart-kidney-uterus axis, thereby improving endometrial thickness and reproductive outcomes. The study highlights the novelty and potential of this traditional Chinese medicine-based intervention in managing thin endometrium.