CHEN Ruixue's experience in differentiating and treating recurrent abortion based on theory of "three basics and two systems"

XU Yiwan; SUI Juan; REN Mengxue; HOU Zitong; QIN Yuling; WANG Xiyan; CHEN Ziwei; CHEN Ruixue

doi:10.16025/j.1674-1307.2025.06.019

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CHEN Ruixue's experience in differentiating and treating recurrent abortion based on theory of "three basics and two systems"

更新时间：2025-08-04

- CHEN Ruixue's experience in differentiating and treating recurrent abortion based on theory of "three basics and two systems"
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 6, Pages: 758-761(2025)
- 作者机构：
  
  1.北京中医药大学研究生院，北京 100029
  2.中国中医科学院广安门医院妇科，北京 100053
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.06.019
  CLC：
- Received：27 June 2024，
  
  Published：25 June 2025
- 稿件说明：
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许忆婉，隋娟，任梦雪，等.陈瑞雪基于“三本二统”理论辨治复发性流产的经验［J］.北京中医药，2025，44（6）：758-761.

XU Yiwan,SUI Juan,REN Mengxue,et al.CHEN Ruixue's experience in differentiating and treating recurrent abortion based on theory of "three basics and two systems"[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(06):758-761.
许忆婉，隋娟，任梦雪，等.陈瑞雪基于“三本二统”理论辨治复发性流产的经验［J］.北京中医药，2025，44（6）：758-761. DOI： 10.16025/j.1674-1307.2025.06.019.

XU Yiwan,SUI Juan,REN Mengxue,et al.CHEN Ruixue's experience in differentiating and treating recurrent abortion based on theory of "three basics and two systems"[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(06):758-761. DOI： 10.16025/j.1674-1307.2025.06.019.

摘要

复发性流产为育龄期女性的常见病，其病因复杂。“三本二统”理论源于《理虚元鉴》，阐释了有关反复难治的虚证类疾病的治疗思路，而复发性流产患者有多次流产病史，气血亏损且病情易反复，可借鉴其治疗虚证类疾病的思路与调护方法。陈瑞雪教授基于“三本二统”理论，分析复发性流产虚损的成因，认为脾肾阳虚、肺肾阴虚是其核心病机，治疗上不囿于肾，主张将温阳补阴之法着眼于肺、脾、肾三脏，其疗效显著，为临床诊治复发性流产提供诊疗思路。

Abstract

Recurrent abortion is a common disease in women of childbearing age with a complex etiology. The theory of "three basics and two systems"， originating from Discernment of Deficiency Syndromes （

Lixu Yuanjian

）， explains the treatment ideas for repeatedly difficult-to-treat deficiency syndromes. Patients with recurrent abortion often have a history of multiple miscarriages，

and blood deficiency， and a tendency for recurrence. Their treatment can refer to the approaches and nursing methods for deficiency syndromes described in this theory. Based on the "three basics and two systems" theory， professor CHEN Ruixue analyzed the causes of deficiency damage in recurrent abortion and identified spleen and kidney

yang

deficiency and lung and kidney

yin

deficiency as the core pathogenesis. In treatment， she does not limit the focus to the kidney but advocates warming

yang

and nourishing

yin

with emphasis on the lung， spleen， and kidney. Her approach has shown remarkable efficacy and provides a reference for the clinical diagnosis and treatment of recurrent abortion.

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references

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刘宇 , 闫朋宣 , 朱晓彤 , 等 . 杜宝俊补肾健脾治疗复发性流产经验 [J ] . 北京中医药 , 2020 , 39 ( 4 ): 342 - 344 .

辛喜艳 , 叶阳 , 樊瑞文 , 等 . 不孕症（卵巢储备功能减退）的中西医结合诊疗方案 [J ] . 北京中医药 , 2024 , 43 ( 2 ): 119 - 123 .

杨兴颖 . 育麟益胎方治疗复发性流产的机制初探及早期妊娠结局的临床疗效观察 [D ] . 南京：南京中医药大学 , 2024 .

石玉姣 , 谢京红 . 不明原因复发性流产的中西医发病机制及治疗研究进展 [J ] . 北京中医药 , 2020 , 39 ( 7 ): 771 - 776 .

秦瑜玲 , 隋娟 , 侯梓桐 , 等 . 试论寒热并用法在复发性流产中的应用 [J ] . 中华中医药杂志 , 2022 , 37 ( 11 ): 6502 - 6505 .

周丽 , 贺龙刚 . 论《理虚元鉴》主要学术思想 [J ] . 辽宁中医药大学学报 , 2015 , 17 ( 6 ): 83 - 84 .

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