JIN Zhe's experience in treating thin endometrial infertility based on the <italic style="font-style: italic">Dili theory</italic>

XUE Can; LOU Jiaoying; JIN Zhe; YU Yanyan; GENG Weihua; FU Hanxue

doi:10.16025/j.1674-1307.2025.09.013

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JIN Zhe's experience in treating thin endometrial infertility based on the Dili theory

更新时间：2025-11-25

- JIN Zhe's experience in treating thin endometrial infertility based on the Dili theory
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 9, Pages: 1148-1153(2025)
- 作者机构：
  
  1.北京中医药大学第二临床医学院，北京 100071
  2.北京中医药大学东方医院妇科与生殖医学科，北京 100078
  3.北京市大兴区妇幼保健院妇科，北京 102699
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.09.013
  CLC：
- Received：02 December 2024，
  
  Published：25 September 2025
- 稿件说明：
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薛灿，楼姣英，金哲，等.金哲运用“地利论”治疗薄型子宫内膜不孕症经验［J］.北京中医药，2025，44（9）：1148-1153.

XUE Can,LOU Jiaoying,JIN Zhe,et al.JIN Zhe's experience in treating thin endometrial infertility based on the Dili theory[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(09):1148-1153.
薛灿，楼姣英，金哲，等.金哲运用“地利论”治疗薄型子宫内膜不孕症经验［J］.北京中医药，2025，44（9）：1148-1153. DOI： 10.16025/j.1674-1307.2025.09.013.

XUE Can,LOU Jiaoying,JIN Zhe,et al.JIN Zhe's experience in treating thin endometrial infertility based on the Dili theory[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(09):1148-1153. DOI： 10.16025/j.1674-1307.2025.09.013.

摘要

薄型子宫内膜不孕症的核心病机呈现虚实夹杂的特征，以肾精亏虚为根本，气血瘀滞为表象。“地利”指代胞宫处于精满血盈、气血畅行之态，使内膜具备良好摄精及容受胚胎“种子”的能力，此与“子宫内膜容受性”理念相契合。据此，金哲教授确立补肾填精、化瘀通络的治疗总则。在具体施治时，若以虚损为主，则以补肾填精为核心，兼顾消法于补法之中，常以天山安荣汤化裁；若瘀滞重于亏虚，则以化瘀通络为要，佐以补法于消法之内，多用卷柏丸加减。同时，金哲教授重视根、茎、叶、花、果类中药的运用，并结合药理学研究成果，且依据月经周期阴阳消长规律分阶段论治，进而达到调经助孕之目的。

Abstract

The core pathogenesis of thin endometrial infertility is characterized by a mixture of deficiency and excess， with kidney essence deficiency as the root and

and blood stasis as the manifestation. "

Dili

" refers to the uterus being in a state of abundant essence and blood， with smooth circulation of

and blood， enabling the endometrium to effectively receive sperm and accommodate the embryonic "seed"， which corresponds to the concept of endometrial receptivity. Based on this， Professor JIN Zhe established the general treatment principle of tonifying the kidneys and replenishing essence while resolving stasis and dredging collaterals. In specific treatment， if deficiency predominates， the core focus is on tonifying the kidneys and replenishing essence， incorporating stasis-resolving methods within the tonifying approach， commonly using the modified

Tianshan Anrong Decoction

. If stasis predominates over deficiency， the focus is on resolving stasis and dredging collaterals， with tonifying methods incorporated within the stasis treatment， often using the modified

Juanbai Pills

.Professor JIN emphasizes the use of medicinal substances from the root， stem， leaf， flower， and fruit categories， integrating pharmacological research findings， and stages treatment according to the

yin-yang

fluctuations of the menstrual cycle to achieve regulation of menstruation and promotion of conception.

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references

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⁰

JIN Zhe's experience in treating thin endometrial infertility based on the Dili theory

DOI：10.16025/j.1674-1307.2025.09.013

摘要

Abstract

关键词

Keywords

references