国医大师许润三“以情养精”延缓女性生殖衰老经验

于永慧; 赵红; 王清

doi:10.16025/j.1674-1307.2026.03.016

您当前的位置：

首页 >

文章列表页 >

国医大师许润三“以情养精”延缓女性生殖衰老经验

名医经验 | 更新时间：2026-06-02

- 国医大师许润三“以情养精”延缓女性生殖衰老经验
- TCM master XU Runsan's experience in delaying female reproductive aging with essence-rich materials by nourishing vital essence
- 北京中医药 2026年45卷第3期页码：379-383
- 作者机构：
  
  中日友好医院中医妇科，北京 100029
- 作者简介：
  
  于永慧，女，36岁，博士，主治医师。研究方向：中西医结合治疗女性生殖内分泌疾病。
  王清，E-mail：favabean@qq.com
- 基金信息：
  
  北京中医药薪火传承“新3+3”工程项目(2023-SZ-F-07);中华中医药学会青年人才托举工程项目(CACM-2022-QNRC2-B01);中日友好医院“菁英计划”人才培育工程项目(ZRJY2021-QM01)
- DOI：10.16025/j.1674-1307.2026.03.016
  中图分类号：
- 收稿：2024-10-08，
  
  纸质出版：2026-03-25
- 稿件说明：
移动端阅览
于永慧，赵红，王清.国医大师许润三“以情养精”延缓女性生殖衰老经验［J］.北京中医药，2026，45（3）：379-383.

YU Yonghui,ZHAO Hong,WANG Qing.TCM master XU Runsan's experience in delaying female reproductive aging with essence-rich materials by nourishing vital essence[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(03):379-383.
于永慧，赵红，王清.国医大师许润三“以情养精”延缓女性生殖衰老经验［J］.北京中医药，2026，45（3）：379-383. DOI： 10.16025/j.1674-1307.2026.03.016.

YU Yonghui,ZHAO Hong,WANG Qing.TCM master XU Runsan's experience in delaying female reproductive aging with essence-rich materials by nourishing vital essence[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(03):379-383. DOI： 10.16025/j.1674-1307.2026.03.016.

摘要

生殖衰老是目前困扰医学界的重大难题，国医大师许润三围绕女性生殖周期调控规律，构建了以“肾肝脾-天癸-冲任督带-胞宫”为核心的辨治体系，创立了通过益肾填精、养肝濡血、健脾益气，从而调经助孕的有效经验方——调冲方。方中常以取象比类思维选用“血肉有情之品”，如精血同补之鹿茸、夯填肾精之动物胎衣（紫河车、桑螵蛸）、濡养肝血之动物筋骨（阿胶、龟甲），使精血充盈、冲任调和、胞宫滋润、子嗣种生，从而延缓生殖衰老、促进生殖健康。临床运用时需注意时机与配伍，谨守辨虚实、勿堆砌、缓图之、助疏布的施治要点，方能切中肯綮、效如桴鼓。

Abstract

Reproductive aging is a major challenge currently facing the medical field.Centered on the regulatory laws of the female reproductive cycle，traditional Chinese medicine（TCM）master XU Runsan has established a syndrome differentiation and treatment system based on the "kidney，liver，spleen-reproduction-stimulating essence-thoroughfare，conception，governor，belt vessels-uterus" framework，and created an effective experiential formula for regulating menstruation and promoting pregnancy，i.e.，

Tiaochong Formula

.The formula employs the therapeutic principles of tonifying kidney and filling essence，nourishing liver and enriching blood， and strengthening spleen and replenishing

.Based on analogical thinking，it incorporates "blood-and essence-rich substances"，such as deer antler for simultaneous replenishment of essence and blood，animal fetal membranes（

Placenta Hominis

and

Mantidis Oötheca

） for consolidating and filling kidney essence，and animal-derived sinew and bone substances（

Asini Corii Colla

，

Mauremydis Carapax et Plastrum

）for nourishing liver blood.These actions together promote fullness of essence and blood，harmony of the thoroughfare and conception vessels，nourishment of the uterus，and generation of offspring，thereby delaying reproductive aging and improving reproductive health.In clinical application，attention should be paid to timing and herbal compatibility.The key therapeutic principles include carefully distingui

shing deficiency and excess， avoiding indiscriminate formula stacking， adopting a gradual treatment strategy，and facilitating the distribution and absorption of medicinal effects，so as to precisely target the pathogenesis and achieve rapid and effective clinical outcomes.

关键词

Keywords

references

SECOMANDI L , BORGHESAN M , VELARDE M , et al . The role of cellular senescence in female reproductive aging and the potential for senotherapeutic interventions [J ] . Hum Reprod Update , 2022 , 28 ( 2 ): 172 - 189 .

CAVALCANTE MB , SAMPAIO OGM , CÂMARA FEA , et al . Ovarian aging in humans: potential strategies for extending reproductive lifespan [J ] . Geroscience , 2023 , 45 ( 4 ): 2121 - 2133 .

HARLOW SD , GASS M , HALL JE , et al . Executive summary of the stages of reproductive aging workshop+10:addressing the unfinished agenda of staging reproductive aging [J ] . Fertil Steril , 2012 , 97 ( 4 ): 843 - 851 .

中华医学会妇产科学分会绝经学组 . 中国绝经管理与绝经激素治疗指南2023版 [J ] . 中华妇产科杂志 , 2023 , 58 ( 1 ): 4 - 21 .

RUTH KS , DAY FR , HUSSAIN J , et al . Genetic insights into biological mechanisms governing human ovarian ageing [J ] . Nature , 2021 , 596 ( 7872 ): 393 - 397 .

LANCETTHE . Time for a balanced conversation about menopause [J ] . Lancet , 2024 , 403 ( 10430 ): 877 .

POSEIDON G , ALVIGGI C , ANDERSEN CY , et al . A new more detailed stratification of low responders to ovarian stimulation:from a poor ovarian response to a low prognosis concept [J ] . Fertil Steril , 2016 , 105 ( 6 ): 1452 - 1453 .

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 .

许润三 , 王清 . 中日友好医院名老中医学术传承系列:许润三妇科临床心悟 [M ] . 北京 : 人民卫生出版社 , 2024 : 8 - 32 .

周夏 , 刘弘 , 王嘉梅 . 国医大师许润三辨治早发性卵巢功能不全经验 [J ] . 中日友好医院学报 , 2023 , 37 ( 5 ): 307 - 309 .

刘小玉 , 王清 , 郑志博 , 等 . 国医大师许润三调经促孕方药特色浅析 [J ] . 中日友好医院学报 , 2021 , 35 ( 3 ): 183 , 185 .

辛茜庭 , 经燕 . 许润三治疗闭经的经验 [J ] . 北京中医药 , 2010 , 29 ( 2 ): 94 - 96 .

辛茜庭 , 赵红 . 许润三治疗排卵功能障碍性不孕的经验 [J ] . 中日友好医院学报 , 2011 , 25 ( 4 ): 247 ， 255 .

梁丽 , 谢明 , 索天娇 , 等 . 中药鹿茸的本草考证 [J ] . 中国民族民间医药 , 2023 , 32 ( 23 ): 23 - 29 .

赵红 . 呵护女性卵巢的宝中之宝：“鹿茸” [J ] . 中国生殖健康 , 2018 , 3 ( 10 ): 16 .

郭晓晗 , 程显隆 , 柳温曦 , 等 . 不同规格鹿茸饮片的多指标质量等级评价 [J ] . 中国现代中药 , 2021 , 23 ( 4 ): 691 - 697 .

QIN T , ZHANG G , ZHENG Y , et al . A population of stem cells with strong regenerative potential discovered in deer antlers [J ] . Science , 2023 , 379 ( 6634 ): 840 - 847 .

胡颖 , 许良智 , 李文娟 . 紫河车治疗国人卵巢功能早衰的系统评价 [J ] . 国际生殖健康/计划生育杂志 , 2012 , 31 （ 2 ）： 99 - 104 .

OMOTOSO O , GLADYSHEV VN , ZHOU X . Lifespan extension in long-lived vertebrates rooted in ecological adaptation [J ] . Front Cell Dev Biol , 2021 , 9 ( 1 ): 704966 .

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

基于陈潮祖“膜腠三焦”理论辨治肺结节的经验

蔡连香运用“托补法”治疗女性腹部手术切口脂肪液化经验

吕培文辨疮疡真寒假热的临证经验

李海松从虚、瘀论治慢性前列腺炎伴焦虑抑郁经验

张冰“证-症-药”三位一体整合论证模式在代谢性共病中的应用探讨