妊娠剧吐中医特色外治法的研究进展

Advances in Research on External Treatment of Hyperemesis Gravidarum with Traditional Chinese Medicine Characteristics

摘要: 妊娠剧吐属于祖国医学“妊娠恶阻”的范畴，多发生于妊娠10周以前，其主要表现是严重持续的恶心、呕吐，常引起脱水、酮症甚至酸中毒。目前本病的病因尚不明确，主要认为由内分泌因素导致，而精神因素、环境因素亦会导致妊娠剧吐的发生，现代医学治疗方法单一，主要以静脉补液纠正脱水及电解质紊乱、对症止吐为主，且止吐药物的选择因其安全性受到限制。中医外治法种类多样，能一定程度缓解妊娠剧吐，可操作性强。现就中医外治法治疗妊娠剧吐的作用机制及临床应用进展综述如下。

Abstract: Hyperemesis gravidarum belongs to the category of “Obstruction of Pregnancy” in Chinese medicine, which mostly occurs before the 10th week of pregnancy. Its main manifestation is severe and persistent nausea and vomiting, which often causes dehydration, ketosis and even acidosis. At present, the etiology of this disease is not clear, which is mainly thought to be caused by endocrine factors, while mental factors and environmental factors can also lead to hyperemesis gravidarum. Modern medical treatment methods are single, mainly intravenous rehydration to correct dehydration and electrolyte disorder and symptomatic antiemesis, and the choice of antiemetic drugs is limited because of its safety. There are many kinds of external treatments of traditional Chinese medicine, which can alleviate hyperemesis gravidarum to some extent and have strong maneuverability. The mechanism and clinical application of external treatment of traditional Chinese medicine for hyperemesis gravidarum are summarized as follows.