中药终止妊娠的历史沿革及理论探讨并临床应用综述

中文摘要：祖国医学传承千年之久，中医中药治疗内、外、妇、儿多科疾病均有效验。在妇科领域，中医药多用于调理月经病、带下病、妊娠病、产后病、绝经前后诸病及妇人腹痛、阴疮、阴挺等杂病，此外，在临证过程中，古人亦发现并总结归纳了关于中药下胎、堕胎的相关功效。至北宋年间，记录在档的关于可导致流产的中药已有55种之多。

近现代，中医辨证论治和天人合一的理念越来越受到重视，中医药得到了更多的发展。中医药用于辅助终止妊娠、保守治疗异位妊娠甚至妊娠滋养细胞疾病的报道屡见不鲜且疗效得到理肯定。中药杀胚的功效及机制越加受到现代医学的关注。随着时代的进步，研究技术的进展，中药杀胚的机理研究越加精深。笔者大量阅读相关文献，将近来研究比较成熟的中药略做总结。

英文摘要：There is a long history about traditional Chinese medicine(TCM). It is used in treating many diseases. During thousands of years, more and more people realize the advantages of TCM. During the clinical process, people found the side-effects of Chinese herbs such as leading to miscarriage or bad effects to the pregnant or fetus, and wrote them down. Nowadays, TCM is used with the western medicine to strengthen the clinical effect in stopping pregnancy, ectopic pregnancy and so on. The study of the function is getting more and more developed.

关键词：中药 杀胚 终止妊娠 综述