Professor Chen Ying 's Experience In Treating Recurrent Abortion With Closed Antibody Deficiency

Recurrent bortion is defined as3times or more than3times in a row ofspontaneous abortion with the same sex partner[1], Chinese medicine called it"Huatai", also known as " Shuduotai," or " Lvyunlvduo." In recent years, theincidence of recurrent miscarriage in clinic is increased obviously. The reasonsof recurrent miscarriage are embryonic chromosomal abnormalities, maternalsystemic disease, genital abnormalities, endocrine dysfunction, environmentalfactors and bad habits, immune dysfunction and so on. Immune factors which causeabortion in recent years has aroused more attention, are divided into the samekind of autoimmune abnormalities and the abnormalities of immune itself. Theformer mainly means antiphospholipid antibody syndrome. The latter is based onpregnancy allograft theory. If the HLA compatibility between the couple is toolarge, the maternal body will identify paternal antigens abnormally, which mayresult in lack of BA in maternal body, and cause immune rejection and abortion.Clinically, patients of autoimmune abortion caused by lack of BA are increasingin recent years. There have been reported that BA in indicators of immune etiologyhas the maximum value, accounting for77％[2]. Modern medicine usually use twotreatments, the one is active immunotherapy with lymphocytes come from her spouseor another healthy one, and the other is passive immunotherapy with globulin.Mentor Professor Chen Ying who summarizes years of clinical experience, thinksthat immune-based recurrent lies in deficiency. And recurrent abortion causedby BA deficiency lies in deficiency of kidney and spleen. Kidney essence is untruebecause of deficiency of kidney, and meridian Chong and Ren will be hurt andcannot maintain and nourish the fetus which results in abortion; deficiency ofspleen, qi and blood lack of sources, Chong and Ren are damaged to support andkeep fetus, so fetus is easy to injure and fall off. In addition, if deficiencyof spleen and kidney last for a long time, stasis will be generated, when stasis in the Chong and Ren and uteus, the fetus will be dystrophy to fall. On treatment,mentor follows the principle of “prevention first, combining prevention withcontrol”,“treatment simultaneously with miscarriage”,emphasizing onprevention and recuperation in pregnancy, and founding “Decoction of supplyingkidney and spleen, and removing the stase”, on which subtracting with thesymptom. She focuses on supplying kidney and spleen, circulating blood,regulating Chong and Ren. She asks the patient to conceive after BA turningpositive nature. Promptly protecting the fetus after pregnancy, she usually uses“Decoction of supplying kidney and protecting the fetus” to supply kidney、spleen and qi for protecting the fetus. The patient is also asked for usingChinese medication until a month after the previous abortion time. At the sametime, it is needed to monitor blood HCG、E2、P, and review of ultrasound periodiclyand appropriately with progesterone capsule, injections of human chorionicgonadotropin, vitamin E and other drugs miscarriage treatment based on testresults, and the clinical effect is quite well.