| 引用本文: |
文乐兮,刘思璐,尤昭玲,魏一苇,厉逸群.多囊卵巢综合征中医辨治思路探讨[J].湖南中医药大学学报,2018,38(5):524-527[点击复制] |
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| 多囊卵巢综合征中医辨治思路探讨 |
| 文乐兮,刘思璐,尤昭玲,魏一苇,厉逸群 |
| (湖南中医药大学, 湖南 长沙 410208;湖南中医药大学第一附属医院, 湖南 长沙 410007) |
| 摘要: |
| 多囊卵巢综合征归属于中医月经后期、闭经、崩漏、经期延长、不孕症、癥瘕等疾病范畴。肾肝脾失调为发病之本，痰湿瘀阻滞为发病之标。临床辨证时需着重辨别月经的期、色、量、质，以及体型的胖瘦。治疗除应辨证分型、病证结合外，尤需考虑有无孕嗣需求，并视经期、经后期、经间期、经前期之不同阶段而因时用药。 |
| 关键词: 多囊卵巢综合征 辨证 肾虚证 气滞血瘀证 痰湿阻滞证 |
| DOI：10.3969/j.issn.1674-070X.2018.05.009 |
| 投稿时间：2018-02-02 |
| 基金项目:湖南省重点学科方剂学开放基金资助项目（2015-03）；湖南省教育科学“十二五”规划课题资助项目（XJK014BGD054）。 |
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| Discussion on TCM Syndrome Differentiation and Treatment of Polycystic Ovary Syndrome |
| WEN Lexi,LIU Silu,YOU Zhaoling,WEI Yiwei,LI Yiqun |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
| Abstract: |
| Polycystic ovary syndrome is attributed to the TCM late menstruation, amenorrhea, metrorrhagia, menostaxis, infertility, abdominal mass and other disease category. It is believed that the disharmony of kidney-liver-spleen is the origin of the disease, and the phlegm dampness stagnation is the subordination of the disease. In clinical syndrome differentiation, it is necessary to focus on the period, color, quantity and quality of menstruation as well as the somatotype of patients. In addition to the syndrome differentiation and combination of disease and syndrome, the treatment should consider the patient demands of pregnancy in particular. At the same time, it is important to adjust medication according to patients' different menstrual period, later period, interval period and premenstrual period stages. |
| Key words: polycystic ovary syndrome syndrome differentiation syndrome of deficiency of kidney syndrome of Qi stagnation and blood stasis syndrome of phlegm and dampness obstruction |
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