| 史巧,肖新春,崔晓萍,等.基于六经辨证理论探究多囊卵巢综合征的辨治方法[J].浙江中医药大学学报,2021,45(7):726-731. |
| 基于六经辨证理论探究多囊卵巢综合征的辨治方法 |
| Exploration of the Differentiation and Treatment of Polycystic Ovary Syndrome Based on the Theory of Syndrome Differentiation of Six Meridians |
| DOI：10.16466/j.issn1005-5509.2021.07.007 |
| 中文关键词: 多囊卵巢综合征 六经辨证 胞宫 不孕 闭经 癥瘕 胰岛素抵抗 痤疮 |
| 英文关键词: polycystic ovary syndrome syndrome differentiation of six meridians uterus infertility amenorrhea mass insulin resistance acne |
| 基金项目:陕西省科技厅项目(2010JQ4008)；陕西省教育厅项目(16JK1206)；陕西中医药大学科研创新团队项目(2019-YL08) |
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| 中文摘要: |
| [目的]基于六经辨证理论探讨多囊卵巢综合征的辨治方法。[方法]从六经辨证的角度出发，以三阴三阳经及其相络属的脏腑为辨证体系，将人体经络脏腑生理与病理有机地联系到一起，探讨六经辨证理论在多囊卵巢综合征中的应用及其辨治方法。[结果]多囊卵巢综合征的病机主要以太阴脾虚、少阴肾精不足为本，以太阳的蓄水与蓄血、阳明的胃肠积热与气血失衡、少阳的枢机不利导致的阴阳失和、厥阴的肝气郁滞为标。病在三阳，病多属实；病在三阴，病多属虚。因此在治疗上，治本应温肾调经、健脾除湿化痰，治标应活血利水、解热透邪、理气行滞。[结论]通过对六经辨证理论及其在多囊卵巢综合征诊疗中的应用探讨，提示在具体临证过程中，应当遵从个体化诊疗基本原则，抓住核心病机，灵活运用六经辨证体系，选择恰当方药，体现了中医学的“整体观”和“辨证观”。 |
| 英文摘要: |
| [Objective]To explore the differentiation and treatment of polycystic ovary syndrome(PCOS) based on the theory of syndrome differentiation of six meridians. [Methods]From the point of syndrome differentiation of six meridians， using the syndrome differentiation system of three Yin and three Yang meridians and their associated organs， the physiology and pathology of human meridians and viscera are organically linked together to explore the application of the theory of syndrome differentiation of six meridians in PCOS. [Results]PCOS is mainly based on the spleen deficiency of Taiyin and the deficiency of kidney essence of Shaoyin. It is marked by the water storage and blood storage of the Taiyang， the heat accumulation in the gastrointestinal tract of Yangming and the imbalance of Qi and blood， the disharmony of Yin and Yang caused by the dysfunction of Shaoyang hub， and the stagnation of the liver Qi of Jueyin. If disease lies in tri-Yang， disease is mostly excess; disease lies in tri-Yin， the disease is mostly deficient. Therefore， in treatment， the primary treatment should be warming the kidney， regulating menstruation， invigorating the spleen， dehumidifying and dissolving phlegm， and the symptom treatment should be promoting blood circulation and inducing diuresis， dispelling heat and removing pathogenic factors， regulating Qi and promoting stagnation. [Conclusion]Based on the discussion of six meridians differentiation theory and its application in the diagnosis and treatment of PCOS， it is suggested that in the process of the specific clinical activity，doctors should comply with the basic principles of individualized diagnosis and treatment， seize the core mechanism， flexibly use six meridians differentiation system， choose appropriate formulas， which embodies the “holistic view” and “syndrome differentiation view” of traditional Chinese medicine. |
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