| 袁烁,曾蕾,邱嫔,等.邓高丕教授以虚郁痰瘀论治多囊卵巢综合征[J].浙江中医药大学学报,2020,44(3):275-278. |
| 邓高丕教授以虚郁痰瘀论治多囊卵巢综合征 |
| Professor DENG Gaopi Treats PCOS from Deficiency, Stagnation, Phlegm and Blood Stasis |
| DOI：10.16466/j.issn1005-5509.2020.03.016 |
| 中文关键词: 多囊卵巢综合征 虚郁痰瘀 证期结合 医案 邓高丕 名医经验 |
| 英文关键词: polycystic ovary syndrome deficiency, stagnation, phlegm and blood stasis combination of syndromes and menstrual cycle medical case DENG Gaopi clinical experience of famous doctor |
| 基金项目:国家自然科学基金项目(81804135)；广东省名中医传承工作室建设项目(粤中医办函[2019]5号) |
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| 中文摘要: |
| [目的]总结介绍邓高丕教授治疗多囊卵巢综合征的临床经验。[方法]通过对邓教授诊治多囊卵巢综合征的病例进行收集整理，分析邓教授治疗多囊卵巢综合征的诊治思路，总结相关的治疗经验及用药特点，最后分析典型案例一则进一步验证。[结果]邓教授重视胞宫生理，认为本病以肾虚为主导，肝郁气滞、脾虚痰湿、瘀血内停，阻滞于冲任、胞宫，从而致病。临证以补肾调肝为主，运脾导痰、活血化瘀为辅，同时顺应冲任阴阳消长变化调经。以补肾填精为法，选药平而不腻；注重扶脾调肝，凸显岭南特色；破痰行滞、通瘀活血，中病即止。所举典型病例辨为肾虚血瘀证，邓教授治以行气导滞、活血通经、补肾疏肝、导痰散结，并结合周期疗法，标本同治，疗效确切。[结论]邓高丕教授以虚郁痰瘀论治多囊卵巢综合征，顺应月经周期中阴阳气血消长变化规律以调经，临床实践疗效满意，值得借鉴。 |
| 英文摘要: |
| [Objective] To explore the clinical experience of Professor DENG Gaopi in treating polycystic ovary syndrome(PCOS). [Methods] Through collecting the cases of PCOS treated by Professor DENG, the thoughts of diagnosis and treatment of Professor DENG were analyzed, the relevant treatment experience and medication characteristics was summarized, and further demonstration was conducted through analysis of typical case. [Results] Professor DENG attaches importance to physiology of uterus, summarizes that deficiency of kidney is the leading factor of the pathogenesis, and the disease is caused by stagnation of Qi and liver, deficiency of spleen and phlegm dampness, stagnation of blood stasis blocked in Chongren and uterus. Accordingly, in clinical practice, emphasis should be laid on tonificating the kidney and soothing the liver, as well as invigorating the spleen and dispersing phlegm, promoting blood cirulation and eliminating stasis. Meanwhile, balancing Yin and Yang and Chongren should be adopted to regulate menstruation. Tonificating the kidney and replenishing essence should be adopted as main methods of treatment, and the mild medicine but not greasy should be chosen. The characteristics of Lingnan is highlighted through soothing the liver and invigorating the spleen, dispersing phlegm and stagnation, promoting blood circulation and eliminating stasis, and stopping medication as soon as it takes effect. The case was differentiated as deficiency of kidney and stasis of blood, and achieved good results after treated with regulating Qi and inducing stagnation, promoting blood circulation and restoring menstruation, tonificating the kidney and soothing the liver, dispersing phlegm and eliminating stasis, combined with cycle therapy of TCM. [Conclusion] Professor DENG Gaopi treats PCOS from deficiency of kidney, stagnation of Qi and liver, phlegm and blood stasis, regulates menstruation according to the law of changes of Yin and Yang, Qi and blood in menstrual cycle. The experience is worthy for reference because of the significant clinical efficacy. |
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