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机构地区:[1]上海中医药大学岳阳临床医学院,上海201203 [2]上海市长宁区天山中医医院 [3]上海市针灸经络研究所
出 处:《中国针灸》2016年第12期1296-1301,共6页Chinese Acupuncture & Moxibustion
基 金:上海市中医药领军人才建设项目:ZYSNXD-RC-LJRC;中国中医科学院自主选题研究项目:ZZKF08002
摘 要:总结施茵教授诊治多囊卵巢综合征(PCOS)的临床经验。施茵强调根据PCOS的主要病机,治疗时应以补肾为本,肝、脾、心三脏同治,分期、分型、分类辨治PCOS;在分期上,顺应阴阳消长规律,以调治卵泡发育为治疗核心,提出分四期论治,月经期宜"通",卵泡期宜"补",排卵期宜"疏",黄体期宜"调养并施";在分型和分类上,重视个体化治疗,临证时以胖型、瘦型/非胖型分型和有无生育要求分类治疗;同时,注重患者心理疏导及生活调适,身心合一,以提高疗效。The clinical experience of professor SHI Yin for polycystie ovary syndrome (PCOS) was summa- rized. According to the main pathogenesis of PCOS, the tonifying kidney should be taken as essence with synchro- nous treatment on liver, spleen and heart, presenting staging, classification and sorting method for PCOS. In the staging method, the regulation on follicle development should be taken as treatment core to comply with the rules of yin and yang. A four-stage method was proposed, where "regulating method" was suitable in menstrual period. "tonifying method" in follicular phase;"dredging method" in ovulatory period and "adjustment and tonifying " in luteal phase. In the classification and sorting method, attention was paid on individualized treatment, and treat- ment was based on fat type, thin type and non-fat type as well as childbearing. Besides, psychological counseling and life adjustment for patient was essential, and the unity of body and mind could enhance curative effect.
关 键 词:多囊卵巢综合征 分期 分型 分类 针灸疗法 经验
分 类 号:R245[医药卫生—针灸推拿学]
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