补肾化痰治疗多囊卵巢综合征伴胰岛素抵抗初探  

Research Progress on the Treatment of Polycystic Ovary Syndrome with Insulin Resistance by Tonifying Kidney and Removing Phlegm

作　　者：黎欣韵 王宝娟[2] 赵志梅[1] 夏天[1] LI Xin-yun;WANG Bao-juan;ZHAO Zhi-mei;XIA Tian(Department of Reproductive Center,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin,300380,China;Tianjin University of Traditional Chinese Medicine,Tianjin,301617,China)

机构地区：[1]天津中医药大学第一附属医院生殖中心,天津300380 [2]天津中医药大学,天津301617

出　　处：《时珍国医国药》2020年第1期166-168,共3页Lishizhen Medicine and Materia Medica Research

基　　金：国家科技支撑计划(2014BAI05B04)。

摘　　要：多囊卵巢综合征是妇科常见病,而胰岛素抵抗是其发病主要的中心环节,更是多囊卵巢综合征患者出现内分泌紊乱的重要病理因素。中医治疗多囊卵巢综合征伴胰岛素抵抗具有独特优势,认为其主要病机为肾虚痰湿,因此临床治疗以补肾化痰为主,兼顾活血、健脾、调肝等。现总结近年来补肾化痰治疗多囊卵巢综合征伴胰岛素抵抗的文献,初步探讨其治疗机制,为临床治疗提供更多思路。Polycystic ovary syndrome(PCOS)is a common gynecological disease.Insulin resistance(IR)is the main central link of PCOS,and it is also the pathological factor of endocrine disturbance in PCOS patients.TCM treatment of PCOS with IR has its unique advantages.It is believed that the basic pathogenesis of PCOS with IR is kidney deficiency and phlegm dampness.Therefore,clinical treatment mainly based on tonifying kidney and removing phlegm,giving consideration to promoting blood circulation,invigorating spleen and regulating liver.This article summarizes the recent literature on the treatment of PCOS with IR by invigorating the kidney and removing phlegm,and preliminarily explores its therapeutic mechanism,so as to provide more ideas for clinical treatment.

关 键 词：多囊卵巢综合征 胰岛素抵抗 补肾化痰 中医治疗 

分 类 号：R271.14[医药卫生—中医妇科学]