从“二阳之病发心脾”论治早发性卵巢功能不全  

Treatment of Premature Ovarian Insufficiency from the Perspective of"the Two-Yang Disease Developing in the Heart and Spleen"Theory

作　　者：郭倩 马蔚蓉[1] 谈勇[1] GUO Qian;MA Wei-rong;TAN Yong(The Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China)

机构地区：[1]南京中医药大学附属医院,江苏南京210029

出　　处：《南京中医药大学学报》2022年第8期735-738,共4页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(81873333);江苏省中医院院级课题(Y21031)。

摘　　要：谈勇教授根据《黄帝内经》“二阳之病发心脾”理论,认为早发性卵巢功能不全所致“女子不月”与阳明、心脾关系密切,其病机关键在于二阳为病,尤其以足阳明胃经为主,同时多兼夹心脾两虚、心肝脾气郁之候。临证应从阳明、心脾论治,补益阳明,调理胃肠;益气养血,调补心脾;健脾疏肝,清心安神,从而改善患者卵巢功能和临床症状。Based on the theory of"the two-yang disease developing in the heart and spleen"from the Huangdi's Canon of Medicine,Professor Tan Yong believes that amenorrhea caused by the premature ovarian insufficiency is closely related to the yangming meridians,heart,and spleen.The key to the pathogenesis lies in the two-yang disease,especially the foot yangming stomach meridian is the main cause.Besides,there are some accompanied syndromes such as the heart and spleen deficiency,as well as qi constraint in the heart,liver,and spleen.Thus,the syndrome differentiation and treatment should be based on the yangming meridians,heart,and spleen.For example,the treatments of tonifying the yangming meridians to regulate the stomach and intestines can be applied.In addition,the treatments of reinforcing qi and nourishing blood to replenish the heart and spleen can be used clinically.On top of that,the treatments of strengthening the spleen and soothing the liver to clearing the heart heat and claming the mind can also be put into clinical practice.In conclusion,the above treatments can all be used to improve ovarian function and mitigate clinical symptoms.

关 键 词：早发性卵巢功能不全 闭经 二阳之病发心脾 谈勇 名医经验 

分 类 号：R249[医药卫生—中医临床基础]