治肝肾调情志诊疗早发性卵巢功能不全经验  

The Experience in Treating Premature Ovarian Insufficiency From the Perspective of Liver and Kidney and the Attention to Emotional Problems

作　　者：沈依瑶 张晓甦[2] SHEN Yiyao;ZHANG Xiaosu(Nanjing University of Chinese Medicine,Nanjing 210029,China;Nanjin Hospitol of Chinese Medicine Affiliated to Nanjing Univorsity of Chinese Meditine,Nanjing 210022,China)

机构地区：[1]南京中医药大学,江苏南京210029 [2]南京中医药大学附属南京中医院,江苏南京210022

出　　处：《中国民族民间医药》2023年第7期69-73,共5页Chinese Journal of Ethnomedicine and Ethnopharmacy

基　　金：张晓甦南京市名中医工作室资助项目(编号:ZXS-2017-NJ)。

摘　　要：早发性卵巢功能不全是指女性在40岁之前出现卵巢功能减退,主要临床表现为月经异常、促性腺激素水平升高和雌激素波动性下降,因低雌激素血症与生育力渐失的精神压力,临床常兼见焦虑抑郁状态,极大地降低了女性的生活质量。张晓甦教授结合多年临床经验,认为该病诊疗当从肝肾入手,制定了补肾益精,疏肝调气的治疗大法。补肾以滋肾为主,疏肝兼以活血健脾,升降和调,治疗同时关注患者恶性情志状态,用药与人文兼施,获效良多。Premature ovarian insufficiency refers to the decline of ovarian function in women before the age of 40.The main clinical manifestations are abnormal menstruation,increased gonadotropin level and estrogen volatility decrease.Due to hypoestrogenemia and the gradual loss of fertility,anxiety and depression are common in clinical practice,which greatly reduces the quality of life of women.Professor Zhang Xiaosu combined with years of clinical experience,believes that the diagnosis and treatment of the disease should start from the liver and kidney,and has formulated the treatment method of tonifying kidney and supplementing essence,soothing liver and regulating qi.Tonifying kidney is given priority to with nourishing kidney.At the same time,soothing liver should pay attention to promoting blood circulation and strengthening spleen,making Qi lifting regularly.The treatment also pays attention to the malignant emotional state of patients,and the combination of medication and humanities.This line of thought achieved a lotin clinical practice.

关 键 词：早发性卵巢功能不全 情志 肾虚肝郁 经验总结 张晓甦 

分 类 号：R249.2/.7[医药卫生—中医临床基础]