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作 者:吕桂娇 马铭泽 史丽萍[1] 谢伟[1] LYU Guijiao;MA Mingze;SHI Liping;XIE Wei(Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)
机构地区:[1]天津中医药大学,天津301617
出 处:《中医药导报》2023年第6期153-158,共6页Guiding Journal of Traditional Chinese Medicine and Pharmacy
基 金:国家中医药管理局课题(GZT-FJS-2020-202)。
摘 要:目的:探讨青春期多囊卵巢综合征的中医症状、证候、治法、用药规律。方法:检索中国知网数据库、万方据库、维普数据库、中国生物医学文献数据库2000年1月1日至2021年12月31日中医药治疗青春期多囊卵巢综合征的文献。规范名称后建立相应数据库,基于数据可视化技术加以系统分析。结果:青春期多囊卵巢综合征常见症状主要为经闭不行、月经推后、多毛、肥胖;证候主要为肾虚血瘀证、肾虚证、肝经郁热证、脾肾两虚证;证素主要为血瘀、阳虚、阴虚、痰湿、气虚;治法主要为活血化瘀、补肾益气、补益脾肾、温阳活血;常用药物主要有当归、茯苓、熟地黄、菟丝子。结论:中医药治疗青春期多囊卵巢综合征已形成系统完整、自恰严密的症-证-方-药体系。青春期多囊卵巢综合征病位在肾、肝、脾,以肾为主;气滞、痰湿、瘀血互结为病,相互转化,病机复杂;诊治用药重视顾护脾肾阳气,并以补肾活血为核心治法。Objective:To explore the traditional Chinese medicine(TCM)symptoms,pathographihood,treatment methods,medication rules and related theories of adolescent polycystic ovary syndrome.Methods:Search literature on the treatment of adolescent polycystic ovarian syndrome with TCM from January 1,2000 to December 31,2021 were retrieved from CNKI,Wanfang Database,VIP database and China Biomedical Literature Database.After the name specification,the corresponding database is established and analyzed systematically,which based on data visualization technology.Results:The common symptoms of polycystic ovary syndrome are mainly about amenorrhea,delayed menstruation,hirsute and obesity.The main syndromes are deficiency of kidney and blood stasis,deficiency of kidney,stagnant heat of liver meridian and spleen-kidney deficiency.The main syndromes are blood stasis,Yang deficiency,Yin deficiency,phlegm dampness and Qi deficiency.The main treatment methods are activating blood circulation and removing blood stasis,tonifying kidney and Qi,tonifying spleen and kidney,warming yang and activating blood circulation.Commonly used drugs are Danggui(Angelicae Sinensis Radix),Fuling(Poria),Shudihuang(Rehmanniae Radix Praeparata),Tusizi(Cuscutae Semen).Conclusion:It is clear that TCM has formed a complete and self-exact system of symptom-pathographihood-treatment method-medicine in the treatment of this disease.The disease is located in the kidney,liver and spleen,mainly in the kidney.Qi stagnation,phlegm dampness and blood stasis are intertwined and transformed into each other,and the pathogenesis is complex.Clinical treatment should pay attention to protecting Yang Qi of spleen and kidney,and regard nourishing kidney and activating blood as the core treatment.
关 键 词:多囊卵巢综合征 青春期 中药 症状 证候 治法 用药规律 数据可视化
分 类 号:R271.14[医药卫生—中医妇科学]
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