王丽娜治疗多囊卵巢综合征经验  

Wang Lina′s Experience in Treating Polycystic Ovarian Syndrome

作　　者：王艳丽[1] 李淑荣[1] 王丽娜[1] WANG Yanli;LI Shurong;WANG Lina(Obstetrics and Gynecology Department,the First Affiliated Hospital to Henan University of Chinese Medicine,Zhengzhou Henan China 450000)

机构地区：[1]河南中医药大学第一附属医院妇产科,河南郑州450000

出　　处：《中医学报》2024年第2期359-363,共5页Acta Chinese Medicine

基　　金：国家中医药管理局第六批全国老中医药专家王丽娜学术经验继承项目{国中医药人教发〔2017〕29号}。

摘　　要：肾虚是多囊卵巢综合征发病之根本,同时涉及肝脾,致瘀血、气滞、痰湿阻滞为标,更加重影响肾的功能,彼此互为因果,虚实夹杂。临证运用补肾调周法,依据肾中阴阳的动态变化,分期辨证论治:经后期治以滋阴补肾,益精养血为主,使血海充盈,气血调和,以促使卵泡发育成熟,为排卵奠定物质基础,常用促卵泡汤加减;经间期治以补肾助阳,活血通络为主,为卵子顺利排出提供条件,方用促排卵汤加减;经前期治以补肾助阳为主,温煦子宫,促进黄体成熟,为孕卵植入子宫及经血按时排泄提供动力来源,兼以滋养肾阴,顺应肾中阴阳转化规律,方用促黄体汤加减;行经期治以活血化瘀、理气调经,促进新生,治宜活血调经、重在祛瘀,引血下行,方用调经活血合剂加减。同时,重视中医针灸、埋线、刮痧、督脉灸等传统外治法,加强运动锻炼,改善不良生活及饮食方式,调整内分泌紊乱状态,维持机体气血阴阳平衡状态,进而从整体上调节下丘脑-垂体-卵巢-胞宫生殖轴的功能,恢复正常的月经周期,提高排卵率及妊娠成功率。Kidney deficiency is the root cause of the onset of polycystic ovary syndrome,which involves the Liver and Spleen,causing blood stasis,Qi stagnation,and Phlegm Dampness obstruction as the symptoms,and in turn negatively affects the Kidney function.They are mutually causal,with a mixture of deficiency and excess.The clinical application of tonifying the Kidney and regulating the cycle based on the dynamic changes of Yin and Yang in the Kidney,and the diagnosis and treatment in different stages.In the stage after menstruation,the main treatment approach is to nourish Kidney Yin,nourish Essence and blood to fill the blood sea and harmonize Qi and blood,in order to promote the development and maturation of follicles and lay a material foundation for ovulation.Before the period of menstruation,the treatment mainly focuses on tonifying the Kidney and assisting Yang,promoting blood circulation and unblocking collaterals,providing conditions for the smooth discharge of eggs,and using modified ovulation promoting decoction.Premenstrual treatment mainly focuses on tonifying the Kidney and assisting Yang,warming the uterus,promoting corpus luteum maturation,providing a source of power for the implantation of fertilized eggs in the uterus and timely excretion of menstrual blood.The Kidney Yin also be nourished to conforms to the law of Yin and Yang conversion in the Kidney,with modified Huangti Decoction.During the period of menstruation,the treatment is to promote blood circulation and remove blood stasis,regulate Qi and meridians,to promote blood production.It is advisable to promote blood circulation and meridian regulation,with a focus on removing blood stasis and guiding blood flow downwards.The formula is to use a modified formula for regulating meridians and blood circulation.At the same time,we should attach importance to traditional external treatment methods such as acupuncture and moxibustion,catgut embedding,scraping and Du meridian moxibustion,strengthening exercise,improvement of the life style and diet,adjusti

关 键 词：多囊卵巢综合征 补肾调周法 分期论治 中医外治法 王丽娜 

分 类 号：R249.27[医药卫生—中医临床基础]