名中医康志媛从“肝肾同源于脑”论治多囊卵巢综合征伴抑郁  

KANG Zhiyuan’s treatment of polycystic ovary syndrome with depression based on the theory of “liver and kidney are of the same origin as the brain”

作　　者：李玲玲[1,2] 杨丽萍 张娥[1] 康志媛[1] LI Lingling;YANG Liping;ZHANG E;KANG Zhiyuan(Department of Obstetrics and Gynecology,the First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450046,China)

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450046 [2]河南中医药大学第一临床医学院,河南郑州450046 [3]河南中医药大学,河南郑州450046

出　　处：《陕西中医》2024年第9期1257-1261,共5页Shaanxi Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金资助面上项目(81973596);河南省第二批中医药青苗人才培养项目[豫卫中医函(2021)16号];河南省中医药科学研究专项课题(2023ZY2032);河南省卫生健康委员会国家中医药传承创新中心科研专项课题(2023ZXZX1013)。

摘　　要：多囊卵巢综合征伴抑郁是妇科临床常见难题,严重影响女性生殖功能和生活质量,康志媛教授基于“肝肾同源于脑”理论,认为本病与肝肾密切相关。经本于肾,肾主骨生髓通于脑,肾虚不仅冲任胞宫失司经乱,并见髓海空虚则精神失守;水不涵木则肝失调达加重气机不畅,以致形神共病,故发病以肾虚肝郁为主,临证常用经验方补肾疏肝方加减联合五行音乐治疗,药乐结合,共奏补肾疏肝之功,疗效显著。Polycystic ovary syndrome with depression is a common difficult problem in clinical gynecology,which seriously affects female reproductive function and quality of life.Professor Kang Zhiyuan believes that this disease is closely related to the liver and kidney based on the theory of“liver and kidney are of the same origin as the brain”.The kidneys serve as the wellspring of vital energy,overseeing bone health,marrow generation,and connectivity with the brain.A deficiency in kidney function not only results in issues with the uterus and lower bowels but also presents as a mental clarity deficit due to insufficient marrow.When the element of wood is absent in the water,it can lead to liver disorder,exacerbating the obstruction of qi and giving rise to a common ailment affecting both the body and mind.The primary symptoms involve a deficiency in the kidneys and the presence of liver depression.In clinical practice,a prevalent approach involves employing a formula that tonifies the kidneys and dredges the liver,complemented by the integration of five elements music.This combined use of medicine and music proves to be effective in enhancing the kidney-tonifying and liver-dredging effects,leading to notable therapeutic outcomes.

关 键 词：多囊卵巢综合征 抑郁 肝肾同源 五行音乐 补肾疏肝方 康志媛 

分 类 号：R711.75[医药卫生—妇产科学]