基于“肥胖不孕”理论从脾论治肥胖型多囊卵巢综合征不孕症  

Treatment of infertility in obese polycystic ovary syndrome based on the theory of“obesity-infertility”from the perspective of the spleen

作　　者：姜西利 李伟莉[2] 张红[2] Jiang Xili;Li Weili;Zhang Hong(First Clinical Medical College of Anhui University of Chinese Medicine,Hefei Anhui 230031;First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei Anhui 230031)

机构地区：[1]安徽中医药大学第一临床医学院,安徽合肥230031 [2]安徽中医药大学第一附属医院,安徽合肥230031

出　　处：《山西中医药大学学报》2024年第7期753-758,共6页Journal of Shanxi University of Chinese Medicine

基　　金：2022年全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号)。

摘　　要：多囊卵巢综合征(PCOS)是一种在育龄期女性中常见的内分泌紊乱病症,影响从青春期到绝经后的整个生命周期,主要表现为生殖障碍和内分泌系统失调,临床症状包括月经不规律、不孕、肥胖、多毛和黑棘皮症等。中医学并无PCOS的专门病名,按临床症状及特点归属“月经病”“不孕症”“肥胖”等范畴。《傅青主女科》中首次提出的“肥胖不孕”概念,傅青主阐述妇人肥胖不孕的主要病机在于脾虚痰湿,与该病症的表现及病机有密切关联。本研究旨在深入探讨傅青主关于“肥胖不孕”的理论,并分析其与肥胖型PCOS不孕症的关系,通过探析傅青主谨守脾虚痰湿的病机,运用健脾益气、祛湿化痰之加味补中益气汤从脾论治“肥胖不孕”的思想,以期为临床治疗肥胖型PCOS不孕症提供新的思路。Polycystic ovary syndrome(PCOS)is a common endocrine disorder among women of reproductive age,affecting the entire lifespan from adolescence to menopause,primarily manifesting as reproductive dysfunction and endocrine system disorders.Clinical symptoms include irregular menstruation,infertility,obesity,hirsutism,and acanthosis nigricans.There is no specific disease name for PCOS in TCM,but according to clinical symptoms and characteristics,it is categorized under“menstrual disorders”,“infertility”and“obesity”.The concept of“obesity-infertility”was first proposed in“Fu Qingzhu′s Gynecology.”Fu Qingzhu elaborated that the primary pathogenesis of obesity-infertility in women lies in spleen deficiency and phlegm-dampness,closely related to the manifestations and pathogenesis of this condition.This study aims to deeply explore Fu Qingzhu′s theory of“obesity-infertility”and analyze its relationship with infertility in obese PCOS.By examining Fu Qingzhu′s adherence to the pathogenesis of spleen deficiency and phlegm-dampness,and the use of Modified Buzhong Yiqi Decoction(a formula for strengthening the spleen,benefiting Qi,and removing dampness and phlegm)to treat“obesity-infertility”from the perspective of the spleen,we aim to provide new insights for the clinical treatment of infertility in obese PCOS.

关 键 词：傅青主女科 多囊卵巢综合征 肥胖不孕 加味补中益气汤 健脾祛湿 

分 类 号：R249[医药卫生—中医临床基础] R271.14[医药卫生—中医学]