基于“肝主冲任”探讨“疏肝解郁法”治疗多囊卵巢综合征  

Based on“Liver Manages the Thoroughfare and Conception Vessels”to Discuss the Treatment of"Soothing Liver and Relieving Depression"on PCOS Disease

作　　者：李家熠 俞瑾 吴阳 朱静 LI Jiayi;YU Jin;WU Yang;ZHU Jing(Naval Medical University,Shanghai 200433,China;The First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学基础医学院,上海200433 [2]海军军医大学第一附属医院,上海200433

出　　处：《中医药临床杂志》2024年第9期1637-1642,共6页Clinical Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81973896);上海市科技计划项目(23ZR1478600);俞超芹上海市名老中医学术经验研究工作室(SHGZS-202240)。

摘　　要：多囊卵巢综合征(PCOS)是妇科常见疾病,属于中医学“月经后期”“闭经”“不孕”等病的范畴,较常表现出具有肝气郁滞的临床症状,与肝的功能密切相关。故“疏肝解郁”成为中医临床治疗PCOS的常用治法。根据传统中医整体辨证观点,肝脏与冲任二脉有密切联系,且与女性正常生殖功能的维持密不可分。现基于“肝主冲任”的理论,综述PCOS发生的常见病因病机尤其是肝郁气滞证对其病发生的影响,进一步探讨“疏肝解郁法”对多囊卵巢综合征疾病改善的理论机制与用药规律,并附临床验案加以阐述。Polycystic ovary syndrome(PCOS)is a common gynecological disease,belonging to the category of“late menstruation”,“amenorrhea”and“infertility”in traditional Chinese medicine.It often shows clinical symptoms of liver Qi stagnation,which is closely related to the function of the liver.Therefore,“soothing the liver and relieving depression”has become a common treatment method for PCOS in traditional Chinese medicine.According to the traditional Chinese medicine holistic syndrome differentiation point of view,the liver is closely related to the Chong and Ren meridians,and is inseparable from the maintenance of normal female reproductive function.Based on the theory of“Liver governing Chong and Ren”,this paper reviews the common etiology and pathogenesis of PCOS,especially the influence of liver depression and Qi stagnation on its occurrence,and further explores the theoretical mechanism and medication rules of“soothing the liver and relieving depression”for the improvement of PCOS,and attaches clinical cases to illustrate.

关 键 词：多囊卵巢综合征 肝主冲任 气郁 疏肝解郁 

分 类 号：R271.9[医药卫生—中西医结合]