从《血证论》“痰饮交动”浅析多囊卵巢综合征的辨证论治思想  

A Brief Analysis of the Syndrome Differentiation and Treatment of Polycystic Ovary Syndrome Based on the Concept of“Phlegm-Fluid Interaction”from Blood Syndrome Theory

作　　者：张晓晓 王彤[2] 金哲[1] 贡欣[1] ZHANG Xiao-xiao;WANG Tong;JIN Zhe;GONG Xin(Dongfang Hospital,Beijing Uni versity of Chinese Medicine,Beijing 100078;Beiing University of Chinese Medicine,Beijing 100029)

机构地区：[1]北京中医药大学东方医院,北京100078 [2]北京中医药大学,北京100029

出　　处：《世界中西医结合杂志》2024年第9期1880-1883,1898,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：首都卫生发展科研专项项目(首发2018-4-4204);北京市中医药科技发展资金项目(QN-2020-18)。

摘　　要：多囊卵巢综合征的发生发展与津液输布失司有关,痰邪是其核心病机之一。文中试基于《血证论》中津液运行的生理病理出发,阐述“痰”的理论释义和多囊卵巢综合征的形成机制。唐氏认为津液的生理过程是肾、脾、肺三脏共同作用的结果,肾、脾、肺三脏功能失常可致痰邪内生。痰多兼夹,常根据阴阳水火的偏胜不同而兼火兼瘀。文中针对不同病理因素所致的不同症状表现辨证论治,以期在今后治疗多囊卵巢综合征中有所裨益。The development of polycystic ovary syndrome(PCOS)is closely related to dysfunction in the distribution of body fluids,with phlegm pathogen being one of its core pathological mechanisms.Based on the physiological and pathological aspects of fluid circulation as described in Blood Syndrome Theory,explains the theoretical interpretation of“phlegm”and the mechanism of PCOS formation.Tang believed that the physiological process of fluid regulation is the result of the combined action of the kidney,spleen,and lung,and the dysfunction in these organs can lead to the internal generation of phlegm pathogens.Phlegm often mixes with other pathological factors and can be complicated by fire or stasis,depending on the imbalance of Yin,Yang,water,and fire.This article discusses syndrome differentiation and the treatment based on various pathological factors and their corresponding symptoms,to provide insights for future treatment of PCOS.

关 键 词：血证论 多囊卵巢综合征 痰火 痰瘀 

分 类 号：R711.75[医药卫生—妇产科学]