浅谈“肝郁型”多囊卵巢综合征的中医病因病机  

TCM Etiology and Pathogenesis of Polycystic Ovary Syndrome with Liver Depression Syndrome

作　　者：董丽雪 苑晓微[1] DONG Lixue;YUAN Xiaowei(Department of Traditional Chinese Medicine,Kunming Maternal and Child Health Care Hospital,Kunming 650031,China)

机构地区：[1]昆明市妇幼保健院中医科,云南昆明650031

出　　处：《基层中医药》2024年第11期73-79,共7页Basic Traditional Chinese Medicine

基　　金：昆明市科技局项目(2020-05-01-001)。

摘　　要：多囊卵巢综合征(PCOS)是妇科最常见的内分泌和代谢紊乱性疾病,好发于青春期及育龄期,临床以排卵障碍和高雄激素血症相关临床表现为主,对现代女性的生活质量和身心健康均造成严重影响。女子以血为用,以肝为先天,经血的主要成分是血,肝主疏泄,主藏血,故肝与多囊卵巢综合征的发生发展密切相关。通过临床观察,认为肝郁是构成多囊卵巢综合征的基本病机及常见的证型之一,因此笔者将从肝郁型多囊卵巢综合征的中医病因病机出发,为临床诊断及治疗多囊卵巢综合征提供一定的理论依据。Polycystic ovary syndrome(PCOS)is the most common endocrine and metabolic disorder in gynecology,often occurring during adolescence and in women of reproductive age.The clinical manifestations primarily involve ovulatory dysfunction and hyperandrogenism,which severely impact the quality of life and both the physical and mental health of modern women.In traditional Chinese medicine(TCM),women rely on blood as their fundamental substance,with the liver playing a key role in their congenital constitution.Menstrual blood is primarily composed of blood,with the liver responsible for both the smooth flow and storage of blood.Therefore,the liver is closely related to the onset and development of PCOS.Clinical observations suggest that liver depression is one of the fundamental pathogenesis mechanisms and common syndromes of PCOS.This paper explored the etiology and pathogenesis of liver depression-type PCOS from a TCM perspective,providing a theoretical basis for the clinical diagnosis and treatment of this condition.

关 键 词：肝郁 多囊卵巢综合征 中医病因病机 

分 类 号：R71[医药卫生—妇产科学]