基于“一气周流”理论探讨从“中气”治疗多囊卵巢综合征  

Explore the treatment of polycystic ovary syndrome from“middle qi” based on the theory of “Yiqi Zhouliu”

作　　者：高远 张景明[1] 佟雅婧 杨钊田 GAO Yuan;ZHANG Jingming;TONG Yajing;YANG Zhaotian(Shaanxi University of Chinese Medicine,Xianyang 712046,China)

机构地区：[1]陕西中医药大学,陕西咸阳712046

出　　处：《陕西中医》2025年第2期233-236,240,共5页Shaanxi Journal of Traditional Chinese Medicine

基　　金：陕西省科学技术厅项目[2024JC-YBQN-0883,陕科基发(2012)1号];陕西省中医药管理局项目(SZDYJS-2)。

摘　　要：多囊卵巢综合征(PCOS)高发于育龄期女性,是一种现代多发性疾病,其病因尚不明确。基于黄元御“一气周流”理论,联系PCOS相关症状表现,分析得出PCOS病理机制在于中气升降失职引起周流不畅,进而产生气滞、痰凝、血瘀等一系列病理改变,导致肥胖、月经不调、不孕、痤疮等临床表现。由此进一步提出以傅氏加味补中益气汤为基础方,在中药人工周期疗法的指导下循周期加减用药,即以调畅中气为本治疗PCOS的方法,以期为临床诊疗PCOS提供新思路,为PCOS患者提供更易接受且更具长远意义的治疗方案。Polycystic ovary syndrome is highly prevalent in women of childbearing age and is a modern multiple disease with an unclear etiology.Based on the theory of Huang Yuanyu’s“Yiqi Zhouliu”and combined with the symptoms of PCOS,it is analyzed that the pathological mechanism of PCOS lies in the dysfunction of middle qi,which leads to the obstruction of qi’s circulation,resulting in a series of pathological changes such as qi stagnation,phlegm coagulation,and blood stasis.As a result,it leads to various clinical manifestations such as obesity,menstrual disorders,infertility,and acne.Therefore,it is further proposed to use Fu’s modified Buzhong Yiqi decoction as the basic formula,and to periodically add or subtract medicine under the guidance of traditional Chinese medicine artificial cycle therapy as the treatment method.That is to say,the core of PCOS treatment lies in regulating middle qi.And it’s hopeful to provide new ideas for the clinical diagnosis and treatment of PCOS,and offer more easily accepted and long-term treatment plans for PCOS patients.

关 键 词：多囊卵巢综合征 黄元御 一气周流 傅氏加味补中益气汤 中药人工周期疗法 

分 类 号：R711.75[医药卫生—妇产科学]