郭志强教授崇阳理论治疗早发性卵巢功能不全  

Professor Guo Zhiqiang'ffis experience in the treatment of premature ovarian insufficiency with the yang-supporting theory

作　　者：肖慧 张雨辰 纪子柔 李军[1] XIAO Hui;ZHANG Yuchen;JI Zirou;LI Jun(Department of Gynecology,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学东直门医院妇科,北京100700

出　　处：《吉林中医药》2025年第2期125-130,共6页Jilin Journal of Chinese Medicine

基　　金：2018国家重点研发计划课题任务(2018YFC1704106);北京中医药大学新奥奖励基金课题(2019-XAJLJJ-013);北京中医药大学东直门医院三明工程教学类资助基金青年教学名师项目(405120413)。

摘　　要：郭志强教授认为,早发性卵巢功能不全的病因病机主要是由于肾阳虚衰,导致脏腑功能失调,特别是肾与生殖系统的直接关联。病机的关键在于肾阳不足影响了卵巢的正常功能和激素的平衡。临床上,本病呈现的新特点包括年轻女性月经不调和生育能力下降的早期表现。治疗原则是扶正祛邪,重在扶阳补肾,调整和优化患者的整体健康状态。在治法上,郭志强采用温阳散寒、补肾益精的方法;方药上,选用具有补肾温阳功效的中药组合,如地黄、肉桂及鹿角胶等,以调节内分泌和改善卵巢功能。此外,郭志强还强调在临床治疗中应注重情志调摄和生活方式的整体调整。通过这种综合治疗方法,旨在恢复卵巢功能,提高患者的生活质量。郭志强提出的理论强调了中医崇阳理论在现代疾病中的实际应用,坚持了以人为本,整体调治的治疗原则。Professor Guo Zhiqiang believes that the primary etiology and pathogenesis of premature ovarian insufficiency(POI)stem from kidney yang deficiency,which in turn leads to dysfunction of the organs,especially as there exists a direct connection between the kidneys and the reproductive system.Its key pathogenesis involves insufficient kidney yang affects normal ovarian function and hormone balance.Clinically,the disease is characteristic of early symptoms of menstrual irregularities and reduced fertility in young women.Therefore,its therapeutic principle lies in reinforcing the vital energy and dispelling pathogens,emphasizing tonifying kidney yang and adjusting and optimizing the overall wellbeing of patients.In terms of treatment methods,he resorts to warming yang and dispersing cold,and nourishing the kidney to enhance the essence.As for prescriptions,he chooses herbs with kidney-tonifying and yang-warming effects,such as rehmannia root,cassia bark,deer-horn glue,to regulate endocrine function and improve ovarian activity.Additionally,Professor Guo emphasizes the importance of adjusting emotions and overall lifestyle in clinical treatment.This comprehensive therapeutic approach aims to restore ovarian function and improve the quality of life of patients.His idea highlights the practical application of traditional Chinese medicine's yang-supporting theory in modern diseases treatment and adheres to the principles of holistic and patient-centered treatment.

关 键 词：早发性卵巢功能不全 崇阳理论 中医治疗原则 肾阳虚 郭志强 

分 类 号：R271.1[医药卫生—中医妇科学]