许昕基于益肾祛浊法辨治多囊卵巢综合征合并胰岛素抵抗经验  

Experience of XU Xin in Treating Polycystic Ovary Syndrome with Insulin Resistance Based on "Boost Kidney to Dispel the Turbid" Method

作　　者：梁婧翘 冀成玉 李博[1,3] 许昕(指导)[1] LIANG Jingqiao;JI Chengyu;LI Bo(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing,100010;Beijing Haidian Hospital;Beijing Institute of Traditional Chinese Medicine)

机构地区：[1]首都医科大学附属北京中医医院,北京市100010 [2]北京市海淀医院 [3]北京市中医药研究所

出　　处：《中医杂志》2025年第2期123-127,共5页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局全国名老中医药专家传承工作室项目;国家中医药管理局第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]1号);国家中医药管理局第七批全国老中医药专家学术经验继承工作项目;北京市中医管理局第六批北京市级中医药专家学术经验继承工作项目。

摘　　要：总结许昕教授辨治多囊卵巢综合征合并胰岛素抵抗(PCOS-IR)的临床经验与特色。认为PCOS-IR发病之本为脾肾气虚,主要病机是脾肾运化和气化功能减弱,痰湿内生及阳明浊热蕴积,逐渐演变为痰湿浊热伏于下焦,与血相搏而瘀阻冲任胞宫。故临床以益肾健脾法贯穿治疗始终,常用寿胎丸与四君子汤加减;清利阳明湿热兼活血调经为主要治法治疗PCOS-IR,并自拟益肾祛浊方,为本病的治疗提供参考。To summarize the clinical experience and characteristics of Professor XU Xin in syndrome differentiation and treatment of polycystic ovary syndrome with insulin resistance(PCOS-IR).XU Xin believes that the etiological factors of PCOS-IR is qi deficiency of the spleen and kidney,and the key disease mechanism is dysfunction in transportation and transformation of spleen and kidney,causing phlegm dampness and turbid heat accumulated in yangming,then evolving into the lower jiao,mixed with blood stasis,finally obstructing the chong(冲)and ren(任)mai and uterus.So in clinic,the method of boosting the kidney and fortifying the spleen was used through out the whole treatment commonly using modified Shoutai Pill(寿胎丸)and Sijunzi Decoction(四君子汤).The main therapeutic method for treating PCOS-IR refers to clearing and draining dampness heat in yangming,invigorating blood and regulating period,with self-prescribed Yishen Quzhuo Formula(益肾祛浊方),as a reference for the treatment of this disease.

关 键 词：多囊卵巢综合征 胰岛素抵抗 脾肾气虚 阳明浊热 名医经验 许昕 

分 类 号：R27[医药卫生—中医学]