基于“阳化气,阴成形”探讨卵巢子宫内膜异位囊肿的病机与治疗  

Exploration of the Pathogenesis and Treatment of Ovarian Endometriosis Cysts Based on the Theory of“Yang Transforming into Qi,While Yin Constituting Form”

作　　者：牟一凡 韩明轩 马宇婷 刘芳媛 李佳 沈影 唐丽萍[3] 韩凤娟[2] MU Yifan;HAN Mingxuan;MA Yuting;LIU Fangyuan;LI Jia;SHEN Ying;TANG Liping;HAN Fengjuan(Heilongjiang University of Chinese Medicine,Harbin 150040,China;The First Affiliated Hospital of Heilongjiang University of Chinese Medcine,Harbin 150040,China;Harbin Medical University Cancer Hospital,Harbin 150081,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040 [3]哈尔滨医科大学附属肿瘤医院,黑龙江哈尔滨150081

出　　处：《中医药学报》2025年第3期1-5,共5页Acta Chinese Medicine and Pharmacology

基　　金：国家中医药管理局中医科技与创新能力提升项目(国中医药科技中药便函〔2023〕24号)。

摘　　要：卵巢子宫内膜异位囊肿(OEC)是一种慢性、进行性、雌激素依赖性疾病,其因高发病率、高复发率和年轻化趋势而备受关注。本文基于“阳化气,阴成形”理论内涵,认为OEC发生的中医病机为阳气亏虚,主要责之于肾阳不能温煦胞宫及冲任,气化推动功能减弱,经血运行失常,瘀阻胞宫而成本病。“阳化气”不足,“阴成形”太过,为OEC发生的基本病机,肾阳亏虚,瘀滞胞宫为其核心病机,寒伏少阴为疾病易于复发的重要原因。提出治疗上以温阳化瘀,搜剔伏寒为原则,温补肾阳以治本,活血化瘀以治标,搜剔伏寒以防复发,为OEC的中医论治提供思路。Ovarian endometriosis cysts(OEC)are a chronic,progressive,estrogen-dependent disease,characterized by a high incidence,high recurrence rate,and a trend of affecting younger populations.Based on the theoretical concept of“Yang transforming into qi,while yin constituting form,”this paper proposes that the traditional Chinese medicine(TCM)pathogenesis of OEC is rooted in a deficiency of Yang Qi,primarily attributed to Kidney Yang deficiency.This leads to an inability to warm and nourish the uterus and conception and thoroughfare vessels,weakening the Qi transformation function,causing menstrual blood flow disturbances,and resulting in blood stasis,which obstructs the uterus and forms this disease.The basic pathogenesis of OEC is insufficient“Yang transforming Qi”and excessive“Yin forming the shape.”The core pathogenesis involves Kidney Yang deficiency and blood stasis in the uterus,while cold accumulation in the Lesser Yin is a significant factor in recurrence.The treatment principle involves warming Yang and resolving stasis,eliminating latent cold,tonifying Kidney Yang to treat the root cause,invigorating blood circulation to treat the symptoms,and expelling cold to prevent recurrence.This approach provides a TCM treatment strategy for OEC.

关 键 词：阳化气 阴成形 卵巢子宫内膜异位囊肿 温阳化瘀 搜剔伏寒 

分 类 号：R271.1[医药卫生—中医妇科学]