男性雌激素过多中医证候研究  

Study on Traditional Chinese Medicine Syndromes of Excessive Estrogen in Males

作　　者：叶雯佳 毕焕洲 于珊珊[3] YE Wenjia;BI Huanzhou;YU Shanshan(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700;Shenzhen Zhongshan Obstetrics and Gynecology Hospital,Shenzhen 518000;Shenzhen Hospital of Beijing University of Chinese Medicine,Shenzhen 518172)

机构地区：[1]北京中医药大学东直门医院,北京100007 [2]深圳中山妇产医院,深圳518000 [3]北京中医药大学深圳医院,深圳518172

出　　处：《中国中医药科技》2025年第2期199-201,F0003,共4页Chinese Journal of Traditional Medical Science and Technology

基　　金：国家自然科学基金资助项目(82274532);北京中医药大学深圳医院(龙岗)飞龙人才计划项目(2020-BUCMSZYLRC01)。

摘　　要：目的:研究男性雌激素过多的中医证候特点。方法:回顾性收集230例雌激素过多男性患者,分析其年龄、现病史、既往史、临床表现等资料,根据中医证候学对患者进行证候分析及分型。结果:男性雌激素过多患者中医证候分布由高到低依次为:脾肾两虚证、热郁少阳证、肝郁肾虚证、心肾不交证、肾虚证、肾虚瘀阻证、肝胆火热证。结论:雌二醇升高对中医证候有一定影响,男性雌激素过多患者以脾肾两虚证最多见,临床治疗应注意脾肾同补,兼以身心同治。Objective:To study the traditional Chinese medicine syndrome characteristics of males with excessive estrogen.Methods:A retrospective collection of 230 male patients with excess estrogen was conducted.Their information about age,present illness history,past medical history,clinical manifestations were collected.Based on traditional Chinese medicine syndrome differentiation,a syndrome analysis and classification were performed on the patients.Results:The distribution of syndromes in patients was as follows,from high to low:Spleen-Kidney Qi Deficiency,Heat Depressed Less Yang,Liver Depression and Kidney Deficiency,Heart-Kidney Non-Interaction,Kidney Deficiency,Kidney Deficiency and Blood Stasis,Liver-Gallbladder Fire Heat.Conclusion:Elevated estradiol levels have an impact on traditional Chinese medicine syndromes,Spleen-Kidney Qi Deficiency syndrome was the most common in male patients with excess estrogen.Clinical treatment should focus on reinforcing the spleen and kidney,simultaneously considering the treatment of body and mind.

关 键 词：雌激素过多 男性 中医证候分布 身心同治 

分 类 号：R27[医药卫生—中医学]