孙郁芝基于补肝调冲法辨治多囊卵巢综合征经验  

Sun Yuzhi is based on the experienceof liver tonifying and regulating the treatment of polycystic ovary syndrome

作　　者：张海童 庞卓超[2] ZHANG Haitong;PANG Zhuochao(The Eighth Clinical School of Guangzhou University of Chinese Medicine,Foshan 528000,China;Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,China)

机构地区：[1]广州中医药大学第八临床医学院,广东佛山528000 [2]佛山市中医院,广东佛山528000

出　　处：《四川中医》2025年第4期20-23,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：佛山市“十四五”中医特色专科项目(编号:TSZKJS04);佛山市“十四五”中医专病项目(编号:TSZBJS03)。

摘　　要：系统总结孙郁芝教授治疗多囊卵巢综合征的经验。认为多囊卵巢综合征以肝血亏耗为始发因素,肝与冲脉主为血海,血海失充致冲气上逆为传变之机,气逆于上则下必损,以肝木下盗肾水为发病之本,秉肾主生殖之理,本病多致月经稀少乃至闭经、不孕;治疗上孙教授确立补肝调冲法为治疗本病的根本大法,以冲脉之气畅达为要,临证整体把握三个环节,补血荣肝以调冲,防范于未然,滋肾涵肝以平冲,可止气机逆乱,化痰逐瘀以安冲,使邪去正安,将三法有机结合,共同畅达上逆之冲脉,则诸症悉平。孙老结合自身多年临床实践,自拟经验方———补肝调冲汤作为治疗本病的核心底方,佐对药、角药丝丝入扣,以应对症状之游移,屡屡验之临床,本文旨在介绍孙郁芝教授基于补肝调冲法辨治多囊卵巢综合征的经验,并附验案佐证。This review systematically summarizes the experience of Professor Sun Yuzhi in the treatment of polycystic ovary syndrome.It is believed that polycystic ovary syndrome is caused by liver blood depletion,the liver and pulse are mainly the sea of blood,and the blood sea is overfilled and the upward reversal of impulse is the mechanism of transmission,and the reversal of qi from the top is the loss of the bottom.In the treatment,Professor Sun established the method of tonifying the liver and regula-ting the flush as the fundamental method for the treatment of this disease,taking the smooth flow of qi as the key,and grasping the three links as a whole,nourishing the blood and rejuvenating the liver to regulate the flushing,preventing it from happening,nourishing the kidney and the liver to flatten,which can stop the qi and the reverse disorder,dissolving phlegm and chasing stasis to calm the chong,so that the evil can go to the positive and safe,and the three methods are organically combined to jointly reach the pulse of the upper adversity,and all the symptoms will be calm.Combined with his own years of clinical practice,Mr.Sun has developed his own experience prescription-Tonifying Liver Regulating Herbal Decoction as the core prescription for the treat-ment of this disease,and supporting the medicine and horn medicine to cope with the wandering of symptoms,and the clinical tri-al has been repeatedly tested.

关 键 词：冲脉 补肝 多囊卵巢综合征 孙郁芝 名医经验 

分 类 号：R249[医药卫生—中医临床基础] R271[医药卫生—中医学]