从“通补兼施”理论探析多囊卵巢综合征的中医辨证论治  

To Explore the TCM Syndrome Differentiation and Treatment of Polycystic Ovary Syndrome on the Theory of “General and Supplementing”

作　　者：王可 秦娟[2] 

机构地区：[1]贵州中医药大学,贵州 贵阳 [2]贵阳市妇幼保健院,贵州 贵阳

出　　处：《中医学》2022年第5期875-879,共5页Traditional Chinese Medicine

摘　　要：多囊卵巢综合征(PCOS)是青春期及育龄期女性常见妇科内分泌疾病,该病发病率目前逐渐增高。由于患者存在个体差异,且症状多样化,治疗效果欠佳,增加了临床诊疗的困难。中医学认为:其病性为本虚标实,本虚主要指与肝、脾、肾脏腑失和,以“调补”为主,标实与痰湿、血瘀等密切相关,以“通补”为合,治疗上应秉承“通补兼施”理论进行辨证论治,使标本兼治,气血调和,本文基于目前中医学对多囊卵巢综合征的研究现状,探讨“通补兼施”理论在PCOS治疗中的运用,为临床治疗PCOS提供理论指导。Polycystic ovary syndrome (PCOS) is a common gynecological endocrine disease in puberty and childbearing age. The incidence of the disease is increasing. Due to the individual differences of patients and the diversity of symptoms, the treatment effect is poor, which increases the diffi-culties of clinical diagnosis and treatment. According to traditional Chinese medicine, its disease is based on deficiency and excess, and this deficiency mainly refers to the disharmony of liver, spleen and kidney, mainly “regulating and tonifying”, and “tonifying” is closely related to phlegm- dampness and blood stasis. The theory of “General and Supplementing” should be adhered to in the treatment of syndrome differentiation, so as to cure both the symptoms and the root causes, and reconcile qi and blood. Based on the current research situation of polycystic ovary syndrome in traditional Chinese medicine, this paper discusses the application of the theory of "General and Supplementing"in the treatment of PCOS, so as to provide theoretical guidance for clinical treatment of PCOS.

关 键 词：多囊卵巢综合征 通补兼施 辨证论治 

分 类 号：R271.9[医药卫生—中西医结合]