从心论治多囊卵巢综合征  

Treating Polycystic Ovary Syndrome from the Heart

作　　者：赵雨曈 赵敏英 

机构地区：[1]石家庄市人民医院妇产科,河北 石家庄

出　　处：《中医学》2025年第2期643-649,共7页Traditional Chinese Medicine

摘　　要：多囊卵巢综合征(PCOS)是以月经不调为主要病理特征的妇科常见病,其发病机制与心、肾、肝、脾等脏腑功能失调有关。中医传统上强调对肾脏、肝脏和脾脏的调理,然而心脏作为主管血脉的器官,且是五脏之首,与其他四脏(肾、肝、脾、肺)之间在生理机能以及病理变化上有着紧密的联系,在PCOS的发生发展中不容忽视。当心脏功能出现异常,或者心脏与其他四脏之间的协调关系失衡时,均可引发PCOS。“从心论治”,即深入探讨心脏的生理特性及其与其他脏腑之间的关系,以此来理解心脏与PCOS发病之间的关联性,并从宁心安神、交通心肾等角度治疗PCOS。Polycystic Ovary Syndrome (PCOS) is a common gynecological disorder primarily characterized by menstrual irregularities, with its pathogenesis related to dysfunctions in the heart, kidneys, liver, spleen, and other visceral organs. Traditional Chinese medicine has always emphasized the regulation of the kidneys, liver, and spleen. However, the heart, being the organ that governs the blood vessels and is considered the chief among the five viscera, has close connections with the kidneys, liver, spleen, and lungs both physiologically and pathologically, playing an indispensable role in the occurrence and development of PCOS. When the cardiac function is abnormal or the coordination between the heart and the other four viscera is imbalanced, it can trigger PCOS. “Treating from the perspective of the heart” involves delving into the physiological characteristics of the heart and its relationship with other visceral organs to understand the correlation between the heart and the onset of PCOS, and treating PCOS from the angles of calming the mind, stabilizing the spirit, and harmonizing the interaction between the heart and kidneys.

关 键 词：多囊卵巢综合征 心脏 交通心肾 脾脏 肝脏 

分 类 号：R71[医药卫生—妇产科学]