基于“共同土壤”学说探讨多囊卵巢综合征与2型糖尿病之间的关系  

Study on the Relationship between Polycystic Ovary Syndrome and Type 2 Diabetes Mellitus Based on the “Common Soil” Doctrine

作　　者：孙梦圆 匡洪影[2] 

机构地区：[1]黑龙江中医药大学研究生院,黑龙江 哈尔滨 [2]黑龙江中医药大学附属第一医院妇科二科,黑龙江 哈尔滨

出　　处：《中医学》2025年第3期863-869,共7页Traditional Chinese Medicine

摘　　要：多囊卵巢综合征(PCOS)是一种多见于育龄期女性的内分泌疾病,常并发糖脂代谢异常,引起2型糖尿病(T2DM)、高血脂等并发症。PCOS也被认为是T2DM的高危因素之一,二者之间并非独立存在。“共同土壤”学说指出某些代谢疾病之间存在相同的病理生理基础。本文基于该学说从中西医角度探讨PCOS与T2DM病因病机的关联性,以期为二者的诊疗提供新的思路。Polycystic Ovary Syndrome (PCOS) is an endocrine disease most commonly seen in women of childbearing age and is often associated with abnormalities of glucose and lipid metabolism, resulting in complications such as Type 2 Diabetes Mellitus (T2DM), hyperlipidemia, etc. PCOS is also considered to be one of the high-risk factors for T2DM, and the two disorders are related to each other. The theory of “common soil” indicates that certain metabolic diseases have the same pathophysiologic basis. Based on this theory, this article discusses the correlation between the etiology and pathogenesis of PCOS and T2DM from the perspective of Chinese and Western medicine, with a view to providing new ideas for the diagnosis and treatment of the two diseases.

关 键 词：“共同土壤”学说 多囊卵巢综合征 2型糖尿病 异病同治 理论探讨 

分 类 号：R271.9[医药卫生—中西医结合]