基于肝主疏泄理论探讨多囊卵巢综合征合并焦虑症的病机及治疗

Exploring the pathogenesis and treatment of polycystic ovary syndrome combined with anxiety disorder based on the theory of liver controlling conveyance and dispersion

焦虑是多囊卵巢综合征(PCOS)患者常见的心理问题。中医认为焦虑症属情志病,与肝关系密切,肝主疏泄功能是情志调节的基础。文章综合现代病理学和中医理论,从“女子以肝为先天”及肝主疏泄出发,探讨PCOS合并焦虑症的发病机制,并结合肝的生理特点,进一步从经脉、脏腑、气血津液三个角度论证肝失疏泄为PCOS合并焦虑症的核心病机,为临床从肝论治PCOS合并焦虑症提供理论基础。

Polycysticovarysyndrome(PCOS)is a common gynecological endocrine disease and one of the common chronic diseases.The increase of social pressure and the physiological characteristics of women make anxiety become a common psychological problem in PCOS patients,and the number of PCOS patients with anxiety is increasing year by year.Traditional Chinese medicine believes that anxiety is an emotional disease,which is closely related to the liver,and the function of the liver is the basis of emotional regulation.Based on the theory of modern pathology and traditional Chinese medicine,this paper discusses the pathogenesis of PCOS with anxiety disorder from the perspective of"women's liver is congenital"and the liver is the main body of constipation.Combined with the physiological characteristics of liver,it further demonstrates that liver dysfunction and constipation is the core pathogenesis of PCOS with anxiety disorder from the perspectives of meridia,zang fu organs and qi-blood-body fluid to provide a theoretical basis for the clinical treatment of PCOS with anxiety from liver.