多囊卵巢及多囊卵巢综合征的中医辨证与治疗

TCM treatment of polycystic ovary and polycystic ovary syndrome

属于临床亚健康状态的多囊卵巢与由此导致的较严重的内分泌失调的病症——多囊卵巢综合征都是导致不孕的常见原因。根据中医基本理论,将多囊卵巢及多囊卵巢综合征分为3个证型:脾肾气虚,水湿停聚;肾阴不足,湿聚痰凝;肝气郁结,淤血停滞。中医学通过针灸、中药的治疗,建立一个更为规律的月经周期,从而达到调经和促孕的目的。通过在英国接诊的不同情况的治愈病案,提示:根据现代医学的诊断依据,将可以提高中医治疗不孕的针对性;利用中医的辨证论治,可以提高治疗不孕的有效性;尽早选择中医治疗方法,借助中医疗法对亚健康状态治疗的优势,将多数患者治愈在多囊卵巢这种亚健康状态,应该是中医诊断治疗的重点。

To separate polycystic ovary （PCO） which has been appeared a gradual rising incidence and belongs to a pre-elinical condition, and polycystic ovary syndrome （PCOS） which is a disease of sexual hormonal disorder. Both of them are common reasons to cause infertility. Identify PCO and PCOS into three patterns, Qi defieieney of spleen and kidney, accumulation of fluid and stasis of blood ; kidney Yang deficien- cy and accumulation of fluid and phlegm; liver Qi stagnation and blood stasis, according to the theory of TCM to find an effeetive routine to regulate menstrual circle and assist a pregnancy through acupuncture and Chi- nese herbal medicine. Treating method and typical cases which are treated in UK have been reported. The conclusion is managing the treating method of TCM, taking a reference of diagnosis from conventional western medicine （CWM） will make more specialized and effective treating level. The method of integrated TCM and CWM will raise efficacy of TCM rather than its traditional way. TCM will appear its advantage to treat the pre-elinieal stage of a severe disease and bar the organic disease＇ s occurrence.