多囊卵巢综合征中医证候的现代文献研究

Research of Modern Literature for Polycystic Ovary Syndrome Patients TCM Symptom

目的:探讨多囊卵巢综合征的证候分布特点和证候内部特征,分析多囊卵巢综合征的常见证候和证候要素以及分布规律,为证候的规范研究提供循证依据。方法:对符合要求的多囊卵巢综合征的文献中涉及的证候和证候要素进行规范,运用SPSS13.0进行频次统计。结果:多囊卵巢综合征最常见的证候依次为:痰湿证、肾阴虚证、肾虚痰瘀证、肾虚证、气滞血瘀证、肾阳虚证、肾虚肝郁证、肾虚血瘀证。证候要素中,病位在:肾、肝、脾。病性主要为阴虚、痰、阳虚、血瘀、气滞、湿。结论:多囊卵巢综合征的发病主要在肾,与肝、脾密切相关;病机主要是本虚标实,以阴虚、阳虚为主,痰湿、血瘀、气滞为标。本研究结果也提示,从证候要素对证候进行研究,将对中医证候的规范化起到积极的推动作用。

Objective： Researched into PCOS＇s distributed characteristic and internal features of TCM symptom.Analyze the familiar TCM symptom,TCM symptom fators and distributing rules of PCOS,offered evidence-based foundation for reaserch of TCM symptom＇s norm.Methods： To standardize TCM symptom and TCM symptom fator which met the requirements from the literature about PCOS,used the SPASS13.0 for frequency statistics.Results： The most common TCM symptom fators of PCOS： Syndrome of phlegm-dampness,syndrome of Kidney Yin deficiency,syndrome of kidney-deficiency and phlegm- stagnation,syndrome of kidney-deficiency,syndrome of qi stagnation and blood stasis,syndrome of Kidney Yang deficiency,syndrome of kidney-deficiency and liver qi stagnation,syndrome of kidney-deficiency and blood stasis.Their disease-bit were on kidney,liver,spleen.The nature of the diseases were mainly Yin deficiency,phlegm,Yang deficienc,stagnation of blood,Qi depression and dampness.Conclusions： The disease mechanism of PCOS was closely related with liver and spleen.The pathogenesis was mainly deficiency in origin and excess in superficislity,Yin deficienc and Yang deficienc played important roles in it,phlegm-dampness,stagnation of blood and Qi depression played subordinate roles.Our results prompted that researching TCM symptom by TCM symptom fators would play a positive role in the standardization of TCM syndrome.