“补肾健脾 祛痰化瘀”法辨证论治多囊卵巢综合征

Treatment Based on Syndrome Differentiation for Patients with PCOS Treated with Invigorating Kidney and Spleen and Eliminating Phlegm and Removing Blood Stasis

目的:观察"补肾健脾,祛痰化瘀"法论治多囊卵巢综合征(polycystic ovarian syndrome,PCOS)的临床疗效。方法 :将52例已确诊为PCOS的患者,以补肾健脾、祛痰化瘀为治疗原则,给予自拟汤剂抑囊助孕汤连续服用3个月经周期,观察临床疗效。结果 :52例患者中治疗前后性激素水平比较P<0.01,临床疗效P<0.05,提示治疗组疗效优于对照组。结论 :肾脾两虚、痰瘀互结是多囊卵巢综合征发病的基本病机,而"补肾健脾,祛痰化瘀"法是治疗多囊卵巢综合征的重要方法。

Objective ： To observe the clinical efficacy of treating PCOS with invigorating kidney and spleen, eliminating phlegm and removing blood stasis. Method： 52 PCOS cases took self-made decoction for inhibiting polycystic in 3 menstrual cycle according to the principle of invigorating kidney and spleen, eliminating phlegm and removing blood stasis. Result ： The sex hormone levels of these patients were significant before and after treatment, P〈O.01.The clinical curative effect was significant, P〈0.O5.It indicated that treatment group was superior to the control group. Conclusion ： Deficiency of kidney and spleen as well as entanglement of phlegm and blood stasis is the basic pathogenesis of PCOS.The method of invigorating kidney and spleen, eliminating phlegm and removing blood stasis is an important treatment for PCOS.