多囊卵巢综合征在女性各生理阶段病机特点概述

Overview on the pathomechanism features of PCOS in each physiological stage in females

多囊卵巢综合征在青春期和育龄期均可见发病,青春期女性肾气尚未充盛,加之学习压力比较大,易肝郁化火,中医认为其病机为肾虚肝郁。而育龄期多囊卵巢综合征患者的临床表现不一,轻重程度差异较大,中医辨证宗肾虚、脾虚、肝郁、痰湿、瘀血等,各家各说,各有侧重。故多囊卵巢综合征在青春期女性和育龄期女性的病机特点需要加以区别,另外多囊卵巢综合征患者妊娠后流产率相对较高,也有其一定的病机特点。现就多囊卵巢综合征在女性这三个时期的发病特点及中医病因病机作一概述。

Polycystic ovary syndrome can occur in both adolescence and reproductive age. In adoles cence, the Kidney-qi of females has not been sufficient, plus the study pressure is comparatively big, so the depression of the liver is prone to generate pathogenic fire. In this case, TCM considers its pathomeebanism as kidney deficiency and liver stagnation. As in reproductive age, the clinical symptoms are in diversity, the severity is also at different levels. The TCM pattern differentiation involves kidney deficiency, spleen defi ciency, stagnation of the liver, phlegm-dampness and blood stasis. Doctors of different schools hold different views. Therefore, it is necessary to distinguish the pathomechanism features of PCOS between adolescence and reproductive age. The abortion rate of females suffering from polyeystic ovary syndrome is relatively high and this abortion has its own pathomechamism features. This paper aims to provide an overview on clinical characters, cause and pathomechanism of PCOS in those stages in females from TCM perspective.