多囊卵巢综合征中医体质类型及辨体论治思路

Analysis of Chinese Medicine Constitution Types of Polycystic Ovary Syndrome and the Treatment Ideas Based on Constitution Differentiation

多囊卵巢综合征好发于青春期和育龄期女性,严重威胁现代女性的心理和生理健康。体质是由先天禀赋加后天获得的长期稳定的人体状态,决定着个体的发病倾向以及疾病的转归。国医大师王琦提出"辨体-辨病-辨证"的诊疗模式,将辨体论治作为指导疾病诊疗的重要方法之一。通过对多囊卵巢综合征患者体质相关的文献分析发现,痰湿体质、阳虚体质、气郁体质等体质类型与该病的发生有密切关系。总结该病常见体质类型,介绍王琦教授针对不同体质类型进行辨体论治的思路和方法,以供临床借鉴。

Polycystic ovary syndrome（ PCOS） commonly occurs in adolescent girls and women of childbearing age. It is a horrible threat to the psychological and physical health of modern women. Constitution is long-term stable state of human body by natural endowment and acquired nutrition,which determines the susceptibility of individuals and the outcome of diseases. Chinese medicine expert Professor Wang Qi puts forward the diagnosis and treatment mode of ＂constitution,disease and syndrome differentiation＂. Treatment based on constitution differentiation is an important method to guide diagnosis and treatment of diseases. By analyzing related literature of PCOS patients＇ constitutions,the authors find that phlegm-dampness constitution,Yang deficiency constitution,Qi stagnation constitution,and other constitution types are closely related to the occurrence of the disease. This paper is to summarize common constitution types of PCOS and introduce Prof. Wang Qi＇s ideas and methods of treatment based on constitution differentiation aiming at different constitution types for clinical reference.