中医治疗多囊卵巢综合征的概况

Clinical Research Overview of Polycystic Ovary Syndrome Treated by TCM Syndrome Differentiation

整理汇总过往六年期间从中医角度的临证观察多囊卵巢综合征的研究情况。从中药部分、针灸部分、其他治疗等三个部分做出阐述。多囊卵巢综合征的机理为本虚标实,大体分为肾气亏虚、气阻血凝、痰浊停滞与肝郁气结几种类型。治疗应采取益肾补脾、舒肝顺气、除痰化湿、行血逐瘀等。中药疗法、针灸疗法与其他疗法对于多囊卵巢综合征的月经紊乱、促黄体素和促卵泡素比值偏高、雄激素、空腹胰岛素血值异常、排卵障碍、不孕等方面均能获得满意效果。

This paper summarizes the clinical research of the traditional Chinese medicine（TCM） in treatment of polycystic ovary syndrome（PCOS） in the last 6 years, and summarizes the 3 parts from the syndrome differentiation, medicine treatment, acupuncture treatment, another treatment. The mechanism of PCOS in Chinese medicine mainly lies in asthenia in origin and asthenia in superficiality. The syndrome differentiations of TCM of PCOS are kidney deficiency, phlegm stagnation, qi-stagnation and blood stasis and stagnation of liver qi. The treatment should be based on syndrome differentiation, and the common treatments are tonifying kidney and spleen,dispelling phlegm and eliminating dampness, relief liver for smooth qi, blood-activating and stasis-dissolving, etc.Medicine treatment, acupuncture treatment and another treatment have good curative effects on regulating lipid metabolism, reducing the LH/FSH, androgen and FINS levels and increasing ovulation rate and pregnancy rate.