李祥云治疗痰湿型多囊卵巢综合征经验及常用药对解析

Li Xiangyun's experience in the treatment of polycystic ovarian syndrome with phlegm-dampness syndrome and analysis on commonly used couplet medicines

介绍李祥云教授辨治痰湿型多囊卵巢综合征的经验。认为其主要病机是脾失健运、津液代谢异常而聚湿生痰、阻滞冲任胞宫,痰湿为标,脾虚为本。治宜以健脾燥湿之药配理气之药以加强化痰之功,方以苍附导痰汤加减。常用化痰祛湿对药包括:石菖蒲与青礞石、泽兰与泽泻、白术与苍术、藿香与佩兰、半夏与竹茹、附子与桂枝。根据辨证论治选用或拆对配用,并兼顾月经周期以微调用药。

This paper introduces Professor Li Xiangyun＇s experience in the differentiation and treatment of polycystic ovarian syndrome（ PCOS） with phlegmdampness syndrome. He considers that the main pathogenesis are dysfunction of spleen in transportation and abnormal metabolism of body fluid that cause the dampness accumulation and phlegm generation,blockage in Chong and Ren Channels and uterus,which present phlegm-dampness as the manifestations and spleen deficiency as the root cause. Drugs for invigorating spleen and drying dampness can be used and combined with qi regulated medicines to enhance the effects of removing phlegm. Modified Cangfu Daotan Decoction is the recommend prescription. The commonly used couplet medicines for dissipating phlegm and eliminating dampness include Rhizoma Acori Tatarinowii and Lapis Chloriti,Herba Lycopi and Rhizoma Alismatis,Rhizoma Atractylodis Macrocephalae and Rhizoma Atractylodis,Herba Agastaches and Herba Eupatorii,Rhizoma Pinelliae and Caulis Bambusae in Taenia,Radix Aconiti Lateralis Preparata and Ramulus Cinnamomi. According to syndrome differentiation,the couplet medicines are selected or separated and used in combination,and properly regulated combined with menstrual cycle.