崔玉衡以当归芍药散为主方治疗多囊卵巢综合征经验

Cui Yuheng's Experience in the Treatment of Polycystic Ovary Syndrome with Danggui Shaoyao San as the Main Prescription

崔玉衡教授认为多囊卵巢综合征是肝、脾、肾三脏功能失调为本,痰湿血瘀内停为标,其中又以脾湿、血瘀、肾虚为主要矛盾。治疗上当遵循"虚者补之、实者泻之",补虚泻实。虚者主要是肾虚、脾虚、血虚、气虚,实者主要是肝郁、气滞、痰湿、血热、血瘀。治疗过程中应详辨虚实,去其所偏,培补肾气,调和气血,以使"阴阳合而生化著矣"。当归芍药散乃汉代张仲景治疗妊娠腹痛的名方,对因肝郁脾湿、血瘀血虚引起的多种妇科疾病均具有良好的疗效,故崔师以之为主方并据情配合活血化瘀及疏肝健脾补肾等法治疗多囊卵巢综合征,疗效良好。

According to professor Cui Yuheng,the root cause for the polycystic ovary syndrome（PCOS） is the dysfunction of liver,spleen and kidney,and the stagnancy of phlegm and blood stasis is the symptom,with spleen damp,blood stasis and kidney deficiency as the main contradictions.As for the treatment,the theory of ＂ treating deficiency syndrome with tonifying methods and treating excess syndrome with purgative methods＂ should be followed to tonify the organs with deficiency and purge the organs with excess.Deficiency mainly exists in kidney,spleen,blood and Qi;excess is mainly indicated by liver depression,Qi stagnancy,phlegmatic hygrosis,blood heat and blood stasis.During the treatment process,deficiency and excess should be carefully differentiated to rectify the imparity,tonify the kidney Qi and regulate Qi and blood,so that ＂ Yin and Yang are harmonized and significant transformation is generated＂.Danggui Shaoyao San is a famous prescription of Zhang Zhongjing of Han Dynasty to treat pregnancy abdominalgia.It has an excellent therapeutical effect for various gynecologic diseases caused by liver depression,spleen dampness,blood stasis and blood deficiency.Therefore,professor Cui takes it as the main prescription and combines blood activating and stasis removing method,liver,spleen and kidney invigorating method,etc.,at discretion,to treat PCOS with excellent therapeutical effect.