多囊卵巢综合征中医辨治思路探讨

Discussion on TCM Syndrome Differentiation and Treatment of Polycystic Ovary Syndrome

多囊卵巢综合征归属于中医月经后期、闭经、崩漏、经期延长、不孕症、癥瘕等疾病范畴。肾肝脾失调为发病之本,痰湿瘀阻滞为发病之标。临床辨证时需着重辨别月经的期、色、量、质,以及体型的胖瘦。治疗除应辨证分型、病证结合外,尤需考虑有无孕嗣需求,并视经期、经后期、经间期、经前期之不同阶段而因时用药。

Polycystic ovary syndrome is attributed to the TCM late menstruation, amenorrhea, metrorrhagia, menostaxis,infertility, abdominal mass and other disease category. It is believed that the disharmony of kidney-liver-spleen is the origin of the disease, and the phlegm dampness stagnation is the subordination of the disease. In clinical syndrome differentiation, it is necessary to focus on the period, color, quantity and quality of menstruation as well as the somatotype of patients. In addition to the syndrome differentiation and combination of disease and syndrome, the treatment should consider the patient demands of pregnancy in particular. At the same time, it is important to adjust medication according to patients＇ different menstrual period,later period, interval period and premenstrual period stages.