从“痰郁”论治多囊卵巢综合征

Treatment of polycystic ovary syndrome from“phlegm depression”

多囊卵巢综合征(PCOS)是一种常见的女性生殖系统疾病。此病患者的主要临床表现为月经紊乱、排卵障碍或无排卵、不孕、多毛、痤疮、体重超标、黑棘皮症等。中医认为,PCOS的病因是痰郁互结,阻碍气机升降,导致冲任气血失调,故应从“痰郁”进行论治。中医在治疗PCOS时,燥湿化痰、疏肝解郁应贯穿治疗的始终,其目的在于恢复气机的升降功能,调和冲任二脉。本文总结了PCOS的病因病机,探讨从“痰郁”论治PCOS的理论依据并列举医案一则,以期为临床上治疗此病提供参考。

Polycystic ovary syndrome(PCOS)is a common disease of female reproductive system.The main clinical manifestations of this disease are menstrual disorder,ovulation disorder or anovulation,infertility,hirsute,acne,overweight,acanthosis nigricans and so on.According to Traditional Chinese medicine,the cause of PCOS is phlegm stagnation,which obstructs the rise and fall of qi and leads to the imbalance of qi and blood,so it should be treated by“phlegm stagnation”.In the treatment of PCOS,dryness and dampness should be used throughout the treatment to reduce phlegm,soothe liver and relieve depression.The purpose of the treatment is to restore the lifting function of qi and harmonize the two pulses of qi and Ren.This paper summarizes the etiology and pathogenesis of PCOS,discusses the theoretical basis of treating PCOS from“phlegm depression”and lists a medical case,in order to provide reference for clinical treatment of PCOS.