国医大师夏桂成教授治疗多囊卵巢综合征经验撷萃

Experience of Traditional Chinese Medicine Master Professor Xia Guicheng in Treating Polycystic Ovary Syndrome

夏桂成教授创立“心(脑)-肾-子宫轴”理论,结合自身多年临床经验审因施治,认为多囊卵巢综合征的病理本质为心(脑)-肾-子宫轴失衡,病机关键是心肾失济-肾虚痰瘀、肾虚为本,心肾失济为病机枢纽,痰浊、瘀血为标,本虚标实相兼为病。夏桂成教授指出此病证的主要证型为心肾失济-肾虚痰瘀证,且证型多为主证型下的兼夹证型,也就是临床持续在主证型为心肾失济-肾虚痰瘀的证型下,有偏阴虚型、偏阳虚型、偏心肝郁火型、偏肝经湿热、偏痰湿蕴阻型之不同。治疗上提出交通心肾、燮理阴阳是治疗关键,运用补肾调周法,结合动静升降观,着重于经后期论治,同时分证论治,重建月经周期,并注重心理疏导与生活规律,临床上获效颇丰。此文基于病因病机、治则治法及心得体会等几个方面对夏桂成教授治疗PCOS的临证经验进行阐释。

Professor Xia Guicheng founded“heart(brain)-kidney-uterine axis”theory,combined with years of clinical experience on its own because,providing that the pathological nature of the polycystic ovary syndrome(PCOS)for heart(brain)-kidney-uterine shaft imbalance,pathogenesis is key to the heart to kidney failure-kidney empty phlegm and blood stasis,kidney,heart kidney failure for the pathogenesis of hub,phlegm turbidity and blood stasis as the standard,the virtual and the reality for the disease.He pointed out that the main syndromes of this disease were heart-kidney insufficiency-kidney deficiency and phlegm stasis syndrome,and the syndromes were mostly mixed syndromes under the main syndromes,that is,under the syndromes of heart-kidney insufficiency and kidney deficiency and phlegm stasis,there were different syndromes of yin deficiency,yang deficiency,eccentric liver stagnation and fire,and liver dampness-heat and phlegm fat accumulation.It is suggested that the key to the treatment is to communicate the heart and kidney,and to adjust the yin and yang.The method of tonifying the kidney and regulating the cycle,combined with the view of static and static rise and fall,focuses on the treatment of the late stage of menstruation,and at the same time,the treatment of syndrome differentiation,starts to rebuild the menstrual cycle,and pays attention to the psychological counseling and the law of life,which has achieved a good clinical effect.This article explains professor Xia Guicheng’s clinical experience in the treatment of PCOS based on the etiology,pathogenesis,treatment principles and experience.