肥胖女性月经稀发的中医药治疗思路与方法

Discussion on TCM clinical experience of treating obese women with rare menstruation

月经是女性特有的生理现象,月经病也是最常见的妇科病。肥胖女性在临床中常见月经量少、月经周期不固定,多与其痰湿体质相关。其病因病机多为五脏功能失调,气血津液运化失常,水湿停聚,聚湿成痰,痰湿内盛,阻滞经络,痰瘀互阻,日久形成肥胖,进而导致月经稀发,甚至闭经,影响女性健康的同时,还会导致不孕不育等问题。通过以益气通阳,化气利水为主要治则,调节肝脾肾三脏为固本之法,且不忘心肺,随证(症)加减,以期为肥胖女性月经稀发的治疗提供一定的思路。

Menstruation is a unique female physiological phenomenon,and menstrual disease is also the most common gynecological disease.Low menstrual flow and irregular menstrual cycles are common in obese women in clinical practice,mostly associated with their phlegm-damp constitution.The etiology and pathogenesis of the disease are mainly due to the dysfunction of the five viscera organs,as well as abnormal transportation and transformation of Qi,blood and body fluid,causing collection of water-dampness,gathering dampness into phlegm,internal exuberance of phlegm-dampness,obstruction of channels and network vessels,stagnation of phlegm and stasis,forming obesity over time,which leads to menstrual scarcity and even amenorrhea.It will affect women′s health and also lead to infertility and other problems.In the paper,the main treatment principles are to replenish Qi and activate yang,and promote Qi transformation and disinhibit water.The regulation of the three organs of the liver,spleen and kidney is the method of strengthening the root,and the heart and lungs must be paid attention to.The formula can be added or subtracted according to the syndrome(symptoms).The paper is intended to provide some ideas for the treatment of oligomenorrhea in obese women.