“去菀陈莝”法治疗肥胖型多囊卵巢综合征经验

Experience in the treatment of obese polycystic ovary syndrome by the method of treating‘drinking’syndrome by passing stool

多囊卵巢综合征(PCOS)是以高雄激素血症、胰岛素抵抗为特征的女性常见内分泌疾患,肥胖者居多,目前病机尚未明确,西医对症治疗,疗效一般且有不良反应。中医理论认为,痰脂瘀血阻滞冲任胞脉为主要病机,多以健脾除湿、益肾活血等为治疗方法,笔者所在团队通过多年临证经验,主张以“去菀陈莝”法为治疗原则,补益正气,推动秽浊之邪从大便排出,拟定荷芪散,益气除痰,活血通便,临证加减,收效颇丰。

Polycystic ovary syndrome(PCOS)is a common endocrine disorder in women characterized by hyperandrogenemia and insulin resistance.Most of them are obese.At present,the pathogenesis is not clear,and western medicine is treating the disease symptomically with general efficacy and toxic side effects.According to traditional Chinese medicine theory,phlegm and fat stasis blocking Chong Ren’s cellular vein is the main pathogenesis.To invigorate the spleen and dehumidify,benefit the kidney and promote blood circulation for the treatment.Through many years of clinical experience,the author’s team advocates the method of treating‘drinking’syndrome by passing stool as the treatment principle,by replenishing the vital qi,promote the foul evil from the stool,and made He Qi Powder to nourish qi,eliminate phlegm,promote blood circulation and defecation,and have a good.