以大柴胡汤论治肥胖型多囊卵巢综合征临证经验

Clinical Experience of Treating Obesity Polycystic Ovary Syndrome with Dachaihu Decoction

多囊卵巢综合征(PCOS)是育龄期女性最常见的生殖及内分泌代谢紊乱性疾病之一,近年来临床发现,PCOS患者中肥胖者占比较大,且多伴有糖脂代谢问题。现代医学治疗方法多为对症处理。经观察,肥胖型多囊卵巢综合征患者病程中大多存在“肝郁”之诱因,湿热贯穿其中,二者相互作用,推动此类病症发生与发展。基于此病机,临床上治疗以“疏肝解郁,清利湿热”为基本思路,主方选用大柴胡汤,并根据个体差异性进行药物加减,临床效果显著。

Polycystic Ovary Syndrome(PCOS) is one of the most common reproductive, endocrine and metabolic disorders in women of childbearing age. In recent years, a large proportion of PCOS patients are obese, and most of them are accompanied by glucose and lipid metabolism problems. Modern medical treatment is mostly symptomatic treatment. From the perspective of Chinese medicine, it has been observed that most patients with obesity polycystic ovary syndrome have the inducement of “liver depression” in the course of disease, and the interaction between the two factors promotes the occurrence and development of such diseases. Based on this pathogenesis, the clinical treatment is based on the basic idea of “dredging the liver and relieving the depression, clearing the dampness and heat”. The main prescription is Dachaihu decoction, and the drug is added and subtracted according to individual differences, which has a significant clinical effect.