奚嘉教授治疗肥胖型多囊卵巢综合征经验总结

Summary of Professor Xi Jia′s experiences in the treatment of obese polycystic ovarian syndrome

多囊卵巢综合征(PCOS)是妇科临床常见疾病,近年来其发病率较高,严重困扰着育龄期女性。奚嘉教授为江苏省名中医,根据其40多年的临床经验,认为肥胖型PCOS为本虚标实之证,肾虚为本,痰湿为标,在治疗的第一阶段以化痰散结为主,同时加入补肾助阳药物,理气、助阳并重,使肾阳充足,水液代谢正常,减轻体内痰湿,减轻胞宫脂膜。在治疗的第二阶段以补肾调经为主,肾主生殖发育,肾气充足,气血充盛,阴阳平衡,肾-天癸-冲任-胞宫生殖轴运转协调,则月经调和,可正常受孕。奚嘉教授认为PCOS以肾虚为本,但非一脏所致;以痰浊为标,但痰浊并非单一病理产物。其病位在肾、肝、脾,治疗时根据具体症状适当加入理气行气、活血化瘀药调畅气机,使脉道通畅,为卵泡的排出提供良好的环境。

Polycystic ovarian syndrome(PCOS)is a common gynecological disease.In recent years,the incidence of PCOS is high,which seriously troubles women of childbearing age.Professor Xi Jia is a famous TCM doctor in Jiangsu province.Based on her clinical experience of more than 40 years,she believes that obese PCOS belongs to the syndrome of deficiency in origin and excess in superficiality.Kidney deficiency is the origin,and phlegm-dampness is the superficiality.In the first stage of treatment,it is mainly to resolve phlegm and disperse the masses,and at the same time,the drugs for reinforcing kidney to strengthen Yang are added to regulate Qi and strengthen Yang,so that the kidney-Yang is sufficient,and the water and liquid metabolism is normal.This can alleviate the phlegm-dampness in the body and the uterine lipid membrane.In the second stage of treatment,it is mainly to invigorate kidney for regulating menstruation.The kidney governs the reproduction and development.Sufficient kidney-Qi ensures abundant Qi and blood and balanced Yin and Yang.Kidney-Tiangui-Chong and Ren-uterus reproductive axis is coordinated,then the menstruation is harmonized and the pregnancy can be normal.Prof Xi Jia believes that kidney deficiency is the root of PCOS,which is not involved the kidney alone;turbid phlegm is the manifestation of PCOS,which is not the only pathological product.The disease is located in the kidney,liver and spleen.During the treatment,according to the specific symptoms,appropriate drugs for regulating Qi,promoting blood circulation and removing blood stasis are added to regulate Qi activity,so as to make the vessels unobstructed and provide a good environment for the production of follicles.