基于“结”理论论治多囊卵巢综合征体会

Treatment of polycystic ovary syndrome based on the“stagnation”theory

基于“结”理论分析多囊卵巢综合征的病因病机及证治方药,从而为临床论治多囊卵巢综合征提供新的思路。指出气结、血结、痰结是多囊卵巢综合征的重要病机,临证对于“气结”甚者,多予柴胡疏肝散加减以疏肝行气,气行则血痰自利;对于“血结”甚者,多予桂枝茯苓丸加减以活血化瘀、行气除痰;对于“痰结”甚者,多予苍附导痰丸加减以祛痰利水、行气活血。临证基于“结”理论辨治多囊卵巢综合征可取得较好的疗效,附典型病案1则以验证。

Based on the“stagnation”theory,this paper analyzes the etiology,pathogenesis,and treatment for-mulas of polycystic ovary syndrome,providing new ideas for clinical treatment of polycystic ovary syndrome.It is pointed out that stagnation of qi,blood and phlegm is the key pathogenesis of polycystic ovary syndrome.In clinical practice,for those with severe“qi stagnation”,Chaihu Shugan San(柴胡疏肝散)is modified to alleviate liver and promote qi circulation,while qi circulation leads to circulation of blood and phlegm;for those with severe“blood stagnation”,more Guizhi Fuling Wan(桂枝茯苓丸)is modified to promote blood circulation,remove blood stasis,and promote qi and phlegm;for those with severe“phlegm stagnation”,usually Cangfu Daotan Wan(苍附导痰丸)is modified to dispel phlegm,promote water circulation,and promote qi and blood circulation.Clinical diagnosis and treatment of polycystic ovary syndrome based on the“stagnation”theory can achieve good therapeutic effects,with a typical case for verification.