温肾助阳调周法治疗肾阳虚型多囊卵巢综合征经验举隅

Experience in the Treatment of Polycystic Ovarian Syndrome with Kidney Yang Deficiency Type by Warming Kidney and Assisting Yang Method

多囊卵巢综合征(polycystic ovary syndrome,PCOS)是育龄期妇女常见的以稀发排卵或无排卵为表现的疾患。临床表现以月经不调、闭经、不孕、痤疮为主,会对女性患者身体健康和家庭和谐造成影响。西医多为对症治疗,中医常用温肾助阳、健脾化湿祛痰、健脾疏肝等方法治疗该疾病。该研究认为,肾阳虚是该疾病的病机关键,温补肾阳是核心原则,结合月经周期各期阴阳消长规律,再根据患者具体症状,酌情加减。本研究以温肾助阳调周法治疗肾阳虚型PCOS病证1例为参考,以期为临床治疗PCOS提供借鉴。

Polycystic ovary syndrome(PCOS)is a common condition in women of reproductive age characterized by infrequent or anovulatory ovulation.The clinical manifestations are mainly menstrual disorders,amenorrhea,infertility,and acne,which can have an impact on the physical health and family harmony of female patients.Western medicine is often used for symptomatic treatment,while traditional Chinese medicine often uses methods such as warming the kidney and assisting yang,strengthening the spleen to dispel dampness and phlegm,and strengthening the spleen and soothing the liver to treat this disease.My supervisor believes that kidney yang deficiency is the key pathogenesis of this disease,and warming and tonifying kidney yang is the core principle.Based on the growth and decline of yin and yang in each stage of the menstrual cycle,and according to the specific symptoms of the patient,adjustments can be made accordingly.This study takes the method of warming the kidney,assisting yang,and regulating the week to treat one case of PCOS with kidney yang deficiency as a reference,in order to provide reference for clinical treatment of PCOS.