王东红教授基于玄府-浊邪理论结合脏腑辨证治疗多囊卵巢综合征经验

Professor WANG Donghong's Experience in the Treatment of Polycystic Ovary Syndrome Based on the Theory of Xuanfu-Turbid Evil Combined with Identification of Viscera

[目的]探讨王东红教授基于玄府-浊邪理论结合脏腑辨证治疗多囊卵巢综合征(polycystic ovary syndrome,PCOS)的经验。[方法]通过临床跟师学习、收集总结门诊PCOS患者的病历资料,总结探讨王教授基于玄府-浊邪理论结合脏腑辨证治疗PCOS的学术思想及临床经验,并列举验案加以佐证。[结果]王教授认为,PCOS的发病与肝脾肾三脏有着密切联系,肝脾肾三脏之玄府不通,气机失调,津液代谢失衡,气滞、痰湿、血瘀浊邪遂生,胶结难解,导致气血失和,发为PCOS。王教授提出以开玄泄浊为PCOS的重要治法,结合脏腑辨证,施以疏肝解郁凉血、健脾祛湿化痰、温肾活血化瘀等不同治法。文中所附验案为肝郁痰凝型PCOS,以玄府-浊邪理论为基础,治以平肝开郁、理气化痰,收效斐然。[结论]王教授基于玄府-浊邪理论,结合脏腑辨证治疗PCOS疗效显著,为临床PCOS的诊疗提供了新思路。

[Objective]To investigate Professor WANG Donghong's experience in the treatment of polycystic ovary syndrome(PCOS)based on the theory of Xuanfu-turbid evil combined with identification of viscera.[Methods]Through clinical shadowing and the collection of medical records of outpatients with PCOS,Professor WANG's academic thinking and clinical experience in the treatment of PCOS based on the theory of Xuanfu-turbid evil combined with the identification of viscera were summarized and discussed,and a case was attached to prove it.[Results]Professor WANG believes that the development of PCOS is closely related to the liver,spleen and kidneys,the Xuanfu of the three organs are obstructed,movement of Qi is not regulated,the fluid metabolism is imbalanced,Qi stagnation,phlegm,blood stagnation and turbidity are generated,leading to disharmony between Qi and blood,resulting in PCOS.Professor WANG proposes that opening up the Xuanfu and expelling turbid evil is an important treatment for PCOS,combined with the differentiation of syndromes in the viscera,different treatment methods are applied,such as soothing the liver,relieving depression and cooling blood,strengthening the spleen,dispelling dampness and phlegm,warming the kidney,promoting blood circulation and removing blood stasis.The attached case in the article was PCOS with liver depression and phlegm coagulation type,based on the theory of Xuanfu turbid evil,it was treated by calming the liver and opening depression,regulating Qi and resolving phlegm,and achieved remarkable results.[Conclusion]Professor WANG's treatment of PCOS is based on the theory of Xuanfu and turbid evil and is highly effective,providing new ideas for the clinical treatment of PCOS.