金哲辨治未破裂卵泡黄素化综合征经验

Experience of JIN Zhe in Differentiating and Treating Luteinized Unruptured Follicle Syndrome

总结金哲教授治疗未破裂卵泡黄素化综合征(LUFS)经验。根据B超下卵泡大小,LUFS可分为小卵泡型、卵泡滞留型和卵泡持续增大型,其中卵泡滞留型多合并子宫内膜异位症和多囊卵巢综合征,不同分型的LUFS各有其特点,金教授认为应分型辨证。治疗上,需总体把握种子调经这一核心思想辨证论治,并根据月经周期的阴阳消长规律进行分期论治。创立“育卵三法”分期论治小卵泡型LUFS;卵泡滞留型LUFS合并子宫内膜异位症者,以化瘀为首,合并多囊卵巢综合征者,以利湿化痰、散瘀调经为主;对于持续增长型LUFS,则以化痰消癥为法,分期治疗。

This article summarizes Professor JIN Zhe’s experience in the treatment of luteinized unruptured follicle syndrome(LUFS).According to the size of follicles under B-ultrasound,LUFS can be divided into small follicle type,follicle retention type and continuous follicle enlargement type,among which follicle retention type is mostly combined with endometriosis and polycystic ovary syndrome.Different types of LUFS have their own characteristics,and Professor JIN believes that type differentiation should be made.In terms of treatment,it is necessary to grasp the core idea of seed and menstruation regulation as a whole,and give treatment by stages according to the law of yin-yang and menstrual cycle.“Three methods of ovulation”to treat small follicular LUFS by stages is established.In the case of follicular retention LUFS complicated with endometriosis,the main method is to remove blood stasis,and in the case of polycystic ovary syndrome,the main method is to remove dampness and phlegm,dissipate blood stasis and regulate menstruation.For the continuous follicle enlargement of LUFS,the method of resolving phlegm and eliminating disease is used for treatment by stages.