江苏地区多囊卵巢综合征中医证型、症候分布规律探析

Analysis of TCM Syndrome Types and Syndrome Distribution of PCOS in Jiangsu Province

目的:探讨多囊卵巢综合征的中医证型及中医症候分布规律。方法:笔者采用描述性研究的流行病学调查方法,通过对江苏地区确诊PCOS的401例患者进行中医证型观察,探究证型分布规律及各证型的主要临床表现,进行统计学分析,总结PCOS中医证型分布及临床症候。结果:临床上该病以两种及两种以上相兼的复合型证型为主(占60.85%),兼夹证型中肾虚证占53.12%,痰湿阻滞证占43.40%,气滞血瘀证占49.88%,肝经湿热证占36.16%。多囊卵巢综合征症候表现有月经迟闭或量少、婚久不孕、经血色淡质稀、腰腿酸软、头晕耳鸣、面色少华、身疲倦怠、畏寒、经血色淡质稠、带下量多、形体肥胖、喉间多痰、毛发浓密、神疲肢重、经血色暗红质稠、血块、经行不畅、痛经、乳房胀痛、少腹胀痛拒按、胸胁胀痛、烦躁易怒、经血色深红质稠、经前乳房胀痛、面部痤疮、烦躁、口苦、带下量多色黄、大便秘结。结论:PCOS是以多种证型形成的复合证型为主要病机,以月经迟闭或量少为主要临床表现,毛发浓密、经血暗红质稠、血块、腰腿酸软、畏寒、烦躁易怒、形体肥胖、神疲肢重、经行不畅、痛经、乳房胀痛为主要伴随症状。

Objective: To explore the TCM Syndrome Types and TCM syndrome distribution of polycystic ovary syndrome (PCOS). Methods: By using descriptive epidemiological survey method, 401 pa-tients with PCOS in Jiangsu Province were observed to explore the distribution of syndrome types and the main clinical manifestations of each syndrome type, and to summarize the distribution of TCM Syndrome Types and clinical symptoms of PCOS. Results: Clinically, the disease was mainly composed of two or more combined syndromes (60.85%), of which kidney deficiency syndrome accounted for 53.12%, phlegm dampness block syndrome accounted for 43.40%, qi stagnation and blood stasis syndrome accounted for 49.88%, and liver dampness heat syndrome accounted for 36.16%. Polycystic ovary syndrome (PCOS) is characterized by delayed menstruation or less menstruation, long-term infertility, weak menstrual blood color, weak waist and legs, dizziness and tinnitus, low complexion, fatigue and tiredness, chilliness, light and thick menstrual blood color, more weight under the belt, obesity, phlegm between the larynx, thick hair, heavy mental fatigue, dark red blood color, blood clot, dysmenorrhea, breast distension and pain. The main symptoms are abdominal distension, chest and flank distension, irritability, deep red and thick menstrual blood, premenstrual breast distension, facial acne, irritability, bitter mouth, multicolor yellow and constipation. Conclusion: PCOS is a complex syndrome formed by multiple syndrome types as the main pathogenesis, with delayed menstruation or less as the main clinical manifestations, with thick hair, dark red blood, blood clots, weak waist and legs, chills, irritability, obesity, mental fatigue and limb weight, dysmenorrhea, breast pain as the main accompanying symptoms.