| 基于三焦理论探讨痰湿阻滞型多囊卵巢综合征的临床辨治 |
| Exploring the Clinical Diagnosis and Treatment of Phlegm-Dampness Obstruction-Type Polycystic Ovary Syndrome Based on the San Jiao Theory |
| DOI： |
| 中文关键词: 多囊卵巢综合征 胰岛素抵抗 三焦同治 |
| 英文关键词: Polycystic ovary syndrome Insulin resistance Combined of treatment the three burners |
| 基金项目:国家自然科学基金(82174212)；河北省专业学位教学案例(库)立项建设项目(KCJSZ2024060) |
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| 中文摘要: |
| 多囊卵巢综合征(polycystic ovary syndrome,PCOS)作为育龄女性高发的内分泌代谢病证,其病因复杂多样,其中以痰湿阻滞型为常见证型。本研究基于中医三焦理论,深入剖析其病机:上焦肺失宣降壅滞水道,中焦脾失健运聚湿成痰,下焦肾气虚衰致天癸不足、气化失司,三脏共病形成痰湿阻滞胞宫冲任之证。本研究基于中医三焦理论,提出“三焦同治”辨治策略:上焦以宣肺化痰为法,选用桔梗、桑白皮等宣通肺气,畅通水道；中焦以健脾祛湿为要,取白术、茯苓等健运中州,化痰降浊；下焦以温肾助阳为本,用菟丝子、淫羊藿等温煦肾阳,助气化利水。临床实践表明,该疗法能有效调节患者内分泌与代谢功能,改善月经紊乱、肥胖、面部痤疮等症状,促进卵泡发育,为痰湿阻滞型 PCOS 的辨治提供了新思路与有效方案。 |
| 英文摘要: |
| Polycystic ovary syndrome (PCOS)is a common endocrine and metabolic disorder among women of childbearing age. Its etiology is complex and diverse, among which the phlegm-dampness stagnation syndrome is a common syndrome type. Based on the theory of the San Jiao in traditional Chinese medicine, this study deeply analyzes its pathogenesis: the lung in the upper jiao fails to disperse and descend, leading to the obstruction of the water passages; the spleen in the middle jiao fails to transform and transport, resulting in the accumulation of dampness into phlegm; the kidney in the lower jiao is deficient in qi, causing insufficient the heavenly essence and impaired qi transformation. The dysfunction of these three viscera together leads to the phlegm-dampness stagnation in the uterus and Chong and Ren meridians. Based on the Sanjiao theory, this study proposes a “treatment of the three jiao together” strategy: for the upper jiao, the method of dispersing lung and resolving phlegm is adopted, using herbs such as Platycodon grandiflorus and Mori Cortex to unblock the lung qi and water passages; for the middle jiao, the key is to strengthen the spleen and remove dampness, using Atractylodes macrocephala and Poria to invigorate the spleen and transform phlegm; for the lower jiao, the focus is on warming the kidney and assisting yang, using Eucommia ulmoides and Epimedium to warm the kidney yang and promote qi transformation and water metabolism. Clinical practice has shown that this therapy can effectively regulate the endocrine and metabolic functions of patients, improve symptoms such as menstrual disorders, obesity, and facial acne, and promote follicular development, providing new ideas and effective solutions for the treatment of phlegm-dampness stagnation syndrome in PCOS |
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