中医辨证分型治疗PCOS近十年研究进展.PDFVIP

环球中医药2017年9月第10卷第9期摇 Global Traditional Chinese Medicine,September2017,Vol郾10,No郾9 摇 1043 ·综述 · 中医辨证分型治疗 PCOS近十年研究进展 邸莎摇 王雪娇摇 张和韡摇 成西摇 马淑然 揖摘要铱摇 本文综述了多囊卵巢综合征病机、辨证分型、中医治疗的研究进展。 多囊卵巢综合征 主要属中医“月经稀少冶“闭经冶“癥瘕冶“肥胖冶“不孕症冶等范畴。 病机主要为脾肾两虚为本,肝气郁 结、湿痰瘀毒为标;辨证分型为两型、三型、四型、八型,正气亏虚为肾(气、阴、阳)虚、脾虚、肝阴虚, 邪气实为痰湿、瘀血、气滞、肝经郁热、阳毒。 但仍有诸多不足,病机、辨证分型、治疗等不统一,疗效 难以求速,应提高辨证水平、研发新药,寻求高效的治疗方法。 揖关键词铱摇 多囊卵巢综合征;摇 病因病机;摇 辨证分型 揖中图分类号铱摇 R271.9摇 揖文献标识码铱摇 A摇 doi:10郾3969/ j郾issn郾1674鄄1749郾2017郾09郾035 Research progress on treating PCOS by differentiation syndrome of TCM in recent decade摇 DI Sha,WANG Xuejiao,ZHANG Hewei,et al. 摇 School of Basic Medicine, Beijing University of Chinese Medicine,Beijing 100029,China Corresponding author:MA Shuran,E鄄mail:mashuran64@ 揖Abstract铱摇 This article reviews research progress on the pathogenesis,differentiation syndrome, treatment of TCM of polycystic ovary syndrome(PCOS). PCOS mainly belong to the traditional Chinese medicine “infrequent menstruation 冶 “amenorrhea冶 “mass冶 “obesity冶 and “infertilitas feminis冶. Pathogenesis is mainly for deficiency of spleen and kidney,liver qi stagnation and dampness, poison, stasis;differentiation syndrome is for two,three,four,eight type.Weakness of the body contains kidney deficiency(qi,yin,yang),spleen deficiency,liver yin deficiency,and evil domination contains phlegm鄄 damp, blood stasis, depression, stagnated heat of liver channel,yang toxin. But there are many deficiencies,for instance,pathogenesis,syndrome differentiation,treatment and so on are not uniform, curative effect is hardtoseekspeedly. Thelevelofdifferentiation,developmentofnewdrugsshouldbeim鄄 proved,and effective treatments should be seeked. 揖Key words铱摇 Polycystic ovary syndrome;摇 Etiology and pathology;摇 Differentiation syndrome 摇 摇 多囊卵巢综合征(polycystic ovarian syndrome, 糖尿病、高血脂、子宫内膜癌等。 本病属中医“月经 PCOS)是以稀发排卵或无排卵、高雄激素或胰岛素