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基于奇经辨证从冲任督带论治多囊卵巢综合征

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多囊卵巢综合征(PCOS)虽病机复杂、临床表现多样,但其总以女性生殖功能异常为核心.女子"经""带""胎""产"不离胞宫,胞宫为PCOS的证候靶位,而冲任督带与胞宫经络相通、生理相关、病理相系,故PCOS当从冲任督带辨治.冲任督带之辨,首辨虚实,四脉之下,气血阴阳各有所主,结合四脉生理病理特点与PCOS的临床表现,其正虚以冲任阴血不足、督脉阳气虚衰、带脉松弛失约为主,其邪实以痰湿、瘀血阻滞为要.冲任督带之治有专法,其虚者,当以血肉有情之品而填补之,并不忘通行脉络;其实者,当以辛散芳香之品而流通之.冲任督带四脉不仅有相应的归经药,还有专门的引经药引而达之,以收事半功倍之效.脏腑与奇经乃源流之关系,PCOS病涉奇经,其治却不离肝肾脾胃,或填补肾精、调补肾之阴阳,或滋养肝血、调达肝气,或健运脾胃,分而治之.冲任督带循行体表,体表局部的针灸治疗可内调脏腑气血阴阳而治疗PCOS.从冲任督带辨治PCOS是区别于脏腑辨治的更加有针对性的辨治方法,并且其辨治有着自身特色,能完善PCOS治疗理论体系,更好地指导临床.
Based on Syndrome Differentiation of Extraordinary Meridians to Explore the Treatment of Polycystic Ovary Syndrome from Chongren Dudai Channel
Although the pathogenesis of polycystic ovary syndrome (PCOS) is complex and the clinical manifesta-tions are diverse, it always centers on abnormal female reproductive function. A woman's "menstrual", "carriage", "fetus" and "birth" do not leave the uterus. The uterus is the syndrome target of PCOS, and the Chong Rendu belt is connected with the uterine meridians and is related physiologically and pathologically. Therefore, PCOS should be treated with Chong. Appoint supervisor to lead diagnosis and treatment. The first step in distinguishing the Chong and Ren governor belt is deficiency and excess. Under the four meridians, qi, blood, yin and yang each have their own masters. Combining the physiological and pathological characteristics of the four meridians and the clinical manifesta-tions of PCOS, deficiency of the righteousness is caused by insufficient yin blood in the Chong and Ren meridian and Yang Qi deficiency in the governor meridian. The main factors are weak and weak pulse, and the main evil factors are phlegm-dampness and blood stasis. There is a special method for the treatment of Chong Ren Supervisor. If it is defi-cient, it should be filled with flesh and blood and sentimental products, not forgetting to circulate the veins; if it is true, it should be circulated with pungent and fragrant products. Chong Ren Du takes the four meridians not only with the corresponding meridians, but also with special meridians to guide and reach them, so as to get twice the result with half the effort. Zang-fu organs and abnormal meridians are closely related. PCOS disease involves abnormal meridians, but its treatment is inseparable from the liver, kidneys, spleen and stomach. It can either replenish kidney essence and ad-just the yin and yang of the kidneys, nourish liver blood and regulate liver Qi, or strengthen the spleen and stomach, and treat them separately. Chong Ren Du leads the body surface, and local acupuncture treatment on the body surface can internally adjust the yin and yang of the viscera, Qi, blood, and treat PCOS. The diagnosis and treatment of PCOS from Chongren Supervisor is a more targeted diagnosis and treatment method that is different from the diagnosis and treat-ment of viscera, and its diagnosis and treatment has its own characteristics, which can improve the theoretical system of PCOS treatment and better guide clinical practice.

Polycystic ovary syndrome (PCOS)Syndrome differentiation of abnormal meridianChong Ren Supervisor

吴汶恩、任青玲

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南京中医药大学 江苏南京 210029

南京中医药大学附属医院 江苏南京 210029

多囊卵巢综合征 奇经辨证 冲任督带

江苏省中医妇产生殖临床医学创新中心项目

ZX202102

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(3)
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