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基于"肝主冲任"探讨"疏肝解郁法"治疗多囊卵巢综合征

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多囊卵巢综合征(PCOS)是妇科常见疾病,属于中医学"月经后期""闭经""不孕"等病的范畴,较常表现出具有肝气郁滞的临床症状,与肝的功能密切相关.故"疏肝解郁"成为中医临床治疗PCOS的常用治法.根据传统中医整体辨证观点,肝脏与冲任二脉有密切联系,且与女性正常生殖功能的维持密不可分.现基于"肝主冲任"的理论,综述PCOS发生的常见病因病机尤其是肝郁气滞证对其病发生的影响,进一步探讨"疏肝解郁法"对多囊卵巢综合征疾病改善的理论机制与用药规律,并附临床验案加以阐述.
Based on "Liver Manages the Thoroughfare and Conception Vessels" to Discuss the Treatment of "Soothing Liver and Relieving Depression" on PCOS Disease
Polycystic ovary syndrome (PCOS) is a common gynecological disease,belonging to the category of "late menstruation","amenorrhea" and "infertility" in traditional Chinese medicine. It often shows clinical symptoms of liver Qi stagnation,which is closely related to the function of the liver. Therefore,"soothing the liver and relieving depression" has become a common treatment method for PCOS in traditional Chinese medicine. According to the tra-ditional Chinese medicine holistic syndrome differentiation point of view,the liver is closely related to the Chong and Ren meridians,and is inseparable from the maintenance of normal female reproductive function. Based on the theory of "Liver governing Chong and Ren",this paper reviews the common etiology and pathogenesis of PCOS,especially the influence of liver depression and Qi stagnation on its occurrence,and further explores the theoretical mechanism and medication rules of "soothing the liver and relieving depression" for the improvement of PCOS,and attaches clinical cases to illustrate.

Polycystic ovary syndromeLiver governing Chong and RenQi stagnationSoothing the liver and relieving depression

李家熠、俞瑾、吴阳、朱静

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海军军医大学基础医学院 上海 200433

海军军医大学第一附属医院 上海 200433

多囊卵巢综合征 肝主冲任 气郁 疏肝解郁

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(9)