Treatment of polycystic ovary syndrome combined with high luteinizing hormone level based on Ding Jiao syndrome differentiation
Polycystic ovary syndrome(PCOS)is a common cause of ovulation disorders in women in clinical practice,usually manifested as menstrual disorder and even amenorrhea.It is complicated with a variety of hormonal abnormalities related to the Ding Jiao,with high serum level of luteinizing hormone(LH)as one of them.The theory of four Jiaos and eight systems provides a new treatment strategy for PCOS,in which the Ding Jiao covers the nervous system and the medullary system,consisting of the cranial cavity,the spinal cord cavity and the organs of brain,medulla oblongata and spinal cord in them.The Ding Jiao's function mainly lies in governing the spirit.As LH is secreted by the pituitary gland,PCOS combined with high LH level is thus located in the Ding Jiao,so it is appropriate to use the rigidity-gentleness syndrome differentiation strategy to regulate yin and yang by interfering the nervous system and the medullary system in clinical practice.When patients with PCOS-LH are differentiated as a hyperactive yang syndrome,they are manifested as a depressed Ding Jiao and an irritable mood,and are mostly accompanied by symptoms such as insomnia or dry eyes.In such a case,they should be treated with debark peony root and oyster shell to calm down the Ding Jiao and spirit,and to nourish yin for suppressing hyperactive yang.When patients with PCOS-LH are differentiated as an exuberant yin syndrome,they are manifested as a deficient Ding Jiao and a low mood,and are mostly accompanied by symptoms like mental fatigue and low voice.In such a case,they should be treated with baical skullcap root,golden thread,debark peony root,fried date kernel,unprocessed rehmannia root to fill the medulla for calming down the spirit and to nourish yin for rebalancing yang.The above treatment methods are quite effective in reducing high LH level and restoring regular menstruation in PCOS-LH patients.
polycystic ovary syndromeluteinizing hormoneDing Jiaosyndrome differentiation of rigidity and gentleness
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