Treating premature ovarian insufficiency from the aspect of fire based on the theory of Er Yang disease is related to heart and spleen
Premature ovarian insufficiency(POI)is classified as menstrual disease in TCM.In the Huangdi Neijing(《黄帝内经》),it is stated that this disease is related to Er Yang(二阳),heart and spleen,and moodiness during menstruation,which is currently the earliest ancient record of menstrual irregularities disease,indicating that the menstrual irregularities is greatly related to Er Yang,heart and spleen,and moodiness during menstruation.It is caused by Yangming(阳明)dry fire frying,dehydration and loss of source,dry heat endogenous,Yin(阴)blood dry,and Qi(气)and blood deficient source.The heart and spleen are closely related to the generation of menstrual blood,the fire is full of burnt burning,Yin blood is consumed and lost in the metagenesis,the heart is the main master of the five viscera and six-fu organs(六腑),the fire is filled in the heart and thus hurts the whole body,its own regulation is out of control,and the menstrual blood does not come.Mang diseases are caused by Qi.Emotion disorder leads to immobility and inhonor of menstruation.At the same time,emotion is closely related to heart,liver and spleen.Too much emotion can lead to abnormal rise and fall of Qi and disorders of Qi mouement and blood.Chong and Ren channels(冲任)insufficiency,loss of cell palace in nourishing,Chong Ren injured in the fire hyperactivity,and body fluid and blood damages in uterus cause changes in female internal reproductive hormones,and secretion disorders,resulting in decreased ovarian function,and reduced number or poor growth of sinus follicles,reflecting perimenopausal symptoms,ammenia,and even cause female reproduction and infertility.Based on the original text of Huangdi Neijing,this paper discusses the treatment of women's amenorrhea from fire,expounds the etiology and pathogenesis of amenorrhea caused by solid fire,and takes the Sanhuang Tiaojing decoction(三黄调经汤)to clear the fire of Yangming,and heart and spleen,and lighten the emotion,supplemented by products for nourishing Yin and blood,so as to obtain the purposes of clearing away fire,nourishing Yin,filling blood sea,blood channel Tongli(通利),and full menstrual blood,thereby ameliorating women's symptoms of amenorrhea and perimenopause,improving ovarian function,hormone level and follicle quality,and providing a new idea for the treatment of POI.
Er Yang disease is related to heart and spleenPremature ovarian insufficiencySolid fire symptomThe Sanhuang Xiexin decoction
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