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苍附导痰汤治疗多囊卵巢综合征作用机制的探析

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多囊卵巢综合征(Polycystic Ovary Syndrome,PCOS)是一种集生殖、代谢、心理障碍为一体的内分泌代谢性疾病,临床主要表现为高雄激素水平、持续无排卵、卵巢多囊改变、肥胖等,远期易发生糖脂代谢紊乱、高胰岛素血症、子宫内膜癌、心血管疾病等并发症.PCOS发病率逐年上升,且发病人群趋于年轻化.其发病机制复杂、病程较长、易反复、难根治,严重影响患者的身心健康及生活质量.因此,早期诊断并恰当干预是改善PCOS患者临床症状、截断病程、逆转并发症的关键.中医认为PCOS主要病机为痰湿内盛,故治以燥湿化痰为主.苍附导痰汤出自《叶天士女科全书》,为妇科祛湿化痰的经典良方,具有多靶点、多途径、多成分等优势.此药通过调节激素水平、改善胰岛素抵抗、促进脂代谢等6个方面来治疗该疾病,在改善PCOS患者的临床症状、提高排卵率和妊娠率等方面疗效显著,在临床上被广泛运用.本研究从苍附导痰汤的方药组成特点、药理作用及PCOS的发病机制等方面入手,对苍附导痰汤治疗PCOS的相关作用机制进行系统归纳及整理,以期为后续研究提供方向及思路,为临床防治PCOS提供理论依据.
A study on the mechanism of the Cangfu Daotan decoction in the treatment of polycystic ovary syndrome
Polycystic ovary syndrome(PCOS)is an endocrine metabolic disease that integrates reproductive,metabolic and psychological disorders.The clinical manifestations include high androgen levels,persistent anovulation,polycystic ovarian changes,obesity,etc..In the long term,it is susceptible to complications such as disorders of glucose and lipid metabolism,hyperinsulinemia,endometrial cancer and cardiovascular diseases,etc..The incidence of PCOS tends to be younger and is on the rise year by year.The pathogenesis of PCOS is complex,the course of the disease is long,and it is easy to repeat and difficult to cure,which seriously affects the physical and mental health and quality of life.Therefore,early diagnosis and appropriate intervention are the core links to meliorate the clinical symptoms,cut off the course of the disease,and reverse the complications of PCOS patients.Traditional Chinese medicine believes that the main athogenesis of the disease is internal exuberance of phlegm-damp,so the main treatment is to dry dampness and resolve phlegm.The Cangfu Daotan decoction(苍附导痰汤),a classic gynecological prescription for dispelling dampness and resolving phlegm,has the advantages of multi-target,multi-pathway and multi-component.It treats the disease by regulating hormone levels,improving insulin resistance,promoting lipid metabolism,etc..It has significant therapeutic efficacy in clinical practice,and has been widely used in clinical practice because of its remarkable efficacy in ameliorating clinical symptoms,and improving ovulation rate and pregnancy rate of PCOS patients.Therefore,this article systematically summarizes and organizes the mechanism of action of the Cangfu Daotan decoction in the treatment of PCOS,starting from the composition of the formula,pharmacological effects and the pathogenesis of PCOS,with a view to providing directions and ideas for the subsequent researchers to understand the relevant mechanisms as a whole,and providing a theoretical basis for the prevention and treatment of PCOS in the clinic.

The Cangfu Daotan decoctionPolycystic ovary syndromeMechanism of actionGynaecology

华诗芬、张雯婷

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福建中医药大学第一临床医学院,福建 福州,350000

福建中医药大学附属厦门市中医院,福建 厦门,361000

苍附导痰汤 多囊卵巢综合征 作用机制 妇科

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(29)