基于"因虚、积冷、结气"辨治多囊卵巢综合征
Differentiation and Treatment of Polycystic Ovary Syndrome from Perspective"Deficiency Cause,Cold Accumulation,and Qi Stagnation"in Essentials from the Golden Cabinet(《金匮要略》)
乔一倬 1李艺 2孙旖旎 2李雅军 3戚亚婷 3李河桥 1陈心如 4谢京红1
作者信息
- 1. 中国中医科学院西苑医院,北京市海淀区西苑操场1号,100091
- 2. 北京市通州区妇幼保健院
- 3. 北京市通州区永乐店社区卫生服务中心
- 4. 北京中医药大学研究生院
- 折叠
摘要
"因虚,积冷,结气"出自《金匮要略·妇人杂病脉证并治》,为妇人致病原因的纲领性论述,并以此开创妇人病辨证论治的先河,对后世影响深远.宗于经义,化繁为简,从"因虚,积冷,结气"探讨多囊卵巢综合征的病因病机,认为精亏血少、内寒久积、气郁血结是发病原因,其中精亏血少、脏腑失养为发病之本,寒邪侵袭、气郁血结所致痰瘀内阻为疾病之标.因此治疗上以"虚则补之"为主,在扶正的同时,佐以祛邪,兼以"寒则温之""结则散之".临床治疗上可以此为纲领灵活用药治疗多囊卵巢综合征,以期达到气血和调,经候如常的目的.
Abstract
"Deficiency cause,cold accumulation,and qi stagnation"originates from Essentials from the Golden Cabinet(《金匮要略》),which is a guiding principle for the pathogenesis of women's diseases,pioneering the differen-tiation and treatment of women's diseases based on patterns,and having a profound influence on future generations.Following the classical principles and simplifying the complexities,this paper explored the pathogenesis and mecha-nism of polycystic ovary syndrome(PCOS)from the perspective of"deficiency cause,cold accumulation,and qi stag-nation",and believed that depletion of essence and blood,long-term accumulation of internal cold,and qi constraint and blood stasis are the causes of PCOS,with depletion of essence and blood,and lack of nourishment of zang-fu(脏l腑)organs as the root,and cold pathogen invasion,qi constraint and blood stasis as the branch.The main treatment principle is"treating deficiency with supplementation",and dispelling pathogen while reinforcing healthy qi,along with"treatment of cold by warming"and"treatment of stagnation by dispersing".This is of great significance for the treatment of polycystic ovary syndrome.Clinically,these methods can be used flexibly to guide treatment and formula selection for PCOS,with the goal of harmonizing qi and blood and regulating menstruation.
关键词
多囊卵巢综合征/虚/积冷/结气/《金匮要略》Key words
polycystic ovary syndrome/deficiency/cold accumulation/qi stagnation/Essentials from the Golden Cabinet(《金匮要略》)引用本文复制引用
基金项目
北京市中医妇幼名医传承工作室项目(2022-FYGZS-23)
出版年
2024
国家科技期刊平台
NSTL
万方数据