中医药辨证治疗多囊卵巢综合征临床研究进展-环球中医药.pdfVIP

环球中医药2016年7月第9卷第7期摇 Global Traditional Chinese Medicine,July2016,Vol郾9,No郾7 摇摇887 ·综述 · 中医药辨证治疗多囊卵巢综合征临床研究 进展 邢玉摇 刘艳霞摇 佟庆 揖摘要铱摇 本文对近5年来中医药治疗多囊卵巢综合征的临床研究进行总结,从辨证论治、补肾 调周、专方验方、针灸治疗等4个部分进行综述。 本病病机为本虚标实,辨证分型多为肾虚型、痰湿 阻滞型、气滞血瘀及肝气郁结型,治法多采用补肾健脾、化痰祛湿、疏肝理气、活血化瘀等。 专方验 方、补肾调周法及针灸治疗本病在调整月经周期、降低促黄体素与促卵泡素比值、雄激素、空腹胰岛 素水平、促进排卵、提高临床妊娠率等方面亦可取得较好疗效。 揖关键词铱摇 多囊卵巢综合征;摇 中医药;摇 研究进展;摇 综述 揖中图分类号铱摇 R271.9摇 揖文献标识码铱摇 A摇 doi:10郾3969/ j郾issn郾1674鄄1749郾2016郾07郾039 Clinical research progressofpolycysticovarysyndrometreatedbyTCMsyndromedifferentiation摇 XING Yu, LIU Yan鄄xia, TONG Qing. 摇 Beijing University of Chinese Medicine of Dongfang Hospital, Beijing 100078,China Corresponding author:TONG Qing,E鄄mail:tammytong@126.com 揖Abstract铱摇 This paper summarizes the clinical research of the traditional Chinese medicine(TCM) in treatment of polycysticovary syndrome (PCOS)inthelast5 years,andsummarizesthe4 partsfromthe syndrome differentiation,kidney鄄reinforcing and menstrual cycle鄄regulating,the special prescription and proved recipe,acupuncturetreatment. Themechanismof PCOSin Chinesemedicinemainly liesinasthenia in origin and asthenia in superficiality. The syndrome differentiations of TCM of PCOS are kidney deficiency,phlegm stagnation, qi鄄stagnation and blood stasis and stagnation of liver qi. The treatment should be based on syndrome differentiation,and the common treatments are tonifying kidney and spleen, dispelling phlegm and eliminating dampness, relief liver for smooth qi, blood鄄activating and stasis鄄 dissolving,etc. Effective prescriptions,kidney鄄reinforcing and menstrual cycle鄄regulating and acupuncture havegoodcurativeeffectsonregulatinglipidmetabolism,reducingtheLH/ FSH,androgenandFINSlevels and increasing ovulation rate and pregnancy rate. 揖Key words铱摇 Polycystic ovary syndrome;摇 Traditional Chinese medicine;摇 Research progress; 摇 Revie