从脾胃失调论治多囊卵巢综合征

多囊卵巢综合征(polycystic ovary syndrome,PCOS)病机为脾胃虚弱或饮食不节伤及脾胃,导致脾阳不振,运化失司,水谷精微不能遍布全身,反化为饮,聚而成痰,阻滞脉络,气血运行不畅,冲任二脉不利,导致经水难下,阻塞瘀闭,继而闭而不行或难以受精成孕.土虚木乘,气机受阻不畅,进一步形成血瘀.治以健脾运脾...

Discussion About Treating Polycystic Ovary Syndrome from Spleen-Stomach Disorder

The pathogenesis of polycystic ovary syndrome(PCOS)is the weakness of the spleen and stomach or the injury of improper diet to the spleen and stomach,resulting in the stagnation of spleen yang,the disorder of transportation and transformation,the essence of water and grain failing to spread all over the body,water retention,phlegm accumulation,blocking the vein,the poor circulation of qi and blood,dysfunction of TV and GV leading to difficulty of menstruation,blood stasis,which then develops into blocking or difficulty in pregnancy.Wood overrestricting asthenic earth leads to blocked qi movement and then into blood stasis.The treatment mainly focuses on strengthening and transporting the spleen,supplemented by tonifying the kidney and soothing the liver,resolving phlegm and removing dampness.Modified Rhizoma Atractylodis and Rhizoma Cyperi Phlegm-Expelling Pill can be used,combined with Huangqi(Radix Scutellariae)to reinforce healthy qi and induce dieresis,Ezhu(Rhizoma Curcumae),Yimucao(Herba Leonuri),Taoren(Semen Persicae),Honghua(Flos Carthami),Huainiuxi(Radix Achyranthis Bidentatae)to promote blood circulation and remove blood stasis,Danggui(Radix Angelicae Sinensis),Danshen(Radix Salviae Miltiorrhizae),Sanleng(Rhizoma Sparganii),Ezhu(Rhizoma Curcumae),Taoren(Semen Persicae),Honghua(Flos Carthami),Niuxi(Radix Achyranthis Bidentatae)to promote blood circulation and regulate menstruation,Gouqizi(Fructus Lycii),Shudihuang(Radix Rehmanniae Praeparata),Shechuangzi(Fructus Cnidii),Yinyanghuo(Herba Epimedii)to benefit TV and GV,Dannanxing(Rhizoma Arisaematis cum Bile)and Baijiezi(Semen Sinapis)to remove phlegm and dampness,regulate TV and GV.During ovulation,Yimucao(Herba Leonuri),Chuanshanjia(Squama Manitis)can be added to promote egg excretion,while Tusizi(Semen Cuscutae),Duzhong(Cortex Eucommiae),Sangjisheng(Herba Taxilli),Chuanxuduan(Radix Dipsaci),etc.can be added to tonify the liver and kidney to help pregnancy.