多囊卵巢综合征中医病因病机

多囊卵巢综合征(PCOS)是一种发病多因性、临床表现多态性的女性生殖内分泌疾病。以雄激素过多、持续无排卵为临床主要特征,表现为月经稀发、甚或闭经、不孕、多毛和肥胖,伴双侧卵巢多囊性增大等。导师侯丽辉教授根据诊治本病多年的临床经验提出了"痰瘀胞宫"新理论,认为肾虚脾弱,痰瘀互结是PCOS排卵障碍的重要病机,肾虚血瘀、脾虚痰湿、气滞血瘀﹑痰瘀互结是其临床常见证型,因此,探讨PCOS中医病因病机为中医临床从痰、瘀论治PCOS开辟了新的途径。

Etiology and pathogenesis of polycystic ovary syndrome in traditional Chinese medicine

The polycystic ovarian syndrome (PCOS) was a disease of female reproductive endocrine system induced by many causes and had multiple clinical appearances with androgen excess,continued anovulation as the main clinical features. Its clinical syndrome was scanty menstruation and even amenorrhea,infertility,crinosity and obesity,companied a increased multicystic ovary and so on. Professor Hou Li-hui introduced a new theory of stagnation of phlegm and stagnation blood in the uterus based on his clinical experience and considered that the weak spleen and kidney deficiency,phlegm and blood stasis was the main pathogenesis of the disorder of ovulation in PCOS. Deficiency of kidney and stagnation blood,spleen deficiency and phlegm dampness,stagnation of Qi and blood stasis were the common clinical syndrome type. To explore the etiology and pathogenesis of Chinese medicine of PCOS from the sputum,stasis blood opened a new way for the treatment of PCOS.