基于“阳化气,阴成形”理论探讨排卵障碍的中医证治

"阳化气,阴成形"功能失调与排卵障碍的发生密切相关。卵子失去精微的滋养则"阴成形"不足,难以长大成为成熟卵泡;卵子失于温煦则"阳化气"虚弱,动力不足,难以在排卵期突破胞膜而排出。平调阴阳对于排卵障碍的治疗至关重要。对于"阴成形"不足者,应以补肾填精养血为主,滋阴以充形;对于"阳化气"虚弱者,应以温补脾肾为主,扶阳以益气。在整体辨证的同时还需兼顾卵子的生长周期,以期达到"阴平阳秘"的最佳状态。

Discussion on TCM Syndrome and Treatment of Ovulation Dysfunction Based on"Yang Transforming Qi While Yin Constituting form" Theory

The dysfunction of "Yang transforming Qi while Yin constituting form" is closely related to the occurrence of ovulation disorders.If the follicle loses the nourishment of the Essence and blood, namely, the "Yin constituting the form" is insufficient, it is difficult to grow into a mature follicle.If the follicle is not warm, namely, the "Yang transforming Qi" is weak, the motivation is insufficient and it is difficult to break through the cell membrane and discharge during ovulation.Therefore, regulating Yin and Yang is essential for the treatment of ovulation disorders.For those with insufficient "Yin constituting form",the main method should be to invigorate the Kidney and fill essence and nourish Blood, and to nourish Yin to fill the shape.For those who are weak in "Yang transforming Qi",warming the Spleen and Kidney should be the main method and strengthening Yang to replenish Qi.In the overall syndrome differentiation, the growth cycle of the follicle is taken into account in order to achieve the best "balance of Yin and Yang".