卵巢早衰的中医辨证论治

卵巢早衰为妇科常见病,是指月经初潮正常或青春期延迟,第二特征发育正常的女性在40岁以前出现持续性闭经和性器官萎缩,并伴有卵泡刺激素和黄体生成素升高,而雌激素降低的综合征。由于其可导致不孕不育及低雌激素状态,严重影响女性生理和心理健康,且发病率呈逐年上升趋势,成为当今医学研究热点和难点。本文对卵巢早衰的病因病机、辨证分型及对应中医治疗方法进行分类总结,做一综述。不管是中药治疗还是针灸治疗,对于证型辨证分类及对病因病机的认识差别不大。卵巢早衰多责之于肾精不足,在补肾同时根据病情进行辨证,兼调心肝脾,活血化瘀。大量文献显示,中医由于其副作用小,疗效明显,且多体现"治未病"的防治思想,在治疗卵巢早衰方面有很大优势。

Syndrome Differentiation and Treatment Administration of Premature Ovarian Failure

Premature ovarian failure (POF) is a common gynecological disease characterized with persistent amenorrhea, atrophy of sexual organ, high level follicle-stimulating hormone, high level luteinizing hormone and low level estrogen in women younger than 40 years of age These women usually have normal menarche or delayed puberty, but normal developed secondary sex characters. POF can cause infertility, aphoria and low level estrogen which seriously affects wemon's physical and mental health. Because of the increasing trend in incidence of POF, POF has become a hot and difficult topic of medical study. The main etiology, pathogenesis, syndrome differentiation of POF and traditional Chinese medicine therapies were reviewed in this paper.