张玉珍教授治疗多囊卵巢综合征致月经后期的证候用药规律*
作者:
作者单位:

(1. 广州中医药大学第一临床医学院,广东 广州 510405;2. 广州中医药大学第一附属医院,广东 广州 510405)

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中图分类号:

R249;R271.9

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收稿日期: 2019 - 09-17
* 基金项目: 张玉珍全国名老中医药专家传承工作室(国中药人教函[2018]134号)
第一作者简介: 陈珊燕(1991-),女,在读硕士研究生。研究方向:中医药防治女性生殖障碍疾病。
△通信作者: 赵颖,E-mail:drzhaoying@126.com


Excavating Professor Zhang Yuzhen’s Rules of TCM Syndromes and Medication in the Treatment of Delayed Menorrhea Induced by Polycystic Ovary Syndrome
Author:
Affiliation:

(1. The First Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510405 , China;2. The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405, China)

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    摘要:

    收集2017年3月至2019年6月张玉珍教授治疗多囊卵巢综合征致月经后期患者门诊初诊处方,运用中医传承辅助平台(V2.5)分析其证候分布及用药规律。结果共纳入处方636首,涉及中药157味,包括6种证型,依次为肾虚肝郁型、脾虚痰湿型、肝经郁火型、脾肾两虚型、气滞血瘀型、肝郁脾虚型。通过关联规则分析各个证型的组方规律,得到核心处方。分析结果提示张玉珍教授治疗多囊卵巢综合征致月经后期用药以补肾健脾疏肝为主,兼顾化湿、清热、活血,体现了“从肝脾肾论治,攻补兼施,调和气血水”的治疗思路。

    Abstract:

    The prescriptions of professor zhang yuzhen for the treatment of pcos patients in late menstrual period from March 2017 to June 2019 were collected, and the TCM Inheritance Support Platform(V2.5) was used to analyze the syndrome distribution and medication rules. Results a total of 636 prescriptions were included, involving 157 herbs, including 6 syndromes, which were successively kidney deficiency and liver stagnation, spleen deficiency and phlegm-dampness, liver meridian stagnation and fire, spleen and kidney deficiency, qi stagnation and blood stasis, and liver stagnation and spleen deficiency. The association rules were used to analyze the prescription of each syndrome type, and the key prescription was obtained. The analysis results suggested that Professor Zhang Yuzhen’s treatment of PCOS in the late menstrual period was mainly to invigorate the kidney, strengthen the spleen and dredge the liver, and at the same time taking into melt dampness, clearing heat and activating blood circulation. It embodies the treatment idea of“treating from liver, spleen and kidney, Combining supplement with attack, harmonizing qi, blood and water”.

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