云南姚氏妇科流派辨治多囊卵巢综合征的理论与实践
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昆明医科大学

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国家中医药管理局“云南昆明姚氏妇科流派传承工作室”第二轮建设项目(国中医药人教函[2019]62号)


The theory and practice of differentiation and treatment of polycystic ovary syndrome by Yao's school of gynecology in Yunnan Province
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Kunming Medical University

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    摘要:

    本文阐述了姚氏妇科对PCOS在理论上的认识和临床实践中的应用。从病因来看,PCOS是因先天不足,后天失养,劳逸失度,情志所伤所致。病机方面与气血失调,肝脾失和,冲任失衡密切相关。病理产物为痰湿及淤血。基于此,临床可分为四个证型:肝脾不足、冲任失养、肾精亏虚型;肝郁血瘀、冲任失和、兼夹郁火型;肝肾亏虚、气血不足、冲任失养型和脾虚湿蕴、气血失调、痰瘀阻络型。根据其病因病机的特点,按姚氏妇科对女子诸疾的三期治肝法和三期补肾法,并遵循治月经病的“分期立法”规则,根据常见的证型确定治疗方法,遣方用药。本文还对院内制剂的使用其非药物疗法作了阐述,列举了典型病案。

    Abstract:

    This paper describes the theoretical understanding and clinical practice of PCOS in Yao's gynecology department. From the etiological point of view, PCOS is caused by congenital deficiency, acquired disability, loss of work and rest, and emotional injury. The pathogenesis is closely related to the disorder of qi and blood, the disharmony of liver and spleen and the imbalance of Chongren. The pathological products were phlegm dampness and congestion. Based on this, clinical can be divided into four syndromic types: liver and spleen deficiency, Chongren dysplasia, kidney essence deficiency; Liver depression and blood stasis, Chongren failure, and Jiayu fire type; Deficiency of liver and kidney, deficiency of qi and blood, deficiency of Chongren and spleen, deficiency of qi and blood, phlegm and blood stasis blocking collaterals. According to the characteristics of its etiology and pathogenesis, according to Yao's gynecology for women's diseases of the three stages of liver treatment and three stages of kidney tonifying method, and follow the treatment of menstruation disease "stage legislation" rule, according to the common syndromes to determine the treatment method, prescription medication. In this paper, the use of hospital preparation and its non-drug therapy are described, and typical cases are listed.

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  • 收稿日期:2024-12-17
  • 最后修改日期:2025-01-10
  • 录用日期:2025-01-10
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