王佩娟教授从肾论治多囊卵巢综合症的经验探析
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摘要
[目的]探讨王佩娟教授从肾论治多囊卵巢综合症的临床经验。[方法]通过跟师门诊,收集多囊卵巢综合症的病案,整理导师治疗此病遣方用药的思路及经验,结合国内外相关文献报道及自身感悟,对导师治疗本病的思想理论及经验方法加以归纳总结。[结果]王佩娟教授认为多囊卵巢综合症系肾-天癸-冲任-胞宫轴的气血阴阳失调,转化失司,痰瘀内结,阻滞于冲任、胞宫,使月经失去其原有的周期节律性。其中肾虚为本,痰瘀为标,补肾是获得疗效的扳机点。[结论]导师通过平调肾之阴阳,佐以化痰祛瘀,并结合三因制宜治疗多囊卵巢综合症,疗效显著,其对此病病因病机的把握及遣方用药能够为临床诊断与治疗提供依据。
[Objective]Investigating Professor WANG Peijuan's clinical experience in treating PCOS from studying the kidney.[Method] This paper mainly studied by arranging and researching the tutor's theory and experience about treating PCOS that based on the practice in clinic with the teacher as a self perception,the collection about the PCOS cases of tutor's clinical treatment and the analysis of national and international relative literature combined with self-awareness. [Result]Professor WANG thinks that PCOS is the disorder of qi and blood and the transformation failure of kidney-Tiangui-Chongren-uterus, which leads to phlegm and blood stasis, blocking in the uterus and making menstruation lose its inhere periodicity. The disease is of the kidney deficiency and phlegm stagnation syndrome.[Conclusion]Professor WANG holds that to use the method of tonifying kidney properly and attach importance to the three categories of etiologic factors will be effective to the treatment of PCOS. Her experience can provide the basis for diagnosis and treatment about the disease.
[Objective]Investigating Professor WANG Peijuan's clinical experience in treating PCOS from studying the kidney.[Method] This paper mainly studied by arranging and researching the tutor's theory and experience about treating PCOS that based on the practice in clinic with the teacher as a self perception,the collection about the PCOS cases of tutor's clinical treatment and the analysis of national and international relative literature combined with self-awareness. [Result]Professor WANG thinks that PCOS is the disorder of qi and blood and the transformation failure of kidney-Tiangui-Chongren-uterus, which leads to phlegm and blood stasis, blocking in the uterus and making menstruation lose its inhere periodicity. The disease is of the kidney deficiency and phlegm stagnation syndrome.[Conclusion]Professor WANG holds that to use the method of tonifying kidney properly and attach importance to the three categories of etiologic factors will be effective to the treatment of PCOS. Her experience can provide the basis for diagnosis and treatment about the disease.
引文
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[19]尤昭玲,杨正望,傅灵梅.多囊卵巢综合征从肾虚血瘀调治的探讨[J].湖南中医学院学报,2005,25(1):25-26.
[20]许金榜,林莺,吕绍光.健脾益肾活血法改善多囊卵巢综合征胰岛素抵抗理论探讨[J].福建中医学院学报,2005,15(2):15.
[21]丁学屏.中西医结合治疗糖尿病[M].北京:人民卫生出版社,2004:124-143.
[22]张明发,沈雅琴.甘草及其活性成分对生殖系统药理作用研究进展[J].药物评价研究,2014,37(4):367-374.
[2]罗颂平,谈勇.中医妇科学[M].2版.北京:人民卫生出版社,2017:10-13.
[3]夏桂成.月经病中医诊治[M].北京:人民卫生出版社,2011:22.
[4]张介宾.景岳全书.上册[M].李继明,整理.北京:人民卫生出版社,2007.
[5]中华医学会妇产科学分会内分泌学组.多囊卵巢综合征的诊断和治疗专家共识[J].中华妇产科杂志,2008,43(7):553.
[6]谢幸,苟文丽.妇产科学[M].8版.北京:人民卫生出版社,2013:359.
[7]鲁雅娟,张秀,王佩娟.痰湿与多囊卵巢综合征关系的理论探讨[J].浙江中医药大学学报,2016,40(9):657-659.
[8]唐宗海.血证论[M].魏武英,整理.北京:人民卫生出版社,2005:111.
[9]张介宾.景岳全书:下册[M].李继明,整理.北京:人民卫生出版社,2007:1275.
[10]Adali E,Kolusari A,Adali F,et al.Doppler analysis of uterine perfusion and ovarian stromal blood flow in polycystic ovary syndrome[J].Int J Gynaecol Obstet,2009,105(2):154-157.
[11]Mala YM,Ghosh SB,Tripathi R.Three-dimensional power Doppler imaging in the diagnosis of polycystic ovary syndrome[J].Int J Gynaecol Obstet,2009,105(1):36-38.
[12]罗晓燕,文秋平,敬宗玉,等.经阴道彩色多普勒超声在多囊卵巢综合征诊断中的价值[J].实用医技杂志,2008,15(13):1656-1658.
[13]尤昭玲,杨正望,傅灵梅.多囊卵巢综合征从肾虚血瘀调治的探讨[J].湖南中医学院学报,2005,25(1):25-26.
[14]王清任.医林改错[M].李天德,整理.北京:人民卫生出版社,2005:46.
[15]Velasquez Elsy.Chronic complication polycystic ovary syndrome[J].Review Invest Clini,2002,43(3):205-213.
[16]Balen A,Rzjkowha M.Polycystic ovary syndrome-a systemic discorder[J].Best Pract Res Clin Obstet Gynecol,2003,17(2):263-274.
[17]乔杰,尹太郎.多囊卵巢综合征认知与对策[J].中国实用妇科与产科杂志,2013,29(11):841-843.
[18]陈修园.女科要旨[M].太原:山西科学技术出版社,2012:14
[19]尤昭玲,杨正望,傅灵梅.多囊卵巢综合征从肾虚血瘀调治的探讨[J].湖南中医学院学报,2005,25(1):25-26.
[20]许金榜,林莺,吕绍光.健脾益肾活血法改善多囊卵巢综合征胰岛素抵抗理论探讨[J].福建中医学院学报,2005,15(2):15.
[21]丁学屏.中西医结合治疗糖尿病[M].北京:人民卫生出版社,2004:124-143.
[22]张明发,沈雅琴.甘草及其活性成分对生殖系统药理作用研究进展[J].药物评价研究,2014,37(4):367-374.