[1]高 远,张景明,佟雅婧,等.基于“一气周流”理论探讨从“中气”治疗多囊卵巢综合征[J].陕西中医,2025,46(2):233-236,240.[doi:DOI:10.3969/j.issn.1000-7369.2025.02.018]
 GAO Yuan,ZHANG Jingming,TONG Yajing,et al.Explore the treatment of polycystic ovary syndrome from “middle qi” based on the theory of “Yiqi Zhouliu”[J].,2025,46(2):233-236,240.[doi:DOI:10.3969/j.issn.1000-7369.2025.02.018]
点击复制

基于“一气周流”理论探讨从“中气”治疗多囊卵巢综合征
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年2期
页码:
233-236,240
栏目:
学术探讨
出版日期:
2025-02-05

文章信息/Info

Title:
Explore the treatment of polycystic ovary syndrome from “middle qi” based on the theory of “Yiqi Zhouliu”
作者:
高 远张景明佟雅婧杨钊田
(陕西中医药大学,陕西 咸阳 712046)
Author(s):
GAO YuanZHANG JingmingTONG YajingYANG Zhaotian
(Shaanxi University of Chinese Medicine,Xianyang 712046,China)
关键词:
多囊卵巢综合征 黄元御 一气周流 傅氏加味补中益气汤 中药人工周期疗法
Keywords:
Polycystic ovary syndrome Huang Yuanyu Yiqi Zhouliu Fu's modified Buzhong Yiqi decoction Traditional Chinese medicine artificial cycle therapy
分类号:
R 711.75
DOI:
DOI:10.3969/j.issn.1000-7369.2025.02.018
文献标志码:
A
摘要:
多囊卵巢综合征(PCOS)高发于育龄期女性,是一种现代多发性疾病,其病因尚不明确。基于黄元御“一气周流”理论,联系PCOS相关症状表现,分析得出PCOS病理机制在于中气升降失职引起周流不畅,进而产生气滞、痰凝、血瘀等一系列病理改变,导致肥胖、月经不调、不孕、痤疮等临床表现。由此进一步提出以傅氏加味补中益气汤为基础方,在中药人工周期疗法的指导下循周期加减用药,即以调畅中气为本治疗PCOS的方法,以期为临床诊疗PCOS提供新思路,为PCOS患者提供更易接受且更具长远意义的治疗方案。
Abstract:
Polycystic ovary syndrome is highly prevalent in women of childbearing age and is a modern multiple disease with an unclear etiology.Based on the theory of Huang Yuanyu's “Yiqi Zhouliu” and combined with the symptoms of PCOS,it is analyzed that the pathological mechanism of PCOS lies in the dysfunction of middle qi,which leads to the obstruction of qi's circulation,resulting in a series of pathological changes such as qi stagnation,phlegm coagulation,and blood stasis.As a result, it leads to various clinical manifestations such as obesity,menstrual disorders,infertility,and acne.Therefore,it is further proposed to use Fu's modified Buzhong Yiqi decoction as the basic formula,and to periodically add or subtract medicine under the guidance of traditional Chinese medicine artificial cycle therapy as the treatment method.That is to say,the core of PCOS treatment lies in regulating middle qi.And it's hopeful to provide new ideas for the clinical diagnosis and treatment of PCOS,and offer more easily accepted and long-term treatment plans for PCOS patients.

参考文献/References:

[1] VISSER J A.The importance of metabolic dysfunction in polycystic ovary syndrome[J].Nat Rev Endocrinol,2021,17(2):77-78.
[2] 陈子江,刘嘉茵.多囊卵巢综合征基础与临床[M].2版.北京:人民卫生出版社,2018:275-283,287-288.
[3] 饶学植,张凌威,黄剑,等.基于“一气周流”理论探讨良性前列腺增生的治疗[J].中医药学报,2024,52(9):33-37.
[4] 王远韬,刘毅.浅析黄元御“一气周流,土枢四象”学术思想[J].天津中医药大学学报,2024,43(8):678-681.
[5] WITCHEL S F,OBERFIELD S E,PENA A S.Polycystic ovary syndrome:Pathophysiology,presentation,and treatment with emphasis on adolescent girls[J].J Endocr Soc,2019,3(8):1545-1573.
[6] 刘頔,纪立金.胃强脾弱之刍议[J].中华中医药杂志,2021,36(5):2476-2478.
[7] 王琦.9种基本中医体质类型的分类及其诊断表述依据[J].北京中医药大学学报,2005,28(4):1-8.
[8] 梁雪,王琦,沈昆,等.痰湿体质人群易发代谢综合征相关危险因素的调查研究[J].中华中医药杂志,2017,32(4):1500-1503.
[9] 潘紫萌,侯丽辉,孙淼,等.肥胖与代谢综合征对多囊卵巢综合征患者中医体质分布及代谢的影响[J].中华中医药杂志,2022,37(3):1656-1661.
[10] 陈丽,郝丽娟.多囊卵巢综合征患者腹型肥胖、高雄、胰岛素抵抗及脂代谢的相关性分析[J].医学信息,2022,35(12):113-117.
[11] 张俊娣,刘兆华.体重指数对多囊卵巢综合征患者促排卵妊娠结局的影响[J].河北医药,2022,44(2):249-252.
[12] 李玲玲,杨丽萍,张娥,等.名中医康志媛从“肝肾同源于脑”论治多囊卵巢综合征伴抑郁[J].陕西中医,2024,45(9):1257-1261.
[13] 吕少辉,王彦华,陈昺伃,等.基于“轴枢运动”论治失眠合并焦虑症[J].陕西中医,2024,45(7):938-941.
[14] 孙天琳,汤玲,史梅莹,等.国医大师肖承悰运用七子益肾理冲汤改善多囊卵、巢综合征卵泡发育经验[J].世界中医药,2023,18(12):1719-1722.
[15] 杨玉玲,杨新鸣.从《傅青主女科?种子?肥胖不孕》的证治探析中医治疗多囊卵巢综合征[J].河北中医,2020,42(4):618-621.
[16] SCHMIDT T H,SHINKAI K.Evidence-based approach to cutaneous hyperandrogenism in women[J].J Am Acad Dermatol,2015,73(4):672-690.
[17] 梁娜,徐国梅,袁姣姣,等.徐国梅基于“肾-天癸-冲任-胞宫”理论治疗多囊卵巢综合征合并痤疮经验[J].中医药导报,2022,28(5):171-174.
[18] 马丽爽,刘洋,姚春海,等.姚春海教授运用逍遥散合桂枝茯苓丸加减治疗多囊卵巢综合征痤疮临证经验[J].中国医药导报,2023,20(28):132-135.
[19] 张珺洁,包晓霞,郭志强.基于“阴常不足,阳非有余”理论辨证论治多囊卵巢综合征合并痤疮的经验[J].中国医药导报,2024,21(4):138-142.
[20] 李默,蒋跃文.李家庚教授辨治女性痤疮经验[J].亚太传统医药,2021,17(2):87-89.
[21] 唐红,谭丽,李盼盼,等.陈士铎“利腰脐”思想解析及其在妇科的运用[J].中医药导报,2022,28(1):121-124.
[22] 黄星星,王怡卓,宗惠.傅氏加味补中益气汤治疗肥胖型多囊卵巢综合征临证浅析[J].光明中医,2024,39(8):1625-1629.
[23] 徐亚洲,邢作英,郝鹏乐,等.基于黄元御《四圣心源》探讨半夏的运用特点[J].中医研究,2023,36(7):1-3.
[24] 宁雪,杨振泳,王凤文,等.HPLC同时测定甘草及其炮制品中7种成分的含量[J].中药材,2020,43(9):2146-2150.
[25] 江璐,蔡冬明,张海洲.甘草素对来曲唑诱导的多囊卵巢综合征大鼠的保护作用及机制研究[J].中国医院药学杂志,2020,40(7):791-794,799.
[26] 刘媛,赵恒侠,陈叶,等.傅氏加味补中益气汤治疗脾虚痰湿型多囊卵巢综合征的临床疗效观察[J].辽宁中医杂志,2022,49(7):86-89.
[27] 谢佳,胡晓,夏宛廷,等.加味补中益气汤治疗肥胖型多囊卵巢综合征患者的疗效及对子宫内膜容受性和糖脂代谢的影响[J].现代生物医学进展,2021,21(15):2931-2934.
[28] 李娟,张燕,周琴.加味补中益气汤治疗肥胖型多囊卵巢综合征不孕的临床研究[J].河北中医,2021,43(6):947-950,1024.
[29] 刘葭,肖雪,江雯.基于网络药理学探究傅氏加味补中益气汤治疗肥胖不孕的分子机制[J].四川中医,2023,41(3):44-48.
[30] 朱诗琴,赵一鸣,刘新敏.多囊卵巢综合征高雄激素血症“降雄”八法[J].江苏中医药,2021,53(1):50-53.
[31] 王秀,汪兰兰,王秀蝶,等.从“一气周流”角度解析“中药人工周期”[J].时珍国医国药,2024,35(6):1456-1458.

相似文献/References:

[1]欧丽芬,张莹轩,周英.葛根汤合四逆散在多囊卵巢综合征型痤疮中的应用[J].陕西中医,2017,(06):791.
[2]王改梅,李 晶,张 励,等.苍附导痰方联合法地兰对PCOS合并不孕症患者性激素水平 及子宫内膜容受性的影响*[J].陕西中医,2019,(2):201.
 WANG Gaimei,LI Jing,ZHANG Li,et al.Effect of Cangfu Daotan prescription combined with Fadiland on sex hormone level and endometrial receptivity in PCOS patients with infertility[J].,2019,(2):201.
[3]袁社霞.补肾促排方治疗多囊卵巢综合征排卵障碍性不孕临床研究*[J].陕西中医,2019,(1):12.
 YUAN Shexia..Clinical observation on the therapeutic effect of Bushen Cupai recipe on ovulation disorder infertility in polycystic ovary syndrome[J].,2019,(2):12.
[4]高翠霞,宋红湘.补肾调经汤联合温针灸督脉治疗多囊卵巢综合征疗效及对患者内分泌系统和排卵的影响*[J].陕西中医,2019,(1):21.
[5]石小哲,张大伟.温肾健脾汤治疗多囊卵巢综合征及对患者胰岛素抵抗、 激素水平的影响*[J].陕西中医,2019,(5):637.
 SHI Xiaozhe,ZHANG Dawei..Curative effect of Wenshen Jianpi decoction in the treatment of polycystic ovary syndrome and the influence on insulin resistance and hormone levels[J].,2019,(2):637.
[6]马志宾,陈 燕,苏 永.促排卵汤对多囊卵巢综合征患者血清淀粉样蛋白P、脂肪因子 与白介素-18的影响研究*[J].陕西中医,2019,(5):651.
 MA Zhibin,HU Xiaohua,SU Yong ..Effect of Cupailuan decoction combined with life style on serum SAP, Apelin and IL-18 in women with polycystic ovary syndrome[J].,2019,(2):651.
[7]刘彩娜,李佳佳,李林林,等.温针灸督脉联合克罗米芬治疗肾虚血瘀型多囊卵巢综合征不孕临床研究*[J].陕西中医,2019,(6):803.
[8]李海霞,史秀英,王璀瑛,等.益肾化痰方治疗肥胖型多囊卵巢综合征不孕临床研究[J].陕西中医,2019,(7):839.
 LI Haixia,SHI Xiuying,WANG Cuiying,et al.Clinical study of Yishen Huatan decoction in the treatment of obese polycystic ovarian syndrome infertility[J].,2019,(2):839.
[9]冯亚宏,许 昕△.许昕教授治疗多囊卵巢综合征经验探析*[J].陕西中医,2020,(3):374.
[10]庞苗苗,庞 羽,贺丰杰△.荷叶瓜蒌汤联合炔雌醇环丙孕酮片治疗多囊卵巢综合征临床研究[J].陕西中医,2020,(10):1373.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.008]

备注/Memo

备注/Memo:
[基金项目]陕西省科学技术厅项目[2024JC-YBQN-0883,陕科基发(2012)1号]; 陕西省中医药管理局项目(SZDYJS-2)
更新日期/Last Update: 2025-02-08