摘要
多囊卵巢综合征主要表现为高雄激素血症、排卵障碍及多囊卵巢为特征,其中肥胖者占PCOS的50%以上。目前对于肥胖性PCOS的西药治疗,主要是控制体质量,调整月经周期,有生育要求的患者还要促排卵治疗。其主要有激素避孕药(HCs)、胰岛素增敏剂和促排卵药三大类药物。中医学认为肥胖型PCOS主要是由于肾虚不能主水而凝聚为痰湿,痰湿脂膜壅塞胞宫,血海蓄溢失常而致,以肾虚为本,痰湿为标。针对这一病因病机,以补肾化痰祛湿为主要治则,并同时兼以健脾、疏肝、清胃等法,强调要畅情志、节饮食、劳逸结合。另外针灸、耳穴及穴位埋线等理疗方法也是治疗肥胖型PCOS的常用方法。
Polycystic Ovary Syndrome is mainly characterized by hyperandrogenism, ovulation dysfunction and polycystic ovary. More than half of the patients are obese. Currently, the western treatment of the obese PCOS are mainly controlling the weight and regulating the period, as to the patients with fertility requirements, ovulation induction therapy was applied. The three main medication were hormonal contraception（HCs）, euglysemic agent, ovulation-stimulating medicine. TCM holds that obese polycystic ovary syndrome is mainly due to the deficiency of the kidney. The deficient kidney can not master water, which accumulates the phlegm-tmbid stagnation. They obstruct uterus and then lead to the disorder of blood circulation. It is believed that this disease results from kidney deficiency in the root, and phlegm-turbid stagnation in the surface. According to its etiology and pathogenesis, we should base on the main treatment principle of nourishing the ,kidney, transforming phlegm and dispelling dampness, while strengthening the spleen, soothing the liver, clearing the stomach and so on. Easing the mood, regulating the diet, and combining the exertion and rest should also be emphasized. In addition, methods of acupuncture combined with ear point and point catgut embedding are common used in the treatment of obese PCOS
出处
《吉林中医药》
2015年第3期235-237,278,共4页
Jilin Journal of Chinese Medicine
基金
江苏省中医药局科技项目(LZ13138)
关键词
肥胖
多囊卵巢综合征
高雄激素血症
排卵障碍
多囊卵巢
obesity
polycystic ovary syndrome
hyperandrogenism
ovulation failure
polycystic ovary
