摘要
女性三联征是指甲状腺、乳腺、子宫卵巢系统先后或联合出现结节性病变的现象(包括良性结节和恶性肿瘤)。本文对情志与女性三联征的流行病学、机制、中医病因病机和治疗的研究进行综述。西医方面,焦虑、抑郁、压力与女性三联征发病相关。情志主要通过影响雌激素的内分泌轴导致肥胖、增加自身免疫和癌症风险而间接增加女性三联征的风险。中医方面,情志和女性三联征关系体现在病位在肝经,病因病机为情志不畅,肝郁脾虚,冲任失调,治法上体现同病异治,通法为开郁基础上理气、化痰、活血、散结、补虚。
Female triad refers to the phenomenon of nodular lesions(including benign nodules and malignant tumors)in the thyroid,breast and uterine(ovarian)systems,developing either sequentially or in combination.This article reviews the research on the relationship between emotions and the epidemiology,mechanisms,traditional Chinese medicine etiology,pathogenesis and treatment of female triad.According to western medicine,anxiety,depression and stress are associated with the development of female triad.Emotional disorders indirectly increase the risk of female triad mainly by aff ecting the endocrine axis of estrogen,leading to obesity,and increasing the risks of autoimmunity and cancer.While according to traditional Chinese medicine,the relationship between emotions and female triad is reflected in the facts that the disease location is related to the liver meridian,and its etiology and pathogenesis are moody emotions,liver qi depression and spleen deficiency,thoroughfare-controlling vessels disharmony,and its treatment method signifi es the principle of treating the same disease with diff erent methods,while its general treatment methods involve regulating qi,resolving phlegm,promoting blood circulation,dispersing nodules and tonifying defi ciency on the basis of dredging the liver qi stagnation.
作者
张峻宁
刘畅
汪佳乐
卢佳
李韬芝
贾立群
ZHANG Junning;LIU Chang;WANG Jiale;LU Jia;LI Taozhi;JIA Liqun(Beijing University of Chinese Medicine,Beijing 100029,China;Department of Oncology of Integrated Chinese and Western Medicine,China-Japan Friendship Hospital,Beijing 100029,China;Center for Health Policy and Technology Evaluation,Peking University Health Science Center,Beijing 100191,China)
出处
《吉林中医药》
2023年第6期737-740,共4页
Jilin Journal of Chinese Medicine
基金
国家中医药管理局重大疑难疾病中西医临床协作能力建设项目(2019-ZX-005)。
关键词
女性三联征
情志
研究进展
female triad
emotion
research progress
