| 引用本文:江媚1，刘雁峰2，莫婷婷2，陈然2，孔鑫靓2.基于膜原理论探析多囊卵巢综合征[J].世界中医药,2022,(11):. |
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| 基于膜原理论探析多囊卵巢综合征 |
| Discussion of Polycystic Ovary Syndrome Based on the Membrane Source Theory |
| 投稿时间：2020-04-30 |
| DOI：10.3969/j.issn.1673-7202.2022.11.020 |
| 中文关键词: 多囊卵巢综合征 膜原 痰湿 达原饮 窠囊 |
| English Keywords:Polycystic ovarian syndrome Membrane source Phlegm-dampness Dayuan Decoction Kenang |
| 基金项目:国家自然科学基金青年科学基金项目（81904240）；首都卫生发展科研专项项目（首发2020-2-4194） |
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| 中文摘要: |
| 多囊卵巢综合征可从膜原论治，其病位属于狭义膜原，病性为虚实夹杂，符合病程长、易反复、难治愈等膜原病的特征。肾气不足、肝郁脾虚而致气津失调、聚而成痰是多囊卵巢综合征的病机关键。痰湿既是本病的病因，又是本病的重要病理产物，可以作为治疗的切入点。从膜原理论的角度，多囊卵巢综合征在治疗以补脾益肾，理气开达膜原，燥湿化瘀为主。对于肥胖为临床特征的痰湿阻滞型多囊卵巢综合征可用芳香辛散，开达膜原治则的达原饮加减治疗。本文基于膜原理论论治多囊卵巢综合征，探讨多囊卵巢综合征临床诊疗新思路，丰富了膜原理论的科学内涵，希冀为推动中医独有的理论的现代化临床运用提供启示。 |
| English Summary: |
| The treatment of polycystic ovary syndrome(PCOS) can be guided by the membrane source theory.With the disease location belonging to membrane source in narrow sense and the disease nature of deficiency-excess in complexity,PCOS has the characteristics of membrane source disease:long course,easy to recur and difficult to cure.The pathogenesis of PCOS lies in insufficient kidney qi,liver depression and spleen deficiency,leading to imbalance of qi and liquid and phlegm generation.Phlegm-dampness is not only the cause of PCOS,but also the important pathological product,which can be regard as a starting point for the treatment.From the perspective of the membrane source theory,the treatment of PCOS should focus on tonifying spleen,replenishing kidney,regulating qi,opening onto pleurodiaphragmatic interspace,drying dampness and resolving phlegm.For PCOS patients with the clinical characteristics of obesity and syndrome of phlegm-dampness block,Dayuan Decoction would be a beneficial therapy.This study discussed PCOS based on the membrane source theory,aiming to explore a new way of clinical diagnosis and treatment of PCOS,enrich the scientific connotation of membrane source theory and facilitate the modern clinical application of the unique theory of traditional Chinese medicine. |
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