王翠霞补肾益精-活血祛瘀分期辨治多囊卵巢综合征(肾虚血瘀)
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摘要
王翠霞教授认为肾虚血瘀是多囊卵巢综合征基本病机,肾虚则冲任不充,血瘀则冲任不畅,气血无以顺利下行,胞宫、胞脉失去滋养,导致肾-天癸-冲任-胞宫生殖轴不能发挥正常作用。创立补肾益精,活血祛瘀治法,基础方药为川断、菟丝子、地黄熟、山萸肉、旱莲草各10g,当归、丹参各15g,薏苡仁20g,陈皮6g,泽泻10g。经前期补肾阳为主,加巴戟天10g,鹿角片15g;行经期活血通经为主,加益母草15g,泽兰10g;经后期滋补肾阴为主,加山药10g,黄精15g;排卵期以补肾调气血促排卵为主,加肉苁蓉、川芎各10g。显著改善多囊卵巢综合征月经周期、经量、经色、腰膝酸软等肾虚血瘀症候,激素水平及卵巢体积趋于正常,体现整体观。附肾虚血瘀月经不调验案1则(多囊卵巢综合征)。
Professor WANG Cuixia thinks that kidney deficiency and blood stasis is the basic pathogenesis of polycystic ovary syndrome, kidney deficiency make Chongren not enough, blood stasis make Chongren not smooth, Qi and blood can not go down smoothly, cell uterus,uterus sequence of thought lost nourishment, lead to kidney-Tiangui-Chongren-cell uterus reproductive axis can not play a normal role. Creating a treatment of tonifying the kidney and benefiting the essence, activate blood circulation and remove blood stasis, basic prescription is Chuanduan,Tusizi, Dihuang, Shanyurou, Hanliancao each 10 g, Danggui, Danshen each 15 g, Yiyiren 20 g, Chenpi 6 g, Zexie 10 g. Premenstrual supplementation of kidney Yang, add Bajitian 10 g, Lujiao15 g; menstrual circulation of activating blood circulation and meridion, add Yimucao 15 g, Zelan 10 g; Nourishing kidney Yin mainly in the late period of menstruation, add Shanyao 10 g, Huangjing 15 g; Tonifying the kidney and regulating Qi and blood to promote ovulation during ovulation period, add Roucongrong 10 g, Chuanxiong 10 g. Significant improvement polycystic ovary syndrome menstrual cycle,menstrual volume,menstrual colour,soreness and weakness of waist and knees etc, kidney deficiency and blood stasis syndrome, hormone levels and ovarian volume tend to be normal, embody the view of the whole. An empirical case of kidney deficiency and blood stasis irregular menstruation(polycystic ovary syndrome).
Professor WANG Cuixia thinks that kidney deficiency and blood stasis is the basic pathogenesis of polycystic ovary syndrome, kidney deficiency make Chongren not enough, blood stasis make Chongren not smooth, Qi and blood can not go down smoothly, cell uterus,uterus sequence of thought lost nourishment, lead to kidney-Tiangui-Chongren-cell uterus reproductive axis can not play a normal role. Creating a treatment of tonifying the kidney and benefiting the essence, activate blood circulation and remove blood stasis, basic prescription is Chuanduan,Tusizi, Dihuang, Shanyurou, Hanliancao each 10 g, Danggui, Danshen each 15 g, Yiyiren 20 g, Chenpi 6 g, Zexie 10 g. Premenstrual supplementation of kidney Yang, add Bajitian 10 g, Lujiao15 g; menstrual circulation of activating blood circulation and meridion, add Yimucao 15 g, Zelan 10 g; Nourishing kidney Yin mainly in the late period of menstruation, add Shanyao 10 g, Huangjing 15 g; Tonifying the kidney and regulating Qi and blood to promote ovulation during ovulation period, add Roucongrong 10 g, Chuanxiong 10 g. Significant improvement polycystic ovary syndrome menstrual cycle,menstrual volume,menstrual colour,soreness and weakness of waist and knees etc, kidney deficiency and blood stasis syndrome, hormone levels and ovarian volume tend to be normal, embody the view of the whole. An empirical case of kidney deficiency and blood stasis irregular menstruation(polycystic ovary syndrome).
引文
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[3]卢会燕,赵可宁.多囊卵巢综合征中医治疗研究[J].吉林中医药,2011,1(2):207-208.
[4]李红,常新勇.苍附导痰汤加减结合达英-35治疗多囊卵巢综合征的临床效果观察[J].河南医学研究,2014,23(10):44-46.
[5]王庆其.内经选读[M].北京:中国中医药出版社,2009:29.
[6]张锡纯.医学衷中参西录(合订本)[M].石家庄:河北人民出版社,1977:574.
[7]楼英.医学纲目[M].北京:人民军医电子出版社,1999:938.
[8]于胜君,徐莲薇.多囊卵巢综合征的中西医药物疗法[C]//第十次全国中医妇科学术大会论文集,哈尔滨:中华医学会妇产科分会,2010:372-376.
[9]尤昭玲.补肾化瘀法治疗多囊卵巢综合征心得[J].江苏中医药,2006,27(3):67-68.
[10]孙维峰,刘毅.补肾活血法结合调周期治疗多囊卵巢综合征探讨[J].贵阳中医学院学报,2007,29(4):456-458.
[11]陈士铎.本草新编[M].北京:中国中医药出版社,1996.
[12]宋立人,洪恂,丁绪亮,等.现代中药学大辞典[M].北京:人民卫生出版社,2001:761.
[13]张廷模,陈先男,文昌凡,等.中药学[M].北京:高等教育出版社,2001.
[14]周丽萍.中西医结合治疗多囊卵巢综合征30例观察[J].浙江中医杂志,2017,52(6):442.
[15]国家中医药管理局.中医病征诊断疗效标准[S].南京:南京大学出版社,1994:251-253.
[16]高鹏翔,卜平.中医学[M].8版.北京:人民卫生出版社,2013.