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1、多囊卵巢及多囊卵巢綜合征的中醫(yī)辨證與治療190環(huán)球中醫(yī)藥2010年5月第3卷第3期GlobalTraditionalChineseMedicine,May2010,Vo1.3,No.3多囊卵巢及多囊卵巢綜合征的中醫(yī)辨證與治療江丹【摘要】屬于臨床亞健康狀態(tài)的多囊卵巢與由此導(dǎo)致的較嚴(yán)重的內(nèi)分泌失調(diào)的病癥——多囊卵巢綜合征都是導(dǎo)致不孕的常見原因.根據(jù)中醫(yī)基本理論,將多囊卵巢及多囊卵巢綜合征分為3個(gè)證型:脾腎氣虛,水濕停聚;腎陰不足,濕聚痰凝;肝氣郁結(jié),淤血停滯.中醫(yī)學(xué)通過(guò)針灸,中藥的治療,建立一個(gè)更為規(guī)律的月經(jīng)周期,從而達(dá)到調(diào)經(jīng)和促孕的目的.通過(guò)在英國(guó)接診的不同情況的治愈
2、病案,提示:根據(jù)現(xiàn)代醫(yī)學(xué)的診斷依據(jù),將可以提高中醫(yī)治療不孕的針對(duì)性;利用中醫(yī)的辨證論治,可以提高治療不孕的有效性;盡早選擇中醫(yī)治療方法,借助中醫(yī)療法對(duì)亞健康狀態(tài)治療的優(yōu)勢(shì),將多數(shù)患者治愈在多囊卵巢這種亞健康狀態(tài),應(yīng)該是中醫(yī)診斷治療的重點(diǎn).【關(guān)鍵詞J多囊卵巢;多囊卵巢綜合征;不孕癥;中醫(yī)【中圖分類號(hào)】R271.9【文獻(xiàn)標(biāo)識(shí)碼】Adoi:10.3969/j.issn.1674—1749.2010.03.008TCMtreatmentofpolycystieovaryandpolycysticovarysyndromeJIANGDan.AsanteAcademyofChi
3、neseMedicine,IMiddlesexUniversity,London,UnitedKingdom【Abstract】Toseparatepolycysticovary(PCO)whichhasbeenappearedagradualrisingincidenceandbelongstoapre—clinicalcondition,andpolycysticovarysyndrome(PCOS)whichisadiseaseofsexualhormonaldisorder.Bothofthemarecommonreasonstocauseinfertili
4、ty.IdentifyPCOandPCOSintothreepatterns,Qideficiencyofspleenandkidney,accumulationoffluidandstasisofblood;kidneyYangdeficien-eyandaccumulationoffluidandphlegm;liverQistagnationandbloodstasis,accordingtothetheoryofTCMtofindaneffectiveroutinetoregulatemenstrualcircleandassistapregnancythr
5、oughacupunctureandChi-neseherbalmedicine.TreatingmethodandtypicalcaseswhicharetreatedinUKhavebeenreported.TheconclusionismanagingthetreatingmethodofTCM,takingareferenceofdiagnosisfromconventionalwesternmedicine(CWM)willmakemorespecializedandeffectivetreatingleve1.ThemethodofintegratedT
6、CMandCWMwillraiseefficacyofTCMratherthanitstraditionalway.TCMwillappearitsadvantagetotreatthepre—clinicalstageofaseverediseaseandbartheorganicdisease'Soccurrence.【Keywords】Polycysticovary;Polycysticovarysyndrome;Infertility;TCM多囊卵巢(polycysticovary,PCO)是指女性在B型超聲(B超)檢測(cè)時(shí),被發(fā)現(xiàn)卵巢上分布許多未成熟的小卵泡
7、.臨床表現(xiàn)主要有月經(jīng)后期或偶爾閉經(jīng),也可能沒有明顯臨床表現(xiàn)而在不孕就診檢測(cè)時(shí)被發(fā)現(xiàn).PCO發(fā)生率較高,據(jù)報(bào)道有1/5的女性有作者單位:AsanteAcademyofChineseMedicineinMiddlesexUni.vemity,London,UnitedKingdom/英國(guó),倫敦,米杜薩克斯大學(xué)中醫(yī)院作者簡(jiǎn)介:江丹,女,醫(yī)學(xué)碩士,英國(guó)注冊(cè)針灸師,中醫(yī)師.歐盟資助歐中中醫(yī)藥科研團(tuán)隊(duì)中醫(yī)臨床專家,北京中醫(yī)藥大學(xué)客座教授,英國(guó)倫敦名醫(yī)街(Harleystreet)駐診中醫(yī)師.E—mail:djiang52@hotmail.COrn?論著?這樣的征象J.多囊卵
