摘要
目的探讨多囊卵巢综合征(PCOS)的中医证素规律。方法选择83例PCOS患者作为观察对象,采用证素辨证及积分方法进行临床观察。结果 PCOS患者的病位主要在胞宫、肾,其次为肝、脾、肺;PCOS虚证证素积分从高到低依次为气虚、阴虚、阳虚、血虚,气虚积分显著高于阴虚、阳虚、血虚积分(P<0.01);实证证素积分从高到低依次为气滞、痰、湿、血瘀、热,气滞积分显著高于痰、湿、血瘀、热积分(P<0.01)。结论 PCOS的病位以胞宫、肾为先,从胞宫、肾论治本病具有重要意义;虚证证素以气虚为主,实证证素以气滞为主,病性多为本虚标实,单纯虚及单纯实的证素均较少。
Objective To explore the regular of TCM syndrome elements of polycystic ovary syndrome （PCOS）. Methods 83 PCOS patients were observed by syndrome elements differentiation and integral methods in clinic. Results The main locations of disease of PCOS patient were uterus, kidney and then in liver, spleen and lungs ; in asthenia syndromes of PCOS, the integrals of syndromes elements were gradually reduced from Qi deficien-cy to Yin deficiency to Yany deficiency to blood deficiency, the integrals of syndromes elements of Qi deficiency were significantly higher than that of Yin deficiency, Yang deficiency and blood deficiency respectively（ P〈O. O1 ） ; in sthenia syndromes of PCOS, the integrals of syndromes elements were gradually reduced from Qi stagnation to phlegm to dampness to blood stasis to heat, the integrals of syndromes elements of Qi stagnation were significantly higher than that of phlegm, dampness, blood stasis and heat respectively （P〈O. O1 ）. Conclusion In PCOS, the main locations of disease were uterus and kidney, it was most important that polycystic ovary syndrome patients should be treatment through uterus and kidney;in asthenia syndromes of PCOS is mainly of Qi deficiency,in sthenia syndromes of PCOS is mainly of Qi stagnation,the nature of disease of PCOS was mixture of asthenia and sthenia, and simple asthenia syndromes and simple sthenia syndromes of PCOS were more little.
出处
《甘肃中医学院学报》
2012年第6期45-48,共4页
Journal of Gansu College of Traditional Chinese Medicine
关键词
多囊卵巢综合征
证素
中医辨证
polvcvstic ovary syndrome
syndromes elements
syndrome differentiation
