摘要：
[目的]从五脏角度探讨多囊卵巢综合征的中医病机与治疗,丰富多囊卵巢综合征脏腑辨证理论.[方法]以古代文献和现代临床研究为理论基础,从心、肝、脾、肺、肾五脏来论述分析多囊卵巢综合征的中医病机与治则方药,探讨多囊卵巢综合征与五脏之间的关系.[结果]气、血、精、津液在五脏之间的化生、转输和相互作用是动态的,多囊卵巢综合征的发病病机以五脏气血精津失调为本,痰湿瘀血致病为标,故当以补肺宣肺、益气宁心、补脾养血、清肝疏肝、补肾固精为治病之本,燥湿化痰活血为治病之标,达到标本兼治,恢复五脏生理功能,改善月经失调、不孕、多毛及痤疮等临床症状.[结论]五脏在多囊卵巢综合征发病病机中联系紧密,临证时应从整体出发,拓宽治疗思路,发展并创新脏腑辨证在多囊卵巢综合征的应用.%[Objective]To explore the pathological mechanism and treatment of polycystic ovary syndrome in traditional Chinese from the angle of five viscera, and to enrich the theory in differentiation syndrome of solid-hollow viscera.[Methods]Based on ancient literature and modern clinic investigation,we discuss polycystic ovary syndrome from five viscera,at the same time,different viscera has its own etiology and pathogenesis,so according to five viscera syndrome differentiation,we can take different treatment and prescription respectively. [Results]The generation,transmission,mutual interaction of qi,blood,essence, body fluids in five viscera are dynamic.The pathological mechanism of polycystic ovary syndrome is based on the imbalance of qi,blood,essence,body fluids in internal organs,while phlegm wet and blood stasis are considered as treetop.Consequently,which are seen as the radical treatment such as to tonify and diffuse the lung, replenish qi and to calm down the heart, invigorate the spleen and nourish blood, to clear and soothe the liver, to tonify the kidney and secure the essence. While dampness drying, phlegm resolving, and blood activation are the treatment of treetop aspect, then they can reach the purpose of simultaneous treatment of treetop and root.As a result,the physiological function of five viscera will recover,clinical symptoms such as menstrual disorder, infertility,hirsutism and acne will be improved.[Conclusion]In clinic,we should start from the overall,broaden the train of thought,develop and innovate the application in differentiation syndrome of solid-hollow viscera.
