多囊卵巢综合征中医治疗指南ppt课件.ppt

PolycysticOvarianSyndrome(PCOS)Treatmentguidelineswithchinesemedicine多囊卵巢综合征中医治疗指南,1,subject,PCOSoutline,polycysticovarysyndrome(多囊卵巢综合征)PolycysticOvarianSyndromeisthecharacteristiclesionwhichhasaKaohsiunghormones,ovulatorydysfunctionandpolycysticovary.suchasmenstrualdisorderinfertility,hirsutism,obesity，etc.Thediseaseinvolvesmultiplesystems，anditiscomplexforclinicaldiagnosisandtreatment.IntheancientliteratureofTCMdiseasehadnotdescribedinPolycysticOvarySyndrome,thatmainlyaccordingtoclinicalmanifestations.Itcanbeattributedtobeonthetreatmentofhypomenorrhea,amenorrheainfertility,menstrualperiodetc.Inrecentyears,thediseaseofChinesemedicinetreatmentsisgraduallyhighlightitsadvantages，whichcanfundamentallyrelievethepatientpain.多囊卵巢综合征是一种高雄激素血症、排卵障碍及多囊卵巢为特征的病变。临证多见月经失调、不孕、肥胖、多毛等症。中医古代文献中并无多囊卵巢综合征病名,主要根据其临床表现予以论治,可归于月经过少、月经后期、闭经、不孕症等范畴。近些年中医药对该病的治疗逐渐凸显其优势,可从根本上缓解病患痛。,Etiologyandpathogenesisanalysis病因病机分析,Among209articles,141articlesbelievePCOSisrelatedtokidneydeficiency;11articlesbelieveitsrelatedtospleenamongwhich9believeitsduetospleendeficiency;22articlesbeieveitsrelatedtospleenandkidneydeficiency;39articlesbelieveitsrelatedtoliver;Pathologicalfactors:130articlesbelieveitsoccurrenceisrelatedtophlegm;77articlesbelieveitsrelatedtobloodstasis;1articlesbelievesitsrelatedtophlegm-heat.从病因病机学分析的209篇文章中看，有141篇文章认为多囊卵巢综合征与肾虚关系密切；有11篇认为脾脏有关，其中9篇认为脾虚所致；有22篇认为与脾肾相关，即脾肾两虚。有39篇(占18.66%)认为与肝脏有关。从病理因素上看，有130篇认为与痰有关；有77篇认为与血瘀有关；有1篇则认为与郁热有关。,Medicationanalysis常用药物分析,Thecommonyangreinforcingmedicinesaresemencuscutae,herbaepimedii,velvetantler,radixmorindaeofficinalis,rhizomacurculiginis,psoralens,cistanche,eucommiaulmoides,radixdipsaci,placentahominis,etc.补阳药:菟丝子、淫羊藿、鹿角胶、鹿角霜、巴戟天、仙茅、补骨脂、肉苁蓉、杜仲、续断、紫河车等Thecommonqireinforcingmedicinesarecodonopsis,astragalus,actractylodesmacrocephala,yam,licorice.补气药:党参、黄芪、白术、山药、甘草等；Thecommonbloodreinforcingmedicineareangelica,preparedradixrehmanniae,radicespaeoniaealba,polygonummultiflorum,etc.补血药:当归、熟地、白芍、何首乌等；Thecommonyinreinforcingmedicinearemedlar,fructusligustrilucidi,herbaceliptae,etc.补阴药:枸杞子、女贞子、旱莲草等；,Medicationanalysis常用药物分析,medicineforpromotingbloodcirculationandremovingbloodstasisincludingligustrazin,radixcurcumae,redsageroot,peachseed,safflower,motherwort,radixachyranthisbidentatae,caulisspatholobi,pangolin,herbalycopi,etc.活血化瘀药:川芎、丹参、郁金、桃仁、红花、益母草、牛膝、穿山甲、鸡血藤、泽兰等；medicineforrelievingfever,includingprunella,fructusgardeniae,radixScutellariae,rootofrehmannia,cortexmoutan,radixpaeoniaealba,anemarrhenaasphodeloides,etc.清热药:夏枯草、栀子、黄芩、生地、丹皮、赤芍、知母等；medicineforregulatingqi,includingdriedtangerinepeel,rhizomacyperi,fructusaurantiiimmaturus,etc.理气药:陈皮、香附、枳实等；,Medicationanalysis常用药物分析,medicineforremovingphlegm,includingpinelliaternata,arisaemacumbile,spinagleditsiae,caladium,semenbrassicae,etc.化痰药:半夏、胆南星、阜角刺、贝母、白芥子等；medicineforclearingdampnessandpromotingdiuresis,includingtuckahoe,rhizomaalismatis,plantainseeds,semencoicis,etc.利水渗湿药:茯苓、泽泻、车前子、薏苡仁等；Thesesixkindsofmedicinemakeup81.63%ofthetotalmedicineused.此六种在用药中所占比例（累计频率）达81.63%。,Clusteranalysisofmedicine聚类方分析,CIprescription:radixbupleuri,prunellaC1方：柴胡、夏枯草。C2prescription:arisaemacumbile,fructusaurantiiimmaturus,pangolin,rhizomacurculiginis,rhizomacyperi,redsageroot,radixpaeoniaealba,motherwort,cortexmoutan,rootofrehmannia,plantainseeds,radicespaeoniaealba,rhizomaalismatisC2方：胆南星、枳实、穿山甲、仙茅、香附、丹参、赤芍、益母草、丹皮、生地、车前子、白芍泽泻。C3prescription:yam,codonopsis,licorice,medlar,radixachyranthisbidentatae,tuckahoe,peachseed。C3方：山药、党参、甘草、枸杞子、牛膝、获苓、桃仁。,Clusteranalysisofmedicine聚类方分析,C4prescription:actractylodesmacrocephala,astragalus,acorusgramineussoland,atractylodesrhizome,psoralens,pinelliaternata,driedtangerinepeel,spinagleditsiae。C4方：白术、黄芪、石菖蒲、苍术、补骨脂、半夏、陈皮、皂角刺。C5prescription:radixdipsaci,caulisspatholobi,fructusligustrilucidi,velvetantler,eucommiaulmoides,semencuscutae,istanche,herbaepimedii,radixmorindaeofficinalis,angelica,amethyst,preparedradixrehmanniae,safflower,ligustrazin.C5方：续断、女贞子、鸡血藤、鹿茸、杜仲、冤丝子、肉灰蓉、淫羊藿、巴戟天、当归、紫石英、熟地黄、红花、川芎。,conclusion结论,(1)Kidneydeficiency,bloodstasisandphlegmarethebasicpathogenesisofPCOS.肾虚血瘀痰浊是PCOS的基本病机。(2)PCOSmedicinesaregenerallytonicsandmedicineforpromotingbloodcirculationandremovingstasis.PCOS治疗用药以补虚药、活血化瘀药味为主导。(3)Accordingtothemedicinetheoryandclinicalknowledge,theauthorclustersthemedicineinto5groupsandsummarizesthebasicprescriptionforvariousPCOStypes:liverqistagnation;kidneydeficiency,dampnessandbloodstasis;spleenandkidneyyangdeficiencyandbloodstasis;spleenandkidne