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 11articlesbelieveit srelatedtospleenamongwhich9believeit sduetospleendeficiency 22articlesbe ieveit srelatedtospleenandkidneydeficiency 39articlesbelieveit srelatedtoliver Pathologicalfactors 130articlesbelieveitsoccurrenceisrelatedtophlegm 77articlesbelieveit srelatedtobloodstasis 1articlesbelievesit srelatedtophlegm 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 spleenandkidneyyangdeficiencyandbloodst