摘要
络病是病邪损伤机体之脉络而引起的病变,其以络脉损伤为基础,以气血失调为特征,以脏腑功能紊乱为临床表现。而络脉纵横交错,网络全身,是络病的中心环节,任何原因导致的络脉郁滞、络脉空虚致络脉损伤便可导致络病。痰浊、瘀血作为病理产物又可影响气血运行,壅滞经络,络脉损伤而加重痰瘀病邪的聚集而发病,因此,痰瘀互结是络脉损伤的基本病理因素,是络病的关键环节,为多种疾病发病的主要病机。多囊卵巢综合征(PCOS)为临床常见的女性生殖内分泌功能障碍及代谢紊乱性疾病,可表现为月经紊乱、闭经甚至不孕,或伴有肥胖、痤疮、多毛等体征改变。其病机本质为脏腑功能紊乱、气血失调、痰瘀互结阻滞胞宫络脉而发病。PCOS病情复杂,病程迁延难愈,也符合“久病入络”的特点,基于络病学说与痰瘀互结理论辨证论治PCOS,临床应结合中医四诊信息,灵活运用化痰通络、祛瘀通络、理气通络、补虚通络等方法,痰瘀同治,标本兼施,同时顾护脏腑气血之功,以期提高临床疗效。
Collateral disease is the lesion caused by pathogenic factors to the collaterals of the body.It is based on the damage of the collaterals,characterized by the disorder of Qi and blood and manifested as visceral dysfunction in clinic.Collateral vessels crisscross throughout the body,and are the central link of collateral disease.Collateral disease can be caused by the damage of the collaterals due to stagnation and deficiency of the collaterals for any reason.As pathological products,phlegm-turbidity and blood stasis can also affect the circulation of Qi and blood,obstruct meridians,and damage collaterals,which aggravates the aggregation of phlegm and blood stasis.Therefore,intermin-gled phlegm and blood stasis is the basic pathological factor of collateral damage,is the key link of collateral disease,and is the main pathogenesis of many diseases.Polycystic ovarian syndrome(PCOS)is a common clinical female reproductive endocrine dysfunction and metabolic disorders,which can be manifested as menstrual disorders,amenorrhea and even infertility,or accompanied by obesity,acne,hirsutism and other physical changes.The essence of its pathogenesis is the dysfunction of viscera,Qi and blood disorder,and blockage of collaterals of the uterus caused by intermin-gled phlegm and blood stasis.The disease of PCOS is complex,the course of the disease is prolonged and difficult to cure,and it also conforms to the characteristics of"chronic disease damaging the collaterals".Differatiating and treating PCOS based on the theories of collateral disease and the intermin-gled phlegm and blood stasis,we should combine the information of the four diagnostic methods of traditional Chinese medicine and use the methods of removing phlegm for dredging collaterals,removing blood stasis for dredging collaterals,regulating Qi for dredging collaterals,and tonifying deficiency for dredging collaterals flexibly in clinic.In this way,we can achieve the treatment of both phlegm and blood stasis and both the symptoms and the root causes,as well as the protection of Qi and blood of zangfu-organs,so as to improve the clinical efficacy.
作者
朱秀娟
赵秀萍
Zhu Xiujuan;Zhao Xiuping(Department of Gynecology,Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029)
出处
《山西中医药大学学报》
2024年第12期1352-1356,共5页
Journal of Shanxi University of Chinese Medicine
基金
北京中医药大学基本科研业务费项目青年教师项目(2019-JYB-JS-190)。
关键词
多囊卵巢综合征
络病学说
络脉
痰瘀互结
病因病机
PCOS
the theory of collateral disease
collaterals
intermin-gled phlegm and blood stasis
etiology and pathogenesis
