林洁从“阳化气,阴成形”论治多囊卵巢综合征

多囊卵巢综合征(polycystic ovary syndrome,PCOS)患者的卵泡发育异常与"阳化气,阴成形"功能失衡密切相关。在PCOS患者的月经周期变化中,"阳化气"与"阴成形"的功能失调常见两种阴阳失衡表现。其一是"阴成形"不足,"阳化气"相对过盛;其二是"阴成形"太过,"阳化气"乏力。林洁教授将PCOS患者从胖、瘦两种体型辨证施治,瘦型PCOS患者的发病之本为"阳化气"太过,其标为"阴成形"不足,多辨为心肝火旺证,采用以丹栀逍遥散为基础方化裁的多囊Ⅰ号方治疗;胖型PCOS患者发病之本为"阳化气"乏力,其标为"阴成形"太过,采用以导痰汤为基础化裁的多囊Ⅱ号方治疗。另外,属患者养成健康的饮食习惯和良好的生活习惯,选择适合的运动方式,病情严重者进行必要的心理疏导。

Lin Jie′s Experience of Treating Polycystic Ovary Syndrome Based on the Theory of "Yang Transforming Qi and Yin Constituting Form"

The abnormal follicular development in polycystic ovary syndrome(PCOS) is closely related to the functional imbalance of "yang transforming qi and yin constituting form".In the menstrual cycle changes of PCOS patients,the dysfunction of "yang transforming qi" and "yin constituting form" is easy to see the following two kinds of imbalance of yin and yang.One is the deficiency of yin constituting form and the relative excess of yang transforming qi.The other is the excess of yin constituting form and the deficiency of yang transforming qi.Professor Lin Jie treats PCOS patients from fat and thin body types.The pathogenesis of thin PCOS patients is that yang transforming qi is too excessive,which is the primary aspect,and yin constituting form is deficient,which is the second aspect.Most of them are identified as heart and liver fire hyperactivity syndrome.No.Ⅰ Formula for PCOS based on Cortex Moutan and Fructus Gardeniae Free Wanderer Powder is often used.The pathogenesis of fat PCOS patients is that yang transforming qi is too deficient,which is the primary aspect,and yin constituting form is excessive,which is the second aspect.No.Ⅱ Formula for PCOS based on Phlegm-Expelling Decoction is often used.Patients should develop healthy eating habits and good living habits,choose suitable exercise methods.It is necessary to carry out psychological counseling for patients with serious illness.