Differential Diagnosis and Treatment of Hyper and rogenemia in Polycystic Ovary Syndrome with State Target

ZHANG Lili; TONG Xiaolin; ZHAO Linhua; ZHAO Hongyu; LIU Xinmin

doi:10.3969/j.issn.1673-7202.2021.22.020

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Differential Diagnosis and Treatment of Hyper and rogenemia in Polycystic Ovary Syndrome with State Target

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Differential Diagnosis and Treatment of Hyper and rogenemia in Polycystic Ovary Syndrome with State Target
1.Guang'anmen Hospital, Chinese Academy of Traditional Chinese Medicine, Beijing 100053, China
DOI：10.3969/j.issn.1673-7202.2021.22.020

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ZHANG Lili, TONG Xiaolin, ZHAO Linhua, et al. Differential Diagnosis and Treatment of Hyper and rogenemia in Polycystic Ovary Syndrome with State Target[DB/OL].（2022-11-18）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.3969/j.issn.1673-7202.2021.22.020
DOI：

ZHANG Lili, TONG Xiaolin, ZHAO Linhua, et al. Differential Diagnosis and Treatment of Hyper and rogenemia in Polycystic Ovary Syndrome with State Target[DB/OL].（2022-11-18）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.3969/j.issn.1673-7202.2021.22.020 DOI：

摘要

高雄激素血症（HA）是多囊卵巢综合征（PCOS）的重要内分泌特征之一。笔者临证时在辨证论治的基础上结合“态靶因果”处方策略，认为PCOS-HA核心病机为“热”，根据“分类-分证”思想，结合门诊病例，初步构建PCOS-HA“分类-分证”辨治方案，对上、中、下三焦3类PCOS-HA的热态进行分析，总结辨证要点，提出调治热态内环境的靶向方——凉膈散、黄连阿胶汤、半夏泻心汤、知柏地黄汤、丹栀逍遥散，以及靶向药——黄芩、黄连、栀子、知母、生地黄、黄柏等。

Abstract

Hyperandrogenemia (HA) is one of the important endocrine features of polycystic ovary syndrome (PCOS) . On the ba-sis of syndrome differentiation and treatment, combined with the prescription strategy of "state target cause and effect", the author thinks that the core pathogenesis of PCOS-HA is "heat" . According to the idea of "classification-sub-syndrome" and combined with outpatient cases, the scheme of "classification-sub-syndrome differentiation" of PCOS-HA is preliminarily constructed. The heat state of upper, middle and lower triple jiao PCOS-HA is analyzed, and the main points of syndrome differentiation are summa-rized. We put forward the target prescription of regulating hot internal environment-Liangge Powder, Huanglian Ejiao Decoction, Banxia Xiexin Decoction, Zhibai Dihuang Decoction, Danzhi Xiaoyao Powder, and target drugs-Radix Scutellariae, Rhizoma Copti-dis, Fructus Gardeniae, Rhizoma Anemarrhenae, Radix Rehmanniae Recens, Cortex Phellodendri.

关键词

多囊卵巢综合征高雄激素血症态靶因果上焦中焦下焦中医药治疗

Keywords

Polycystic ovary syndromeHyperandrogenemiaTarget cause and effectUpper-jiaoMiddle-jiaoLower-jiaoTreatment with traditional Chinese medicine

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