基于“阳化气，阴成形”理论从“痰”论治多囊卵巢综合征性不孕症

On the Treatment of Polycystic Ovary Syndrome Infertility from the Perspective of “Phlegm” Based on the Theory of “Yang Transforming Qi and Yin Shaping”

摘要: 多囊卵巢综合征(Polycystic Ovary Syndrome, PCOS)是一种女性常见内分泌疾病，而不孕是PCOS的常见临床表现。脾肾阳虚“阳化气”不足而导致“阴成形”太过形成以痰为核心的病理产物是PCOS不孕症发生的重要原因。基于“阳化气，阴成形”理论治疗PCOS不孕，“阳化气”不足则温肾健脾以治本，“阴成形”太过则化痰袪瘀以治标。本文基于“阳化气，阴成形”理论探讨PCOS不孕症的证治机理，从痰湿、痰瘀、痰郁出发，探讨目前中医对本病的理论研究及治疗现状，为临床治疗PCOS不孕症提供一定的思路与依据。

Abstract: Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder in women, and infertility is a common clinical manifestation of PCOS. Deficiency of spleen and kidney Yang, insufficient “Yang transforming qi”, leading to excessive “Yin shaping” and the formation of pathological products centered on phlegm, is an important cause of PCOS infertility. Based on the theory of “Yang transforming qi and Yin shaping”, PCOS infertility is treated. When “Yang transforming qi” is insufficient, the kidney is warmed and the spleen is strengthened to address the root cause; when “Yin shaping” is excessive, phlegm is transformed, and blood stasis is removed to treat the symptoms. This article explores the therapeutic mechanism of PCOS infertility based on the theory of “Yang transforming qi and Yin shaping”. Starting from phlegm-dampness, phlegm-stasis and phlegm-depression, it discusses the current theoretical research and treatment status of this disease in traditional Chinese medicine, providing certain ideas and basis for the clinical treatment of PCOS infertility.