从心论治多囊卵巢综合征
Treating Polycystic Ovary Syndrome from the Heart
DOI: 10.12677/tcm.2025.142097, PDF,   
作者: 赵雨曈, 赵敏英*:石家庄市人民医院妇产科,河北 石家庄
关键词: 多囊卵巢综合征心脏交通心肾脾脏肝脏Polycystic Ovary Syndrome Heart Harmonizing Heart and Kidneys Spleen Liver
摘要: 多囊卵巢综合征(PCOS)是以月经不调为主要病理特征的妇科常见病,其发病机制与心、肾、肝、脾等脏腑功能失调有关。中医传统上强调对肾脏、肝脏和脾脏的调理,然而心脏作为主管血脉的器官,且是五脏之首,与其他四脏(肾、肝、脾、肺)之间在生理机能以及病理变化上有着紧密的联系,在PCOS的发生发展中不容忽视。当心脏功能出现异常,或者心脏与其他四脏之间的协调关系失衡时,均可引发PCOS。“从心论治”,即深入探讨心脏的生理特性及其与其他脏腑之间的关系,以此来理解心脏与PCOS发病之间的关联性,并从宁心安神、交通心肾等角度治疗PCOS。
Abstract: Polycystic Ovary Syndrome (PCOS) is a common gynecological disorder primarily characterized by menstrual irregularities, with its pathogenesis related to dysfunctions in the heart, kidneys, liver, spleen, and other visceral organs. Traditional Chinese medicine has always emphasized the regulation of the kidneys, liver, and spleen. However, the heart, being the organ that governs the blood vessels and is considered the chief among the five viscera, has close connections with the kidneys, liver, spleen, and lungs both physiologically and pathologically, playing an indispensable role in the occurrence and development of PCOS. When the cardiac function is abnormal or the coordination between the heart and the other four viscera is imbalanced, it can trigger PCOS. “Treating from the perspective of the heart” involves delving into the physiological characteristics of the heart and its relationship with other visceral organs to understand the correlation between the heart and the onset of PCOS, and treating PCOS from the angles of calming the mind, stabilizing the spirit, and harmonizing the interaction between the heart and kidneys.
文章引用:赵雨曈, 赵敏英. 从心论治多囊卵巢综合征[J]. 中医学, 2025, 14(2): 643-649. https://doi.org/10.12677/tcm.2025.142097

参考文献

[1] 边智伟, 吴承玉. “女子以血为本”探析[J]. 吉林中医药, 2011, 31(5): 391-392.
[2] 张楠. “心主血脉”探讨[J]. 中国医学创新, 2013, 10(5): 152-153.
[3] 郭霞珍. 中医基础理论[M]. 上海: 上海科学技术出版社, 2006.
[4] 王雪, 赵燕, 吴昊, 等. 中医心、血、神三者间关系的理论探讨[J]. 环球中医药, 2018, 11(12): 1909-1913.
[5] Hou, R., Garner, M., Holmes, C., Osmond, C., Teeling, J., Lau, L., et al. (2017) Peripheral Inflammatory Cytokines and Immune Balance in Generalised Anxiety Disorder: Case-Controlled Study. Brain, Behavior, and Immunity, 62, 212-218. [Google Scholar] [CrossRef] [PubMed]
[6] 赵振武, 郭蓉娟, 顾丽佳, 等. 焦虑症肝郁化火的动物实验炎症机制研究[J]. 中华中医药杂志, 2020, 35(4): 2010-2013.
[7] 闫菲, 史云, 赵琦, 等. 中西医女性生殖轴互参探讨继发性闭经的辨治思路[J]. 环球中医药, 2020, 13(7): 1178-1181.
[8] 张嘉鑫, 郭宇, 顾然, 等. 根据“心胃相关”理论从心论治脾胃病[J]. 环球中医药, 2017, 10(12): 1464-1467.
[9] 冯晓玲, 张婷婷. 中医妇科学[M]. 北京: 中国中医药出版社, 2021.
[10] 李丽芬. 从“心”论治闭经的体会[J]. 中医药学报, 2010, 38(1): 79-80.
[11] 魏有为, 任青玲, 胡荣魁. 论心与多囊卵巢综合征性不孕症的相关性[J]. 山东中医杂志, 2018, 37(4): 279-281.
[12] 傅山. 傅青主女科[M]. 北京: 人民卫生出版社, 2019.
[13] 江小悦, 周惠芳. 周惠芳基于“心肾交合”及“微炎症”理论论治多囊卵巢综合征合并先兆流产[J]. 辽宁中医杂志, 2023, 50(5): 30-33.
[14] 张宁, 王彤. 从《内经》“诸血者, 皆属于心”论治闭经探析[J]. 环球中医药, 2019, 12(10): 1543-1545.
[15] 沈雁, 潘峰. 多囊卵巢综合征患者Th1/Th2失衡的临床意义[J]. 中华内分泌外科杂志, 2018, 12(5): 419-421, 429.
[16] 付琳, 付强, 李冀, 等. 黄连化学成分及药理作用研究进展[J]. 中医药学报, 2021, 49(2): 87-92.
[17] 王芹, 杨晓葵, 辛志敏. 氧化应激、线粒体损伤与胚胎发育阻滞的相关性研究进展[J]. 中国优生与遗传杂志, 2021, 29(7): 1030-1033.
[18] 施继尧, 王蒙, 吴弢. 莲子心的化学成分及生物活性研究进展[J]. 中医药导报, 2018, 24(21): 105-108.
[19] 陶晓倩, 李娜, 曹亮, 等. 桂枝茯苓胶囊中主要成分对人子宫肌瘤细胞增殖及小鼠离体子宫收缩活动的影响[J]. 中国实验方剂学杂志, 2016, 22(2): 91-96.
[20] 祁建宏, 董芳旭, 王凯. 阿胶现代药理作用及其机制研究进展[J]. 宜春学院学报, 2020, 42(9): 23-25, 45.
[21] Alay, I., Kaya, C., Yildiz, S., Cengiz, H., Afandi, X. and Yasar, L. (2020) The Feasibility of Natural Orifice Transluminal Endoscopic Surgery in Gynecology Practice: Single-Surgeon Experience. Gynecology and Minimally Invasive Therapy, 9, 69. [Google Scholar] [CrossRef] [PubMed]
[22] 何越, 林丽娜, 张天婵, 等. 基于中医心身医学理论探讨妇科疾病治疗[J]. 辽宁中医杂志, 2023, 50(7): 66-69.
[23] 谭秋晓, 张红梅, 李洁明, 等. 多囊卵巢综合征患者抑郁和焦虑发病现状及影响因素分析[J]. 实用医学杂志, 2020, 36(23): 3288-3292.