浅析《傅青主女科》从肝认识非肥胖型多囊卵巢综合征

A Brief Analysis of the Treatment of Non-Obese Polycystic Ovary Syndrome from the Liver in the “Fu Qingzhu Gynecology”

摘要: 《傅青主女科》理法严谨，方药简效，对妇科疾病的治疗有其独到见解，尤其善用治肝法治疗妇科疑难病证，重视脏腑辨证，从肝、脾、肾入手辨治妇科疾病，注重肝“体阴而用阳”的生理特点和脏腑间五行制化关系，注重肝与脾肾，以及气血之间的联系。采用疏肝解郁、平肝降逆、清肝泻火、养血柔肝、滋水涵木、健脾舒肝、补肾舒肝等调肝方法；用药方面，调肝注重养气血、巧用风药、善用药对、善于对古方继承创新。本文通过研读《傅青主女科》，探索其有关非肥胖型多囊卵巢综合征相关症状的描述记载，以肝为中心浅析《傅青主女科》中关于非肥胖型多囊卵巢综合征的病因病机认识及其治法用药特点，从而为临床多囊卵巢综合征患者的治疗提供理论依据和创新思路。

Abstract: “Fu Qingzhu Gynecology” has rigorous theory, simple prescription medicine, and unique insights into the treatment of gynecological diseases, especially the good use of liver treatment method to treat difficult gynecological diseases, pay attention to the differentiation of Zang-fu organs, start from the liver, spleen and kidney to identify and treat gynecological diseases, pay attention to the physiological characteristics of the liver “body yin and use yang” and the five-element systematization relationship between Zang-fu organs, pay attention to the connection between liver and spleen and kidney, as well as qi and blood. Liver regulation methods such as soothing the liver and relieving depression, calming the liver and reducing adversity, clearing the liver and pouring fire, nourishing the blood and softening the liver, nourishing water and wood, strengthening the spleen and soothing the liver, tonifying the kidney and relaxing the liver are adopted; In terms of medication, liver regulation pays attention to nourishing qi and blood, skillfully using wind medicine, making good use of medicine, and being good at inheriting and innovating ancient formulas. In this paper, by reading “Fu Qingzhu Gynecology”, we explore the description and records of the symptoms associated with non-obese PCOS and analyze the etiology pathogenesis and treatment characteristics of non-obese PCOS in “Fu Qingzhu Gynecology” with the liver as the center, so as to provide a theoretical basis for the treatment of clinical polycystic ovary syndrome patients.