多囊卵巢综合征中医治疗指南PPT参考幻灯片

PolycysticOvarianSyndrome(PCOS)Treatmentguidelineswithchinesemedicine多囊卵巢综合征中医治疗指南2016级科硕一班袁榕澧米婧柴少竹段颖*subjectClusteranalysisofmedicine4conclusion5PCOSoutline1Medicationanalysis3Etiologyandpathogenesisanalysis2PCOSoutlinepolycysticovarysyndrome(多囊卵巢综合征)PolycysticOvarianSyndromeisthecharacteristiclesionwhichhasaKaohsiunghormones,ovulatorydysfunctionandpolycysticovary.suchasmenstrualdisorderinfertility,hirsutism,obesity，etc.Thediseaseinvolvesmultiplesystems，anditiscomplexforclinicaldiagnosisandtreatment.IntheancientliteratureofTCMdiseasehadnotdescribedinPolycysticOvarySyndrome,thatmainlyaccordingtoclinicalmanifestations.Itcanbeattributedtobeonthetreatmentofhypomenorrhea,amenorrheainfertility,menstrualperiodetc.Inrecentyears,thediseaseofChinesemedicinetreatmentsisgraduallyhighlightitsadvantages，whichcanfundamentallyrelievethepatientpain.多囊卵巢综合征是一种高雄激素血症、排卵障碍及多囊卵巢为特征的病变。临证多见月经失调、不孕、肥胖、多毛等症。中医古代文献中并无多囊卵巢综合征病名,主要根据其临床表现予以论治,可归于月经过少、月经后期、闭经、不孕症等范畴。近些年中医药对该病的治疗逐渐凸显其优势,可从根本上缓解病患痛。Etiologyandpathogenesisanalysis病因病机 分析 定性数据统计分析pdf销售业绩分析模板建筑结构震害分析销售进度分析表京东商城竞争战略分析 Among209articles,141articlesbelievePCOSisrelatedtokidneydeficiency;11articlesbelieveit'srelatedtospleenamongwhich9believeit'sduetospleendeficiency;22articlesbe]ieveit'srelatedtospleenandkidneydeficiency;39articlesbelieveit'srelatedtoliver;Pathologicalfactors:130articlesbelieveitsoccurrenceisrelatedtophlegm;77articlesbelieveit'srelatedtobloodstasis;1articlesbelievesit'srelatedtophlegm-heat.从病因病机学分析的209篇文章中看，有141篇文章认为多囊卵巢综合征与肾虚关系密切；有11篇认为脾脏有关，其中9篇认为脾虚所致；有22篇认为与脾肾相关，即脾肾两虚。有39篇(占18.66%)认为与肝脏有关。从病理因素上看，有130篇认为与痰有关；有77篇认为与血瘀有关；有1篇则认为与郁热有关。Medicationanalysis常用药物分析Thecommonyangreinforcingmedicinesaresemencuscutae,herbaepimedii,velvetantler,radixmorindaeofficinalis,rhizomacurculiginis,psoralens,cistanche,eucommiaulmoides,radixdipsaci,placentahominis,etc.补阳药:菟丝子、淫羊藿、鹿角胶、鹿角霜、巴戟天、仙茅、补骨脂、肉苁蓉、杜仲、续断、紫河车等Thecommonqireinforcingmedicinesarecodonopsis,astragalus,actractylodesmacrocephala,yam,licorice.补气药:党参、黄芪、白术、山药、甘草等；Thecommonbloodreinforcingmedicineareangelica,preparedradixrehmanniae,radicespaeoniaealba,polygonummultiflorum,etc.补血药:当归、熟地、白芍、何首乌等；Thecommonyinreinforcingmedicinearemedlar,fructusligustrilucidi,herbaceliptae,etc.补阴药:枸杞子、女贞子、旱莲草等；Medicationanalysis常用药物分析medicineforpromotingbloodcirculationandremovingbloodstasisincludingligustrazin,radixcurcumae,redsageroot,peachseed,safflower,motherwort,radixachyranthisbidentatae,caulisspatholobi,pangolin,herbalycopi,etc.活血化瘀药:川芎、丹参、郁金、桃仁、红花、益母草、牛膝、穿山甲、鸡血藤、泽兰等；medicineforrelievingfever,includingprunella,fructusgardeniae,radixScutellariae,rootofrehmannia,cortexmoutan,radixpaeoniaealba,anemarrhenaasphodeloides,etc.清热药:夏枯草、栀子、黄芩、生地、丹皮、赤芍、知母等；medicineforregulatingqi,includingdriedtangerinepeel,rhizomacyperi,fructusaurantiiimmaturus,etc.理气药:陈皮、香附、枳实等；Medicationanalysis常用药物分析medicineforremovingphlegm,includingpinelliaternata,arisaemacumbile,spinagleditsiae,caladium,semenbrassicae,etc.化痰药:半夏、胆南星、阜角刺、贝母、白芥子等；medicineforclearingdampnessandpromotingdiuresis,includingtuckahoe,rhizomaalismatis,plantainseeds,semencoicis,etc.利水渗湿药:茯苓、泽泻、车前子、薏苡仁等；Thesesixkindsofmedicinemakeup81.63%ofthetotalmedicineused.此六种在用药中所占比例（累计频率）达81.63%。Clusteranalysisofmedicine聚类方分析CIprescription:radixbupleuri,prunellaC1方：柴胡、夏枯草。C2prescription:arisaemacumbile,fructusaurantiiimmaturus,pangolin,rhizomacurculiginis,rhizomacyperi,redsageroot,radixpaeoniaealba,motherwort,cortexmoutan,rootofrehmannia,plantainseeds,radicespaeoniaealba,rhizomaalismatisC2方：胆南星、枳实、穿山甲、仙茅、香附、丹参、赤芍、益母草、丹皮、生地、车前子、白芍泽泻。C3prescription:yam,codonopsis,licorice,medlar,radixachyranthisbidentatae,tuckahoe,peachseed。C3方：山药、党参、甘草、枸杞子、牛膝、获苓、桃仁。Clusteranalysisofmedicine聚类方分析C4prescription:actractylodesmacrocephala,astragalus,acorusgramineussoland,atractylodesrhizome,psoralens,pinelliaternata,driedtangerinepeel,spinagleditsiae。C4方：白术、黄芪、石菖蒲、苍术、补骨脂、半夏、陈皮、皂角刺。C5prescription:radixdipsaci,caulisspatholobi,fructusligustrilucidi,velvetantler,eucommiaulmoides,semencuscutae,istanche,herbaepimedii,radixmorindaeofficinalis,angelica,amethyst,preparedradixrehmanniae,safflower,ligustrazin.C5方：续断、女贞子、鸡血藤、鹿茸、杜仲、冤丝子、肉灰蓉、淫羊藿、巴戟天、当归、紫石英、熟地黄、红花、川芎。conclusion结论(1)Kidneydeficiency,bloodstasisandphlegmarethebasicpathogenesisofPCOS.肾虚血瘀痰浊是PCOS的基本病机。(2)PCOSmedicinesaregenerallytonicsandmedicineforpromotingbloodcirculationandremovingstasis.PCOS治疗用药以补虚药、活血化瘀药味为主导。(3)Accordingtothemedicinetheoryandclinicalknowledge,theauthorclustersthemedicineinto5groupsandsummarizesthebasicprescriptionforvariousPCOStypes:liverqistagnation;kidneydeficiency,dampnessandbloodstasis;spleenandkidneyyangdeficiencyandbloodstasis;spleenandkidneyyangdeficiencyandphlegmanddampnessstagnation;kidneydeficiencyandbloodstasis.conclusion结论(3)PCOS治疗用药以补虚药、活血化瘀药味为主导。依据药性理论和临床专业知识，聚为个聚类组合体，分别用于治疗多囊卵巢综合征各证型的基础方：肝气郁结型；肾虚痰湿血疲型；脾肾阳虚、疲血内阻型；脾肾阳虚、疲湿阻滞型；肾虚血瘀证。*