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| 基于温肾健脾法探讨温健启宫汤治疗肥胖（痰湿）型多囊卵巢综合征的临床医案探析 |
| Clinical experience of Wenjian Qigong Decoction in treating obesity (phlegm-dampness) type PCOS guided by the theory of warming kidney and strengthening spleen |
| 投稿时间：2026-07-07 修订日期：2026-07-08 |
| DOI： |
| 中文关键词: 多囊卵巢综合征 肥胖性不孕 温肾健脾 温健启宫汤 临床医案 |
| 英文关键词: Polycystic Ovary Syndrome? Obesity related infertility Warming the kidney and strengthening the spleen Wenjian Qigong Decoction Clinical case |
| 基金项目:国家自然科学基金项目（面上项目，重点项目，重大项目） |
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| 中文摘要: |
| 多囊卵巢综合征(PCOS)是常见的影响育龄期女性不孕的内分泌代谢性疾病,肥胖常与其伴发并加重代谢紊乱。肥胖型PCOS属中医“肥胖性不孕”范畴,《傅青主女科》《医方集解》中论及肥胖性不孕与痰湿相关,健脾祛湿为有效治则。基于“肾主生殖”“脾虚伤肾”理论,不孕之治当辅以补肾,故当以温肾健脾。温健启宫汤即据此法而立。本文通过临床医案,分析肥胖(痰湿)型PCOS的病因病机,探讨温健启宫汤的临床应用经验,以期为该病论治提供参考。 |
| 英文摘要: |
| Polycystic ovary syndrome (PCOS) is a common endocrine and metabolic disorder that affects female fertility during the reproductive years. Obesity frequently coexists with PCOS and exacerbates metabolic dysregulation. In traditional Chinese medicine (TCM), obese PCOS falls under the category of “Obesity related infertility”. Classic texts such as Fuqingzhu Nvke and Yifang Jijie attribute this condition to phlegm-dampness and advocate strengthening the spleen and resolving dampness as effective therapeutic principles. Grounded in the theories that “the kidney governs reproduction” and “spleen deficiency impairs the kidney”, treatment for infertility should incorporate kidney supplementation; thus, the approach of warming the kidney and strengthening the spleen is indicated. Wenjian Qigong Decoction (WJQG) was formulated based on this method. Through clinical case analysis, this paper discusses the etiology and pathogenesis of obesity (phlegm-dampness) type PCOS and explores the clinical application experience of WJQG, aiming to provide references for the TCM diagnosis and treatment of this disease. |
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