多囊卵巢綜合癥伴胰島素抵抗中醫證型和治療思路探討

The clinical treatment strategy and pattern recognition of PCOS in Chinese medicine

王姿菁(Tzeching Wang)

《中國鍼灸學雜誌》 9卷1期 (2021/12) Pp. 91-99

https://doi.org/10.6528/CAMS.202112_9(1).0011

摘要

多囊卵巢綜合癥除了月經失調以及不孕癥以外，患者也常見體重增加，身體質量指數上升，糖代謝效率低。這些病理現象的原因來自於胰島素阻抗。多囊卵巢綜合癥患者約有40％伴隨胰島素阻抗，而胰島素阻抗形成血中雄性激素水平上升，形成慢性發炎，導致免疫系統與內分泌混亂，使得下視丘－腦下垂體－卵巢軸的調控失常。因此多囊卵巢綜合癥不僅僅是生殖系統的問題，更是中樞神經系統與內分泌系統之間相互影響的問題。

關鍵字

多囊卵巢綜合癥 ； 胰島素抵抗 ； 高雄性激素血癥 ； 痰濕 ； 瘀熱

並列摘要

PCOS is a complicated gynecological disease and it's also one of the most common ailments that seek medical attention. Symptoms of PCOS include oligomenorrhea or amenorrhea, infertility. Among all the patients with PCOS, about 40% of women with PCOS has insulin resistance. Insulin resistance contributes to androgen excess and chronic inflammation in PCOS and might be the cause of PCOS. The complication of PCOS involves the reproductive system, the central nervous system, and the endocrine system.

並列關鍵字

PCOS ； insulin resistance ； hyperandrogenism ； phlegm obstruction ； heat stagnation

參考文獻

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鄭淑鎂, 中西醫結合中醫診治心法, 宏道文化, 2021, 03:257-261