中藥治療多囊性卵巢症候群之病例報告

Traditional Chinese Medicine Treatment on Polycystic Ovary Syndrome (PCOS) : A Case Report

徐敬閔(Ching-Min Hsu) ； 陳朝宗(Chao-Tsung Chen) ； 陳安履(Andy Chern)

《台北市中醫醫學雜誌》 30卷1期 (2024/03) Pp. 103-113

https://doi.org/10.6718/TJCM.202403_30(1).0012

摘要

多囊性卵巢症候群（Polycystic ovary syndrome，PCOS）是女性至中醫門診極為常見的求診原因，但其致病成因尚未完全清楚，可能涉及遺傳、激素、代謝與環境等多因素異常的複雜交互作用，臨床上病人則常有月經不規則、閉經、不孕等表現。本病例報告為一位月經週期增長至2個月之病患的中醫診治過程，僅單純使用中藥，而未經西方醫學治療，經過約半年的中醫門診追蹤治療後，病人能主觀地感受到月經週期天數趨於正常，又有客觀的前後實驗室數據供對照比較，對於此多囊性卵巢症候群的病患取得一定的成效，供先進同道參酌討論。

關鍵字

中藥 ； 多囊性卵巢症候群 ； 月經後期

並列摘要

Polycystic ovary syndrome (PCOS) is a common condition for women patients to seek traditional Chinese medicine (TCM) treatment. However, the pathogenic mechanisms of PCOS have not been completely understood, and it may involve complex interactions of various factors such as genetics, hormones, metabolism and the environment. Besides, clinical manifestations of PCOS includes menstrual irregularity, menorrhea and infertility. This case report describes a patient whose menstrual period extended to 2 months and after underwent TCM treatment for approximately six months with herbal medicine exclusively, the patient subjectively experienced a trend towards normal menstrual period. On the other hand, objective laboratory data before and after treatment also supports our therapy. This case suggests that TCM treatment alone may achieve certain efficacy in patients with PCOS, providing valuable insights for further discussion among healthcare professionals.

並列關鍵字

Chinese medicine ； polycystic ovary syndrome ； PCOS ； delayed menstruation

參考文獻

Azziz, R,Carmina, E,Chen, Z,Dunaif, A,Laven, JS,Legro, RS,Lizneva, D,Natterson-Horowtiz, B,Teede, HJ,Yildiz, BO(2016).Polycystic ovary syndrome.Nat Rev Dis Primers.1,16057.

De Leo, V,Musacchio, MC,Cappelli, V,Massaro, MG,Morgante, G,Petraglia, F(2016).Genetic, hormonal and metabolic aspects of PCOS: an update.Reprod Biol Endocrinol.14(1),38.

Rotterdam ESHRE/ASRM-Sponsored PCOS consensus workshop group(2004).Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS).Hum Reprod.19(1),41-47.

黃楚珺(2020).多囊性卵巢症候群之臨床表徵與致病機轉(博士論文).國立臺灣大學臨床醫學研究所.

吳婉華,陳昭源,林忠順(2012).多囊性卵巢症候群之診斷與治療.家庭醫學與基層醫療.27(4),122-126.