多囊性卵巢症候群的中醫證型與自律神經系統的關係（綜述）

Relationship between Chinese Medicine Differentiation Type of Polycystic Ovarian Syndrome and Sympathetic System

郭哲彰(Che-Chang Kuo) ； 曹羅悌(Lo-Ti Tsao)

《臺灣中醫科學雜誌》 2卷1期 (2007/03) Pp. 28-37

https://doi.org/10.29810/SJTTCM.200703.0003

摘要

多囊性卵巢症候群(PCOS)是育齡期婦女常見的內分泌紊亂性疾病之一，在不排卵性不孕中占主要地位。發病率為5%~21%；主要表現為為月經異常（閉經或月經稀少或功能失調性子宮出血）、不孕、多毛、肥胖及黑棘皮症，以高雄性素、高黃體生成激素血症，胰島素抵抗及代償性高胰島素血症為內分泌學特徵，以雙側卵巢增大成囊性改變伴間質增生為病理型態學基礎的多系統疾病。隨著研究的不斷深入，PCOS日益顯示出其複雜性和重要性。目前該病的發病機制尚不十分清楚，現代醫學認為其病因涉及到遺傳、內分泌、免疫、代謝等多個方面。近來更發現PCOS與自律神經有其相關性。PCOS其發生與中醫的肝、腎、脾功能失調有關，臨床證型以肝鬱化火、腎虛痰濕、血瘀居多。本綜述探討了PCOS的病理機轉與自律神經的相關性，以及中醫肝鬱證型在PCOS病機的關鍵地位。

關鍵字

多囊性卵巢症候群 ； 自律神經系統 ； 中醫證型 ； 綜述

並列摘要

Polycystic ovarian syndrome (PCOS) is one of the most common human ovarian pathologies affecting women of reproductive age. Despite extensive investigation, the etiology of PCOS remains poorly understood. However, it recently found that PCOS have relativity with sympathetic activity. In Chinese medicine, the occurrence of PCOS is through to be relative with the function of liver, kidney, the spleen. The clinical differentiation types of PCOS belong to Stagnation of Liver-Qi, Deficiency of the Kidney, Phlegm-wet and Blood stasis are mostly. This overview described the relationship of PCOS with sympathetic activity, and the Stagnation of Liver-Qi is the most important cause of PCOS.

並列關鍵字

Polycystic ovary syndrome ； Chinese medicine differentiation type ； sympathetic system ； overview