中醫治療多囊性卵巢症候群之病例報告

A Case Report of Polycystic Ovarian Syndrome Treated with Traditional Chinese Medicine

蔡雅琪(Ya-Chi Tsai) ； 黃志男(Chih-Nan Huang) ； 李佳穎(Jia-Ying Lee)

《中醫藥研究論叢》 23卷2期 (2020/09) Pp. 117-130

https://doi.org/10.6516/TJTCM.202009_23(2).0008

摘要

多囊性卵巢症候群是生育年齡婦女最常見的生殖內分泌病變，同時也是造成女性不孕的常見原因之一。根據其臨床表現，中醫將此疾病歸屬於「月經不調」、「閉經」、「不孕」等範疇來論治。本病例為一32歲女性，自述青春期起便有月經週期紊亂症狀，壓力大時甚則半年月經未行。患者於2016年起在本院中醫部斷斷續續接受中藥治療，其月經淋漓不盡、月經後期的症狀皆有明顯改善；爾後又因忙碌而停止運動及飲食不忌，導致月經後期等症狀再度出現，因而再次前來就診。本篇病例報告希冀經由臨床的治療經驗與文獻探討，提供臨床中醫實務的案例分享，其中患者的病史進展，生活習慣改變與改善月經週期之間的關係亦為本病例報告所要分享的重點之一。

關鍵字

多囊性卵巢症候群 ； 月經後期 ； 病因病機分析

並列摘要

Polycystic ovarian syndrome (PCOS), one of the most common causes of female infertility, is meanwhile thought to be the most common endocrine disorder found in women of childbearing age. According to the clinical symptoms of PCOS, it can be summed up as ＂irregular menstruation＂, ＂amenorrhoea＂, ＂Infertility＂ in terms of Chinese medicine. This is the case report about one 32-year-old female having irregular menstruation since her puberty, and she had absent menstruation when under stress. She began receiving Chinese medicine treatment for late menstruation period in our department since 2016. After the treatment, the symptoms of dripping and continuous menstruation and delayed menstruation had improved. However, on account of stressful work, lack of exercise and improper diet, her menstrual cycle became abnormal again and thus came to seek medical treatment. This report aims to illustrate the clinical experiences and literature review of the case, and to provide an effective clinical case for Chinese medicine practitioners. Furthermore, the patient progression and the relationship between lifestyle change and menstrual cycle are two focal points that we would like to share in this case report.

並列關鍵字

PCOS ； delayed menorrhea ； pathogenesis and pathology

參考文獻

Wolf, W., Wattick, R., Kinkade, O., & Olfert, M. Geographical prevalence of polycystic ovary syndrome as determined by region and race/ethnicity. International journal of environmental research and public health, 2018; 15(11): 2589.

Azziz, R., Woods, K. S., Reyna, R., Key, T. J., Knochenhauer, E. S., & Yildiz, B. O. The prevalence and features of the polycystic ovary syndrome in an unselected population. The Journal of Clinical Endocrinology & Metabolism, 2004; 89(6): 2745-2749.

UpToDate: Diagnosis of polycystic ovary syndrome in adults.

Woczyski S, Zgliczyski W. Abnormalities of the menstrual cycle. In: Large Interna-Endocrinology. 2nd edition. Medical Tribune Poland, Warsaw 2012; 561-567.

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