中醫治療多囊性卵巢症候群之不孕暨期刊文獻回顧

A Case Study and Review of Chinese medicine to treat infertility in women with polycystic ovary syndrome with journal literature review

王淑秋(Shu-Chiu Wang) ； 林明憲(Ming-Hsien Lin) ； 林姸伶(Yen-Ling Lin) ； 王彥喬(Yen-Chiao Wang) ； 鄭達駿(Ta-Chun Cheng) ； 張烱宏(Chiung-Hung Chang)

《中醫婦科醫學雜誌》 25期 (2020/06) Pp. 17-29

https://doi.org/10.30030/JTCGM.202006_(25).0003

摘要

多囊性卵巢症候群（Polycystic Ovary Syndrome, PCOS）是一種生殖年齡女性中最常見的內分泌疾病，在育齡年紀的女性身上，發生率約在5-20%之間，臨床上患者常出現不規則月經或月經不來、不排卵、重量增加、多毛症、青春痘、不孕為主要表現的臨床症候群。在中醫學典籍中多囊性卵巢症候群多以症狀來論述，歸納為“月經失調”、“閉經”、“癥瘕”、“不孕”等病證，這些臨床表現根據歷代醫家之觀點，多與腎虛、脾虛、肝鬱、痰濕、血瘀、鬱熱等因素有關。故本文藉由文獻回顧進行討論，並藉由37歲女性多囊性卵巢患者，尋求中醫治療後順利懷孕。

關鍵字

多囊性卵巢症候群 ； 不孕症 ； 中醫

並列摘要

Polycystic Ovary Syndrome (PCOS) is recognized as the most common endocrine disorder of reproductive-aged women around the world. The prevalence of PCOS among reproductive-aged women ranges from about 5% to 11-20%. The symptoms of polycystic ovary syndrome (PCOS) include menstrual cycle disturbance(irregularity, menstrual dysfunction, oligo-ovulation, or anovulation) and features of hyperandrogenism (hirsutism, acne and alopecia), with associated fertility problems, obesity and psychological issues. Taken together all of the classical texts in Traditional Chinese Medicine(TCM), polycystic ovary syndrome is often presented with syndromes, which can be generalized to ＂menstrual disorder＂, ＂amenorrhea＂, ＂gynecologic abdominal lumps＂, and ＂infertility＂. These clinical manifestations according to ancient literature are often associated with kidney-qi deficiency, insufficiency of the spleen, liver-qi stagnation, Phlegm-dampness constitution, blood stasis or stagnated heat in the body. In this article, a 37-year-old woman with PCOS presented with infertility came to our outpatient department of Traditional Chinese Medicine, and was pregnant after TCM treatment . We also had a review of Chinese and Western Medicine periodicals, literature, and textbooks on PCOS.

並列關鍵字

Polycystic ovary syndrome ； Infertility ； Chinese medicine

參考文獻

明·李中梓：醫宗必讀。中國醫藥科技出版社 2011。

孟景春、王新華：黃帝內經素問譯釋。文光圖書 2011。

清·蕭塤：女科經綸。中醫古籍出版社 1999。

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