Wang Xing-juan
Department of Integrative Medicine, Huashan Hospital, Fudan University, Shanghai.
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2012 Oct;32(10):1413-5.
Chinese medicine (CM) syndrome typing methods not only provides information on the diagnosis and treatment of diseases, but also embodies the whole process of their occurrence, development, and prognosis. Standard syndrome typing methods can provide a testing platform for clinical efficacy assessment and scientific research work. By my 16 years' clinical experience, inter-group comparison of polycystic ovarian syndrome (PCOS) patients of different CM syndrome types at the same level (reproductive endocrinology and metabolism) was conducted. They were also compared with the healthy subjects. Results showed that homogeneity and heterogeneity exist in PCOS patients of different CM syndromes in the reproductive endocrine and metabolic characteristics, which is important to understand the laws between the pathological changes and syndrome types of PCOS. It is also a good inspiration to understand and clarify the correlation between the asthenia of Zang-Fu organs in CM theories and PCOS. Therefore, I believe that it is necessary to explore the laws of each CM syndrome type at the same level of syndrome typing, thus finding out the pathogenesis of PCOS. Only in this way could the clinical efficacy and the research level of integrative medicine be effectively improved.
中医证候分型方法不仅为疾病的诊断和治疗提供信息,还体现了疾病发生、发展和预后的全过程。规范的证候分型方法可为临床疗效评估和科研工作提供一个检验平台。根据我16年的临床经验,对处于同一水平(生殖内分泌与代谢)的不同中医证型多囊卵巢综合征(PCOS)患者进行组间比较,并与健康受试者进行对比。结果显示,不同中医证型的PCOS患者在生殖内分泌和代谢特征方面存在同质性和异质性,这对于了解PCOS病理变化与证型之间的规律具有重要意义,对理解和阐明中医理论中脏腑亏虚与PCOS之间的相关性也有很好的启发。因此,我认为有必要在同一证候分型水平上探索各中医证型的规律,从而找出PCOS的发病机制。只有这样,才能有效提高中西医结合医学的临床疗效和研究水平。