Feng Yu, Gao Yue-Ping
Zhongguo Zhong Yao Za Zhi. 2014 May;39(10):1937-40.
Polycystic ovary syndrome (PCOS) is one of the most popular diseases in obstetrics and gynecology research at internal and abroad at present, traditional Chinese medicine(TCM)in the clinical treatment of the disease have the advantage. Clinical epidemiological study of descriptive research method this research adopts investigation, observation of TCM syndromes and improper diet through 401 cases in Jiangsu Province confirmed PCOS patients, to explore the relationship between TCM syndrome type distribution and improper diet factors, and to provide the clinical basis for further etiology of this disease research. TCM syndrome type distribution of the disease is kidney deficiency, phlegm stagnation syndrome, qi stagnation and blood stasis syndrome, syndrome of dampness heat of liver channel and is composed of 4 basic syndromes and formed complex syndrome, and the composite and syndrome type (60.85%); combined with the analysis of traditional Chinese medicine dialectical, Pure empirical syndrome this disease (46.88%), followed by the actual card (45.39%), pure deficiency is rare. Improper diet factors associated with the disease, in which improper diet with different TCM syndrome type distribution significantly related. Stagnation of phlegm dampness syndrome is the main syndrome of the disease type, improper diet factors and every syndrome PCOS type distribution is as follows: the partial eclipse fatness greasy with basic syndromes of phlegm dampness stagnation of kidney deficiency syndrome, the nephrasthenia syndrome is less; eating spicy stimulation by basic syndromes of stagnation of Qi and blood stasis; eating cold people the basic certificate type of qi stagnation and blood stasis; The diet of patients are more prone to stagnation of phlegm dampness syndrome.
多囊卵巢综合征(PCOS)是目前国内外妇产科研究中最热门的疾病之一,中医在该病的临床治疗中有优势。本研究采用临床流行病学描述性研究方法,通过对江苏省401例确诊的PCOS患者进行调查,观察中医证候及饮食失宜情况,探讨中医证型分布与饮食失宜因素之间的关系,为进一步研究该病的病因提供临床依据。该病的中医证型分布为肾虚痰瘀证、气滞血瘀证、肝经湿热证,由4种基本证型组成复合证型,且复合证型居多(60.85%);结合中医辨证分析,本病纯实证候(46.88%),其次为虚实夹杂证(45.39%),纯虚证少见。饮食失宜因素与该病相关,其中饮食失宜与不同中医证型分布有显著相关性。痰湿阻滞证是本病的主要证型,饮食失宜因素与各PCOS证型分布情况如下:偏食肥腻者以肾虚痰湿阻滞基本证型为主,肾虚证较少;嗜食辛辣刺激者以气滞血瘀基本证型为主;过食生冷者以气滞血瘀基本证型为主;本病患者饮食更易出现痰湿阻滞证。