南京中医药大学学报2025，Vol.41Issue(8)：993-997,5.DOI:10.14148/j.issn.1672-0482.2025.0993
从脂浊理论辨治多囊卵巢综合征
Discussion on Polycystic Ovary Syndrome Based on Lipid Turbidity Theory
摘要
Abstract
This article summarizes Professor Tan Yong's approach to the treatment of polycystic ovary syndrome(PCOS)based on the lipid turbidity theory.It is believed that multiple factors such as improper diet,emotional injury,insufficient endowment,and im-proper work and rest lead to dysfunction of spleen and stomach,which cannot normally transport and transform water and grain essence and body fluid,and lipids cannot be effectively transformed and utilized,thus accumulating in the body to form lipid turbidity.Lipid turbidity is not only a pathological product but also an independent pathogenic factor,characterized by stickiness,concealment,heavy turbidity,lodging in collaterals,combined pathogenicity,and obstruction of qi and blood.Based on this theory,the etiology and patho-genesis of PCOS are explored,with its pathological progression divided into three stages:spleen deficiency and liver depression,phlegm and blood stasis,and kidney deficiency with lipid turbidity.In the early stage,impaired spleen transportation and liver disper-sion functions lead to lipid metabolism disorders,forming lipid turbidity.In the middle stage,lipid stagnation and obstruction of the meridians affect the circulation of qi and blood,leading to internal stasis and the formation of a pathological pattern of phlegm and blood stasis.In the later stage,prolonged illness affects the kidney,resulting in kidney qi deficiency,unresolved lipid turbidity,and imbal-ance of qi,blood,yin and yang,which leads to long-term metabolic and reproductive dysfunction.In terms of treatment,emphasis is placed on strengthening the spleen and eliminating turbidity,soothing the liver and nourishing blood in the early stage;eliminating phlegm and blood stasis,unblocking the collaterals and eliminating lipid in the middle stage;nourishing the kidney and replenishing essence,and regulating yin and yang in the late stage,providing new insights and theoretical basis for the integrated diagnosis and treatment of PCOS with traditional Chinese and Western medicine.关键词
多囊卵巢综合征/脂浊理论/辨治思路/中医药/病机/名医经验Key words
polycystic ovary syndrome/lipid turbidity theory/diagnostic and therapeutic approach/traditional Chinese medicine/pathogenesis/famous doctors'experience分类
医药卫生引用本文复制引用
郭倩,陈婕,吴诗敏,谈勇..从脂浊理论辨治多囊卵巢综合征[J].南京中医药大学学报,2025,41(8):993-997,5.基金项目
国家自然科学基金重点项目(82330125) （82330125）
