陕西中医2026，Vol.47Issue(3)：366-369,374,5.DOI:10.3969/j.issn.1000-7369.2026.03.014
从脾阴虚论治非肥胖型多囊卵巢综合征
Treating non-obese polycystic ovary syndrome from the perspective of spleen yin deficiency
摘要
Abstract
This paper proposes that the core pathogenesis of non-obese polycystic ovary syndrome(PCOS)lies in spleen yin deficiency and dual deficiency of qi and yin.Deficiency of spleen yin impairs transportation and transfor-mation,leading to insufficient nutrient-blood generation,manifested as delayed menstruation,scanty periods,amenor-rhea,and even infertility or miscarriage;yin deficiency generating internal heat and deficient fire disturbing the collat-erals result in symptoms such as acne,constipation,and insomnia.Prolonged illness affects the heart,liver,and kid-neys,ultimately resulting in dual deficiency of qi and yin and multi-organ dysfunction.The treatment principle em-phasizes"nourishing yin with sweet and bland herbs,boosting qi and invigorating the spleen,"selecting mild and neutral medicinal substances such as Chinese yam(Shanyao),Poria(Fuling),Pseudostellaria root(Taizishen),and coix seed(Yiyiren)to nourish yin without hindering transportation and to boost qi while supporting transformation resources.This approach addresses the root cause of spleen yin deficiency while concurrently managing the secondary aspects of qi deficiency and stagnant heat,offering a new perspective for the syndrome differentiation and treatment of non-obese PCOS.关键词
非肥胖型多囊卵巢综合征/脾阴虚/气阴两虚/甘淡滋阴/本虚标实/多脏同病Key words
Non-obese polycystic ovary syndrome/Spleen yin deficiency/Deficiency of both qi and yin/Nouris-hing yin with sweet and bland herbs/Root deficiency and branch excess/Multiple organ involvemen分类
医药卫生引用本文复制引用
尤佳慧,韩昊池,丛晶,马红丽,杨新鸣..从脾阴虚论治非肥胖型多囊卵巢综合征[J].陕西中医,2026,47(3):366-369,374,5.基金项目
国家自然科学基金青年基金资助项目(82004403) （82004403）
国家自然科学基金培育支持计划(PYMS202501007) （PYMS202501007）
中国中医科学院技术创新工程重大攻关项目(CI2021A00404) （CI2021A00404）
黑龙江省区域诊疗中心名中医专家传承工作室建设项目(黑中科教便函[2019]2号) （黑中科教便函[2019]2号）
黑龙江省自然科学基金联合引导项目(LH2024H048) （LH2024H048）
