柴嵩岩“二阳致病”学术观点在多囊卵巢综合征论治中新解被引量：2

Novel explanation of Chai Songyan’s academic viewpoint of “yangming channels pathogenic theory” in the treatment of polycystic ovary syndrome

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摘要 “二阳致病”是国医大师柴嵩岩教授在长期临床实践中形成的诊治月经病的特色学术观点。历代医家多认为“二阳”是指十二经脉中手阳明大肠经和足阳明胃经,二阳之病即为胃与大肠疾病。柴教授认为阳明脏腑病变可作为致病因素直接影响女性生理及生殖功能。多囊卵巢综合征以脾肾阳虚为本、痰湿结聚为标。本病患者多为先天不足,或后天失养,而致脾肾阳虚。治疗首先强调祛除致病因素,不急于应用补药,先“解其外衣”,针对标实祛除痰湿、湿热或局部瘀滞,临证用药自成特色,且避免收涩、滋腻药物。 “Yangming channels pathogenic theory(èr yánɡ zhì bìng)” is an ingenious academic viewpoint of diagnosis and treatment of menstrual diseases created by Professor Chai Songyan, laureate of the title “Great Master of Traditional Chinese Medicine”, in his decades of clinical practice. Ancient medical experts believe that “èr yánɡ” refers to the hand yangming large intestine channel and the foot yangming stomach channel of the twelve meridians. Therefore, the yingming diseases(èr yánɡ diseases) are diseases in the stomach and large intestine. Professor Chai Songyan believes that pathological changes in the yangming viscera lesions can directly affect female physiological and reproductive functions as a pathogenic factor. Polycystic ovary syndrome(PCOS) is characterized by deficiency of the spleen and kidney yang, which is the root of the disease, and accumulation of phlegm-dampness as the branch. Patients with PCOS are usually congenitally deficient, or insufficiently nourished in terms of acquired constitution, leading to spleen kidney yang deficiency. The treatment of PCOS emphasizes to remove the pathogenic factors(dispel phlegm, damp heat or local stasis), rather than applying tonifying medicinals too eagerly, which can be likened to “strip off its coat” first. She has created a unique set of clinical prescriptions, which avoids astringent, enriching and cloying drugs.

作者王阳佟庆林青陈颖刘春晖 WANG Yang;TONG Qing;LIN Qing;CHEN Ying;LIU Chunhui(Beijing University of Chinese Medicine,Beijing 100029;Dongfang Hospital,Beijing University of Chinese Medicine)

机构地区北京中医药大学北京中医药大学东方医院

出处《现代中医临床》 2022年第5期43-47,共5页 Modern Chinese Clinical Medicine

基金国家中医药管理局京津冀中西医结合妇科发展联盟项目国家中医药管理局重点专科(No.040203001004) 国家自然科学基金资助项目(No.81904241)。

关键词二阳致病多囊卵巢综合征国医大师柴嵩岩 yangming channels pathogenic theory polycystic ovary syndrome Great Master of TCM Chai Songyan

分类号 R271.9 [医药卫生—中西医结合]

作者简介王阳,女,在读博士生;通信作者:佟庆,女,博士,主任医师,硕士生导师,E-mail:tammytong@126.com。