专家探讨肥胖性多囊卵巢综合征

摘要：李坤寅教授认为肥胖型多囊卵巢综合征的病机特点是以脾肾阳虚或者肾阴阳两虚为本，痰湿阻滞为标。治疗特色为辨病与辩证结合，多以补肾健脾、平补肾阴肾阳、化痰祛湿为中医治疗大法,脾肾阳虚运用四君子汤加苍附导痰汤结合右归丸加减治疗，肾阴阳两虚用金匮肾气丸加减治疗，兼顾使用中医周期疗法，同时李教授还特别重视调节患者情绪，并配合生活方式的调整综合治疗本病，在临床取得很好疗效。

基金项目：广州市第三批优秀中医临床人才研修项目(编号:GZYC03201610)；国家自然科学基金资助项目( 编号:81774353)

Abstract: Professor Li Kunyu believes that the pathogenesis of obesity-type polycystic ovary syndrome is characterized by spleen and kidney yang deficiency or kidney yin and yang deficiency, and phlegm block is the standard. The treatment features are the combination of disease differentiation and dialectical, mostly with kidney and spleen, Pingbu kidney yin and kidney yang, and phlegm and dampness for the treatment of Dafa. The spleen and kidney yang deficiency is treated with Sijunzi Decoction and Cangfu Guitang Decoction combined with Zuogui Pill. Kidney yin and yang deficiency combined with Jinqi Shenqi Pills treatment, taking into account the use of traditional Chinese medicine cycle therapy, while Professor Li also pays special attention to adjusting patient mood, and comprehensive treatment of this disease in line with lifestyle adjustments, in the clinical well done Efficacy.

李坤寅教授，广州中医药大学教授、主任中医师、博士生导师，从事中医妇科临床与教学工作 30 余年，善于吸收古、现代医家的学术精华，融会贯通，形成自己的特色，对PCOS的诊治有自己独特的见解，尤其是对于肥胖型PCOS的治疗积累了丰富的论治经验。

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  本文摘自（中国中医药现代远程教育  2020年18卷14期   赖毛华  广州医科大学附属第一医院中医科 广东广州  510120)）