郑祖峰教授治疗多囊卵巢综合征痤疮经验

文章信息/Info

• Title:郑祖峰教授治疗多囊卵巢综合征痤疮经验

• 卷期:2024年22卷13期

• 作者:桑靖雅1 郑祖峰2

• 1. 山东中医药大学第一临床医学院，山东济南，250014；2. 山东中医药大学第二附属医院妇产科山东济南，250001

• Author(s):San Jingya1    Zheng Zufeng2

• 1. The first clinical medical college of Shandong University of traditional Chinese medicine, Jinan, Shandong, 250014; 2. Department of Obstetrics and Gynecology, Second Affiliated Hospital of Shandong University of traditional Chinese medicine, Jinan, Shandong, 250001

• 关键词多囊卵巢综合征；痤疮；中医药；温经散寒

• Keywords:polycystic ovary syndrome; acne; traditional Chinese medicine; warm meridian and dissipate cold

• 摘要:痤疮作为多囊卵巢综合征（PCOS）的伴随症状，严重影响现代女性生理及心理健康，历代医家认为痤疮多由火热内盛所致。治疗多从肺、脾胃、肝入手，多以清热、凉血为主。郑教授认为PCOS病机多以肾虚为本，寒凝、气滞、痰瘀为标，故临床治疗首以补肾，在此基础上结合中药现代药理学予温阳散寒、理气开郁、化痰散瘀治疗，同时外治法予放血疗法和拔罐疗法，引热外出，使邪有出路，临床效果显著，明显缓解女性患者因痤疮所带来的焦虑。                                                                                                                                                                                

• AbstractAs a concomitant symptom of polycystic ovary syndrome (PCOS), acne seriously affects the physical and mental health of modern women, and successive generations of doctors believe that acne is mostly caused by fiery internal prosperity. Treatment mostly starts from the lungs, spleen and stomach, liver, and mostly focuses on clearing heat and cooling blood. Professor Zheng believes that PCOS disease mechanism is mostly based on kidney deficiency, cold coagulation, qi stagnation, sputum stasis as the standard, so clinical treatment is the first to supplement the kidney, on this basis combined with the modern pharmacology of traditional Chinese medicine to wenyang cold, rational qi open depression, phlegm stasis treatment, while external treatment methods to give bloodletting therapy and cupping therapy, heat out, so that evil has a way out, the clinical effect is remarkable, obviously alleviating the anxiety caused by acne in female patients.

  PCOS是常见的妇科内分泌疾病之一，临床主要有高雄激素血症的表现如多毛、痤疮、月经紊乱、脱发、不孕、卵巢多囊样改变［1-2］，胰岛素抵抗等，PCOS患者中可能出现痤疮者高达95% [3]，即因PCOS就诊的患者中，痤疮是因不孕之外的第二大就诊原因。痤疮中医俗称粉刺，是一种毛囊、皮脂腺的慢性炎症性皮肤病，多表现为粉刺、丘疹、脓疱、结节、囊肿和瘢痕等，能够对人的身体、情感、社交和经济健康等产生不利影响［4-5］。