Experience of XU Xin in Treating Polycystic Ovary Syndrome with Insulin Resistance Based on "Boost Kidney to Dispel the Turbid" Method

LIANG Jingqiao; JI Chengyu; LI Bo

doi:10.13288/j.11-2166/r.2025.02.004

您当前的位置：

首页 >

文章列表页 >

Experience of XU Xin in Treating Polycystic Ovary Syndrome with Insulin Resistance Based on "Boost Kidney to Dispel the Turbid" Method

更新时间：2025-01-13

- Experience of XU Xin in Treating Polycystic Ovary Syndrome with Insulin Resistance Based on "Boost Kidney to Dispel the Turbid" Method
- Journal of Traditional Chinese Medicine Vol. 66, Issue 2, Pages: 123-127(2025)
- 作者机构：
  
  1.首都医科大学附属北京中医医院，北京市东城区美术馆后街1号，100010
  2.北京市海淀医院
  3.北京市中医药研究所
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.02.004
  CLC：
- Received：28 May 2024，
  
  Revised：2024-07-21，
  
  Published：17 January 2025
- 稿件说明：
移动端阅览
梁婧翘,冀成玉,李博等.许昕基于益肾祛浊法辨治多囊卵巢综合征合并胰岛素抵抗经验[J].中医杂志,2025,66(02):123-127.

LIANG Jingqiao,JI Chengyu,LI Bo.Experience of XU Xin in Treating Polycystic Ovary Syndrome with Insulin Resistance Based on "Boost Kidney to Dispel the Turbid" Method[J].Journal of Traditional Chinese Medicine,2025,66(02):123-127.
梁婧翘,冀成玉,李博等.许昕基于益肾祛浊法辨治多囊卵巢综合征合并胰岛素抵抗经验[J].中医杂志,2025,66(02):123-127. DOI： 10.13288/j.11-2166/r.2025.02.004.

LIANG Jingqiao,JI Chengyu,LI Bo.Experience of XU Xin in Treating Polycystic Ovary Syndrome with Insulin Resistance Based on "Boost Kidney to Dispel the Turbid" Method[J].Journal of Traditional Chinese Medicine,2025,66(02):123-127. DOI： 10.13288/j.11-2166/r.2025.02.004.

摘要

总结许昕教授辨治多囊卵巢综合征合并胰岛素抵抗（PCOS-IR）的临床经验与特色。认为PCOS-IR发病之本为脾肾气虚，主要病机是脾肾运化和气化功能减弱，痰湿内生及阳明浊热蕴积，逐渐演变为痰湿浊热伏于下焦，与血相搏而瘀阻冲任胞宫。故临床以益肾健脾法贯穿治疗始终，常用寿胎丸与四君子汤加减；清利阳明湿热兼活血调经为主要治法治疗PCOS-IR，并自拟益肾祛浊方，为本病的治疗提供参考。

Abstract

To summarize the clinical experience and characteristics of Professor XU Xin in syndrome differentiation and treatment of polycystic ovary syndrome with insulin resistance （PCOS-IR）. XU Xin believes that the etiological factors of PCOS-IR is

deficiency of the spleen and kidney， and the key disease mechanism is dysfunction in transportation and transformation of spleen and kidney， causing phlegm dampness and turbid heat accumulated in

yangming

， then evolving into the lower

jiao

， mixed with blood stasis， finally obstructing

the

chong

（冲） and

ren

（任） mai and uterus. So in clinic， the method of boosting the kidney and fortifying the spleen was used through out the whole treatment commonly using modified

Shoutai Pill

（寿胎丸） and

Sijunzi Decoction

（四君子汤）. The main therapeutic method for treating PCOS-IR refers to clearing and draining dampness heat in

yangming

， invigorating blood and regulating period， with self-prescribed

Yishen Quzhuo Formula

（益肾祛浊方）， as a reference for the treatment of this disease.

关键词

Keywords

references

多囊卵巢综合征相关不孕治疗及生育保护共识专家组，中华预防医学会生育力保护分会生殖内分泌生育保护学组 . 多囊卵巢综合征相关不孕治疗及生育保护共识［J］. 生殖医学杂志， 2020 ， 29 （ 7 ）： 843 - 851 .

ZHAO H ， ZHANG J ， CHENG X ， et al . Insulin resistance in polycystic ovary syndrome across various tissues： an updated review of pathogenesis， evaluation， and treatment ［J］. J Ovarian Res ， 2023 ， 16 （ 1 ）： 9 .

CHEN T ， YU Y ， JIA F ， et al . The relationship between polycystic ovary syndrome and insulin resistance from 1983 to 2022： a bibliometric analysis ［J］. Front Public Health ， 2022 ， 10 ： 960965 . doi： 10.3389/fpubh. 2022. 960965 http://dx.doi.org/10.3389/fpubh.2022.960965 .

刘音，鲁娣，宋殿荣 . 胰岛素抵抗对多囊卵巢综合征生殖内分泌及代谢的影响［J］. 国际妇产科学杂志， 2023 ， 50 （ 2 ）： 190 - 195 .

中国中西医结合学会妇产科专业委员会 . 多囊卵巢综合征中西医结合诊治指南［J］. 中国中西医结合杂志， 2024 ， 44 （ 1 ）： 5 - 18 .

ZHOU L ， NI Z ， YU J ， et al . Correlation between fecal metabolomics and gut microbiota in obesity and polycystic ovary syndrome ［J］. Front Endocrinol（Lausanne）， 2020 ， 11 ： 628 . doi： 10.3389/fendo.2020.00628 http://dx.doi.org/10.3389/fendo.2020.00628 .

王明星 . 益肾祛浊方调节Ghrelin及PI3K/Akt信号通路改善PCOS-IR的分子机制研究［D］. 北京：首都医科大学， 2020 .

尹谦，李美和，梁婧翘，等 . 益肾祛浊方调节雌激素通路干预PCOS-IR大鼠脂代谢异常的研究［J］. 中华中医药杂志， 2023 ， 38 （ 7 ）： 3329 - 3333 .

李梦元，高征，梁婧翘，等 . 益肾祛浊方对比二甲双胍治疗多囊卵巢综合征合并胰岛素抵抗的随机对照研究［J］. 中国全科医学， 2024 ， 27 （ 27 ）： 3411 - 3417， 3427 .

查看原文

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Effects of Modified Shoutai Pill （寿胎丸） on Endoplasmic Reticulum Stress and Decidualization in the Endometrium for Hyperandrogenism and Insulin Resistance-Induced Fetal Loss of Rats with Polycystic Ovary Syndrome

Effect of Modified Shoutai Pill （寿胎丸加味方） on Inflammatory Reaction and Expression of Endometrial Receptivity-Related Factors in A Rat Model of Polycystic Ovary Syndrome and Miscarriage with High Testosterone-Insulin Resistance

Effect of Jiawei Banxia Xiexin Decoction （加味半夏泻心汤） on Gut Microbiota and Inflammatory Factors in Polycystic Ovarian Syndrome with Insulin Resistance Model Rats

XIA Guicheng’s Experience in Treating Polycystic Ovary Syndrome Complicated with Infertility

Clinical Observation on Qiangshen Tablets Combined With Longlu Capsules for 73 Cases of Polycystic Ovary Syndrome With Insulin Resistance

Related Author

GUO Tingting

JIANG Meng

HAN Jing

GUO Xiaozhu

ZHANG Yuehui

YANG Huaiying

JI Xiang

ZHANG Yuehui

Related Institution

Heilongjiang University of Chinese Medicine

Heilongjiang Provincial Academy of Traditional Chinese Medicine

The First Affiliated Hospital，Heilongjiang University of Chinese Medicine

First Affiliated Hospital，Heilongjiang University of Chinese Medicine

Guang 'anmen Hospital，China Academy of Chinese Medical Sciences

Address：No.16, Nanxiao street, Dongzhimen, Dongcheng District, Beijing Postal code：100700
Tel：010-64035632 Email：jtcmcn@188.com
Technical support is provided by Beijing Founder electronics co., LTD 京ICP备09064830号-19 京公网安备11010102007558号
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰