王明星 尹谦 李美和 赵文蕾 许昕

    摘要 多囊卵巢综合征合并胰岛素抵抗(PCOS-IR)所致内分泌紊乱与代谢异常共存问题，是严重危害妇女生殖健康及引发肥胖相关疾病(糖尿病、代谢综合征等)的重要原因。PCOS-IR病机复杂，涉及多个脏腑合病，故临床治愈难度很大。中医药治疗本病疗效显著，吾师基于“冲脉隶于阳明”理论，提出从阳明胃肠论治的学术观点，可使患者恢复自主排卵，显著改善胰岛素抵抗状态。

    关键词 多囊卵巢综合征;胰岛素抵抗;并发症;内分泌;代谢异常;生殖健康;肥胖;中医药;冲脉隶于阳明;阳明胃肠论治

    Cognition of Traditional Chinese Medicine on Polycystic Ovary Syndrome with Insulin Resistance

    WANG Mingxing1，2，YIN Qian2，LI Meihe2，ZHAO Wenlei3，XU Xin2

    (1 Beijing Hospital of Integrated Traditional Chinese and Western Medicine，Beijing 100039，China; 2 Beijing Hospital of Traditional Chinese Medicine，Capital Medical University，Beijing 100010，China; 3 Beijing University of Chinese Medicine，Beijing 100029，China)

    Abstract The coexistence of endocrine disorder and metabolic disorder caused by polycystic ovary syndrome combined with insulin resistance(PCOS-IR) threatens reproductive health of women and triggers obesity-related diseases(diabetes，metabolic syndrome，etc.).The pathogenesis of PCOS-IR is complicated and involves multiple visceral diseases，making it difficult for the treatment.Traditional Chinese medicine has marked effect on this disease.Based on the theory of “thoroughfare vessel belonging to yang brightness” ......