Syndrome differentiation and treatment of polycystic ovary syndrome from "upper heat and lower cold"

LIU Chang; LIAO Yan; REN Yuehan; LIU Tingxiu; YANG Liangliang; LIU Xinmin

doi:10.16025/j.1674-1307.2025.08.025

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Syndrome differentiation and treatment of polycystic ovary syndrome from "upper heat and lower cold"

更新时间：2025-10-10

- Syndrome differentiation and treatment of polycystic ovary syndrome from "upper heat and lower cold"
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 8, Pages: 1066-1070(2025)
- 作者机构：
  
  1.北京中医药大学研究生院，北京 100029
  2.中国中医科学院广安门医院妇科，北京 100053
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.08.025
  CLC：
- Received：24 July 2024，
  
  Published：25 August 2025
- 稿件说明：
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刘畅，杨靓靓，刘庭秀，等.从“上热下寒”辨治多囊卵巢综合征经验［J］.北京中医药，2025，44（8）：1066-1070.

LIU Chang,LIAO Yan,REN Yuehan,et al.Syndrome differentiation and treatment of polycystic ovary syndrome from "upper heat and lower cold"[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(08):1066-1070.
刘畅，杨靓靓，刘庭秀，等.从“上热下寒”辨治多囊卵巢综合征经验［J］.北京中医药，2025，44（8）：1066-1070. DOI： 10.16025/j.1674-1307.2025.08.025.

LIU Chang,LIAO Yan,REN Yuehan,et al.Syndrome differentiation and treatment of polycystic ovary syndrome from "upper heat and lower cold"[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(08):1066-1070. DOI： 10.16025/j.1674-1307.2025.08.025.

摘要

多囊卵巢综合征（PCOS）是一种育龄期女性常见的生殖内分泌紊乱性疾病。2023年国际PCOS评估和管理循证指南提出“整体健康”的概念，注重对患者更全面的治疗。寒热相济是自然万物生化及人体形神康健的基础，当其失去平衡则生疾患。“上热下寒”为本病的重要病理状态，心肾过耗不敛与胞宫三脉失序为其主要病机。把握“平调寒热”的根本治则，辨证取用“贯通寒热，清胃健脾”“斡旋寒热，化瘀疗血”“益济寒热，固本填精”的治疗方法，可改善PCOS患者的体质，提高临床疗效，达到寒热相济之效果。

Abstract

Polycystic ovary syndrome （PCOS） is a common reproductive endocrine disorder in women of reproductive age. The 2023 International PCOS Assessment and Management Evidence-Based Guidelines introduced the concept of "overall health"， emphasizing a more comprehensive treatment approach for patients. The balance between cold and heat is the foundation for the generation of all things in nature and the health of the human body. When this balance is disrupted， disease occurs. "Upper heat and lower cold" is a key pathological state of this disease， with the primary pathogenesis being the excessive consumption of the heart and kidneys， and the disorder of the three meridians of the uterus. The fundamental treatment principle is "balancing cold and heat"， and based on syndrome differentiation， treatment methods include "regulating cold and heat， clearing the stomach， and strengthening the spleen"， "mediating cold and heat， promoting blood circulation， and removing blood stasis"， and "benefiting cold and heat， tonifying the kidney， and consolidating essence". These methods can improve the constitution of PCOS patients and enhance clinical efficacy， achieving the effect of balancing cold and heat.

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references

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