基于形神一体观探讨高龄女性卵巢功能减退辨治思路
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R271.1

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浙江省中医药科学研究基金项目(2022ZB264)


Exploration of the Syndrome Differentiation and Treatment Approach for Ovarian Function Decline in Advanced-Age Women Based on the Unity of Body and Spirit Concept
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    摘要:

    形神一体观是中医认识人体生命活动的理论根基。女性卵巢功能自35岁起加速下降,与《黄帝内经》中所述“女子……五七,阳明脉衰,面始焦,发始堕”高度一致。其核心是精竭引起气血阴阳动态平衡体系失调,致使形体衰疲、神机废用,引发形神共病,终致形神俱灭。临床诊治当立形神同治之则,基于病本于虚的特点,以填精固其本,据证施予交通心肾、调和肝脾、燮理气机、和血通滞等法。另需顾念形神统一,既借药石补形之亏,又藉调摄情志起居安神之乱,使精复神安,阴阳自和。如此方能遏精衰之势,重建形神和谐之态。

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    Abstract:The unity of body and spirit concept is the theoretical foundation of Chinese medicine in understanding human life activities. The accelerated decline of ovarian function in women from the age of 35 aligns closely with the description in the Huang Di Nei Jing( The Yellow Emperor's Inner Classic) that "till thirty-five,the Yangming meridian begins to decline,her face begins to be emaciated and her hair starts to fall." The core lies in the depletion of essence, which leads to the disruption of the dynamic balance of qi, blood, yin, and yang, resulting in bodily decline, impaired mental and spiritual activity, the co-occurrence of somatic and psychological disorders, and ultimately the collapse of both body and spirit. In clinical practice,the principle of simultaneous treatment of body and spirit should be established. Based on the pathogenic root of deficiency,the foundational approach is to replenish essence to consolidate the root,while incorporating methods such as restoring interaction between the heart and the kidney,harmonizing the liver and spleen,coordinating qi dynamics,and harmonizing blood to resolve stasis according to the specific syndrome. Furthermore,attention should be paid to the unity of body and spirit,utilizing not only medicine to supplement bodily deficiencies but also regulating emotions and daily life to settle the spirit, so that essence is restored, spirit is tranquilized,and yin and yang naturally achieve harmony. In doing so,the trend of essence depletion can be curbed, and a harmonious state of body-spirit unity can be reestablished.

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韩琳,丁彩飞,王晨晔.基于形神一体观探讨高龄女性卵巢功能减退辨治思路[J].新中医,2026,58(18):154-158

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  • 在线发布日期: 2026-09-29
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