20多歲早發性閉經,中醫有解,卵巢萎縮症調理後月經正常來

壓力過大,閉經女性多

據自由時報報導,一名28歲的患者,3-4年來靠荷爾蒙治療月經才可以出現,但只要一停藥後就停經。她自述因為全心準備公職考試,壓力過大,身體突然暴瘦,心悸不安、失眠多夢,月經也跟著不正常。初期經血只來1-2天就停了,後期嚴重到停經好幾個月,甚至一整年都停經,去婦產科檢查,被診斷為早發性的卵巢萎縮症。

新德中醫診所主治醫師劉邦治表示:精神壓抑、緊張,會擾亂了中樞神經的調節,影響到丘腦下部—腦垂體—卵巢內分泌軸的功能,進而引起閉經。中醫主張是肝氣鬱結,疏泄失常,以致冲任通盛紊亂。

 

改善閉經第一步:疏肝,定心安神, 解心悸失眠

劉醫生表示可用逍遙散合養心丹加減:柴胡、當歸、白芍、白朮、炙甘、薄荷、人參、柏子仁、棗仁、菖蒲、茯神、龍齒、牡利等藥材共服20餘帖,心悸失眠,多夢諸症穩定。

 

改善閉經第二步:補腎補血 
針對「卵巢早衰」治療—即青春期後至40歲前過早絕經者。劉醫生表示此種病症並非卵巢機能完全喪失,而是指卵巢機能不正常或低下。患者腰脊痠冷、舌淡苔白、脈沉遲、臉色蒼白,垂體促性腺激素低下,尤其促卵泡激素(FSH)更為明顯,雌激素也很低(15.3pg/ml)。本症屬中醫血室虛寒之經閉不行。(血室為子宮之古稱,子宮虛寒則卵巢漸行萎縮,卵巢之分泌功用失職,產生卵子較少,而致經行不利,甚則絕經)。

子宮之所以虛寒,不外心陽之不振,腎陽之不充,致體內溫煦機能低減,血液運行之力衰少,成為經絡寒凝之循環障礙。子宮為下焦主要器官,也因感受虛寒,發生貧血現狀。卵巢排卵機能極為薄弱,或竟無排卵的可能,故經水日見其少,甚或月事不來。

醫生主張用補腎扶陽,養血調冲法治療,處方:菟絲子、淫羊藿、枸杞子、女貞子、龜板膠、熟地、覆盆子、當歸、山藥、巴戟天、杜仲、烏骨雞、人參、紫河車等藥、共服50餘帖,患者目前月經按月來潮,經量正常。

 

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Margaret W. Lavigne

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