【摘要】 清代沈金鳌在《妇科玉尺·月经》中提出“经不调有三，一脾虚，二冲任损伤，三痰脂凝塞”，认为早发性卵巢功能不全的发病根本为脾脏受损，与冲任脉、肝、肾、肺密切相关。天癸匮乏，冲任不畅，影响卵巢功能；或凝聚痰脂，作为病理产物而致病。治疗上遵循“治病求本，标本兼治”的思路，注重补肾健脾，肝气、肺气同调，扶衰抑邪，缓解症状的同时改善卵巢功能。更多还原

【Abstract】 In the Qing Dynasty,in Fuke Yuchi,Menstruation,Shen Jin-ao put forward that irregular menstruation was due to three kinds of etiologies,i.e.the first was spleen deficiency,the second was injury of Chong and Ren meridians,and the third was coagulated phlegm with blood stasis.It is believed that the pathogenesis of early-onset ovarian dysfunction is damage of spleen,and closely related to Chong and Ren meridians,liver,kidney and lung.Deficiency of kidney-essence and poor smooth Chong and Ren meridians affect ovarian function;or coagulated phlegm and blood stasis,as pathological products,cause the diseases.In the treatment,the idea of treating disease according to its origin and treating both symptoms and its root causes should be followed;it should be paid attention to tonifying the kidney and strengthening the spleen,regulating both liver qi and lung qi,strengthening healthy qi to eliminate pathogens as well as improving ovarian function while relieving symptoms.更多还原