基于“乙癸同源”探讨卵巢储备功能减退临证论治
Discussing the Clinical Treatment of Diminished Ovarian Reserve Based On the “Yi Gui Tong Yuan” Theory

卵巢储备功能减退(diminished ovarian reserve, DOR)不仅会干扰女性的月经周期，表现为经血稀少、经迟经闭等，还会降低卵子质量和数量，引发不孕症，亦可因性激素水平波动引起烘热汗出、心烦失眠、腰痛耳鸣和性欲减退等症状。本文试图在总结“乙癸同源”理论的基础上，突破传统仅从肾虚这一角度对卵巢储备功能减退进行论治的模式，从“整体观”与“肝肾”角度梳理其病证结合与临证论治方法与规律，总结卵巢储备功能减退导致不孕的证治规律，以期为临床治疗卵巢储备功能减退提供更有益参循。
Diminished ovarian reserve (DOR) not only disrupts women’s menstrual cycles, manifesting as scanty menstrual blood and delayed or absent periods, but also reduces the quality and quantity of ova, leading to infertility. It can also cause symptoms such as hot flashes, irritability, insomnia, lower back pain, tinnitus, and decreased libido due to fluctuations in sex hormone levels. This paper aims to summarize, based on the theory of “Yi Gui Tong Yuan”, and break through the traditional approach of treating diminished ovarian reserve (DOR) solely from the perspective of kidney deficiency. By integrating the “holistic view” and the perspective of the “liver-kidney”, this study systematically analyzes the combination of symptoms and signs, as well as the clinical treatment methods and patterns for DOR. It aims to summarize the diagnostic and therapeutic patterns of infertility caused by diminished ovarian reserve, thereby providing more valuable references for the clinical treatment of DOR.