J Steroid Biochem Mol Biol. 2019 Nov;194:105445. doi: 10.1016/j.jsbmb.2019.105445. Epub 2019 Aug 2. Understanding the association of polycystic ovary syndrome and non-alcoholic fatty liver disease. Salva-Pastor N1, Chávez-Tapia NC2, Uribe M3, Nuño-Lámbarri N4. Author information 1 Traslational Research Unit, Medica Sur Clinic & Foundation, Puente de Piedra 150, Toriello Guerra Tlalpan, Z.C. 14050, Mexico City, Mexico; School of Medicine, Benemérita Universidad Autónoma de Puebla, 13 Sur 2702, Los Volcanes, Z.C. 72420, Puebla, Mexico. Electronic address: [email protected]. 2 Traslational Research Unit, Medica Sur Clinic & Foundation, Puente de Piedra 150, Toriello Guerra Tlalpan, Z.C. 14050, Mexico City, Mexico; Obesity and Digestive Diseases Unit, Medica Sur Clinic & Foundation, Puente de Piedra 150, Toriello Guerra Tlalpan, Z.C. 14050, Mexico City, Mexico. Electronic address: [email protected]. 3 Obesity and Digestive Diseases Unit, Medica Sur Clinic & Foundation, Puente de Piedra 150, Toriello Guerra Tlalpan, Z.C. 14050, Mexico City, Mexico. Electronic address: [email protected]. 4 Traslational Research Unit, Medica Sur Clinic & Foundation, Puente de Piedra 150, Toriello Guerra Tlalpan, Z.C. 14050, Mexico City, Mexico. Electronic address: [email protected]. Abstract
Polycystic ovary syndrome (PCOS) is the most common endocrine disorder among reproductive-age women. Patients with non-alcoholic fatty liver disease (NAFLD) often suffer from metabolic syndrome, atherosclerosis, ischemic heart disease, and extrahepatic tumors, conferring a lower survival than the general population; therefore it is crucial to study the association between NAFLD and PCOS since it remains poorly understood. Insulin resistance (IR) plays a central role in the pathogenesis of NAFLD and PCOS; also, hyperandrogenism enhances IR in these patients. IR, present in the NAFLD-PCOS association could decrease the hepatic production of sex hormone-binding globulin through a possible regulation mediated by hepatocyte nuclear factor 4 alpha. On the other hand, apoptotic processes initiated by androgens actively contribute to the progression of NAFLD. Considering the association between the two conditions, the screening of women with PCOS for the presence of NAFLD appears reasonable. The pathophysiological mechanisms of PCOS-NAFLD association and the initial approach will be reviewed here.
肝郁气滞证的病因：先天性格急躁，或多因精神刺激，情志不遂；或病邪侵袭如肝炎；或其他脏腑病变的影响，使肝气郁结。
临床表现：情志抑郁，爱生气，爱叹气，胸胁胀痛，乳房胀痛，少腹胀痛，走串不定。失眠，多梦，易醒，或咽部有异物感，或甲状腺肿瘤，或乳腺肿瘤，偏头痛，月经不调，痛经，闭经，不孕。舌淡苔白，脉弦。
病情的轻重与情绪变化相关。
治法：疏肝解郁 治疗代表方剂：逍遥散
本证多与情志因素有关，以情志抑郁，胸胁或少腹胀痛为辩证依据。
感谢有这么个论坛，督促着我字斟句酌的做视频。
谢谢大家。
百度：人体部位名，腹的下部，位于脐与骨盆之间。又称小腹。
请解释一下，谢谢！
这个为对。
另一边也是少腹。这个图也对：
少腹是肝经所经过的地方，肝经从大腿根的急脉穴上来，通过少腹，连接章门穴：
这里肝的含义包括下丘脑-->垂体-->卵巢轴, 涉及雌性激素，睾酮，孕激素。所谓“情志病”的本质是各种原因引发的激素失调。逍遥丸的主要作用之一也在于调节这些激素，使其恢复正常。
参考：徐丁洁， 洪丽文，徐 洪， 杨宏敏，刘曼芳， 杜惠兰。 补肾调经方，逍遥丸对雄激素致排卵障碍模型 大鼠腺垂体，卵巢影响的比较研究。中国中西医结合杂志 2014年 1月第 34卷第 1 期
至于是否有人研究了鲜的更好，这个我没有跟踪，抱歉！
觉得这贴太重要了，希望更多人能看能了解，肝郁气滞，不要不在乎。。
J Steroid Biochem Mol Biol. 2019 Nov;194:105445. doi: 10.1016/j.jsbmb.2019.105445. Epub 2019 Aug 2. Understanding the association of polycystic ovary syndrome and non-alcoholic fatty liver disease. Salva-Pastor N1, Chávez-Tapia NC2, Uribe M3, Nuño-Lámbarri N4. Author information 1 Traslational Research Unit, Medica Sur Clinic & Foundation, Puente de Piedra 150, Toriello Guerra Tlalpan, Z.C. 14050, Mexico City, Mexico; School of Medicine, Benemérita Universidad Autónoma de Puebla, 13 Sur 2702, Los Volcanes, Z.C. 72420, Puebla, Mexico. Electronic address: [email protected]. 2 Traslational Research Unit, Medica Sur Clinic & Foundation, Puente de Piedra 150, Toriello Guerra Tlalpan, Z.C. 14050, Mexico City, Mexico; Obesity and Digestive Diseases Unit, Medica Sur Clinic & Foundation, Puente de Piedra 150, Toriello Guerra Tlalpan, Z.C. 14050, Mexico City, Mexico. Electronic address: [email protected]. 3 Obesity and Digestive Diseases Unit, Medica Sur Clinic & Foundation, Puente de Piedra 150, Toriello Guerra Tlalpan, Z.C. 14050, Mexico City, Mexico. Electronic address: [email protected]. 4 Traslational Research Unit, Medica Sur Clinic & Foundation, Puente de Piedra 150, Toriello Guerra Tlalpan, Z.C. 14050, Mexico City, Mexico. Electronic address: [email protected]. Abstract
Polycystic ovary syndrome (PCOS) is the most common endocrine disorder among reproductive-age women. Patients with non-alcoholic fatty liver disease (NAFLD) often suffer from metabolic syndrome, atherosclerosis, ischemic heart disease, and extrahepatic tumors, conferring a lower survival than the general population; therefore it is crucial to study the association between NAFLD and PCOS since it remains poorly understood. Insulin resistance (IR) plays a central role in the pathogenesis of NAFLD and PCOS; also, hyperandrogenism enhances IR in these patients. IR, present in the NAFLD-PCOS association could decrease the hepatic production of sex hormone-binding globulin through a possible regulation mediated by hepatocyte nuclear factor 4 alpha. On the other hand, apoptotic processes initiated by androgens actively contribute to the progression of NAFLD. Considering the association between the two conditions, the screening of women with PCOS for the presence of NAFLD appears reasonable. The pathophysiological mechanisms of PCOS-NAFLD association and the initial approach will be reviewed here.
Copyright © 2019 Elsevier Ltd. All rights reserved.
KEYWORDS:Cytokeratin-18; Hyperandrogenism; Insulin resistance; Ninein; Obesity; Sex hormone-binding globulin
PMID: 31381969 DOI: 10.1016/j.jsbmb.2019.105445如果我理解有误请指出，不必客气。
只不过表现形式，或说将引发的病位病种有些差异。。
那个劲头跟有人pay钱似的
变化是对的，小鱼，我，网友和这个论坛都是动态的，互动的。
不变，那叫固执，一根筋。
主要还是我智商低，不爱学习太深的理论，就喜欢最近这样的讨论，比如为什么得子宫肌瘤和乳腺癌？血压为什么会高？甲状腺癌与什么有关？还有猝死，又是怎么回事？现代仪器检查不出来。等等，这些从瑜伽上如何防治？是我研究的方向。
现代汉语胁只用于威胁胁迫等意思，但是中医的胁好像是指肋骨部位。中医的胁和肋有区别吗？或者传统中医根本不说肋？
想给你个图，但是不清楚。大概转述一下：
胁为腋下，肋为其骨。
这图看起来可能费点劲：
我在做瑜伽crow pose ，这里发热，很好奇。
core 是什么？中医如何解释？
有种说法，肝是人体气机中个重要枢纽。它若郁结能影响到人体的各部位气机升降运行。
如果人身体哪里本身就存在弱点，病就可能攻那里。
而女子一般重情，男子一般重欲。情是要投入的，一般陷进去了，不容易拔出来，而且女子容易认死理，觉得我对你这么好，为你付出了这么多，你为什么对我这样？而欲，都是当下就能消费的，不会存在很长时间，所以女人比男人更容易得肝郁。
我觉得解决的办法，就是移情别恋，比如家里的孩子长大了，出门上学了，不会像小时候那样经常给你通电话，可能只是简单的报个平安，甚至这些也少。家长怎么办？最好的办法就是自己找到自己的爱好，把时间和精力投入进去，这样就能分心。
还有就是心要大，经常旅游登山远眺或到大海边上看看，能让心胸开阔。甚至天气晴好的时候，对着湛蓝的天空发发呆，或者夜晚抬头看看深邃的星空，目力所及之处，都能获得能量。
再有就是活动带脉，也可以帮助解决肝气不疏的问题。
我有一次，从中国回来，不久感觉气短，我就天天去瑜伽馆做瑜伽，直到有一天做完瑜伽立即帮别人解决问题，开车途中就感到阳光灿烂，心旷神怡。病一下就没了！看来，要有好事冲击！
1. 离腹股沟最近的穴位：
肝经说了，是急脉穴；
脾经，冲门穴；
肾经，横骨穴。
2. 至于core 是什么，你得给我上下文。否则，我只能告诉你core是江泽民
我做强肾体式，这里就很热！这次做crow pose ，明显感觉到热，又开始认为与核心力量有关系。