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经前期综合征（PMS）常发于育龄期女性，表现为月经前期周期性出现一系列身体与情绪不适症状，其中经前烦躁障碍症（PMDD）属于其重症类型。文章基于“体病相关”理论，总结PMS的易感体质类型，分析不同体质特性如何决定个体对PMS的易感性；以易感说、从化说、土壤说和胎源说为框架，重点探讨生命早期应激（ELS）与气郁质在PMS发病中的相关性；同时系统阐述生命早期不同阶段（孕期、儿童期、青少年期）应激对体质偏颇及远期PMS易感性的影响。基于中医学“治未病”理念，着力构建全周期ELS筛查体系，是从体质入手预防PMS的有效途径。
Abstract：Premenstrual syndrome(PMS) often occurs in women of childbearing age,presenting as a series of physical and emotional discomforts that occur cyclically during the premenstrual period. Premenstrual dysphoric disorder(PMDD) is considered its severe form. Based on the theory of “ constitution-disease correlation”,this article summarizes the susceptible constitution types of PMS and analyzes how the characteristics of different constitutions determine susceptibility to PMS. Taking the theories of susceptibility,transformation,soil,and fetal origin as its framework,the article focuses on exploring the correlation between early life stress(ELS) and qi stagnation constitution in the pathogenesis of PMS. At the same time,it systematically expounds how stress during different early life stages—such as pregnancy,childhood,and adolescence—affects constitutional imbalance and long-term susceptibility to PMS. Based on the traditional Chinese medicine concept of “preventive treatment of disease”,making efforts to construct a full-cycle ELS screening system is an effective way to prevent PMS starting from the constitutional level.
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基本信息:
DOI：10.16295/j.cnki.0257-358x.2025.09.009
中图分类号:R271.115
引用信息:
[1]徐淑亮,邱兆艳,王子健,等.基于“体病相关”理论探讨经前期综合征易感体质与生命早期应激的相关性[J].山东中医杂志,2025,44(09):982-987.DOI:10.16295/j.cnki.0257-358x.2025.09.009.
基金信息:
国家自然科学基金项目(编号：82074293); 山东省研究生教育教学改革研究项目(编号：SDYJSJGC2024063); 山东省研究生精品和优质专业学位教学案例库项目(编号：SDYAL2024147); 山东中医药大学科学研究基金项目(编号：KYZK2024M08)
2025-09-05
2025-09-05