RESUMO
[Objective]To explore the pathological mechanism and treatment of polycystic ovary syndrome in traditional Chinese from the angle of five viscera, and to enrich the theory in differentiation syndrome of solid-hollow viscera.[Methods]Based on ancient literature and modern clinic investigation,we discuss polycystic ovary syndrome from five viscera,at the same time,different viscera has its own etiology and pathogenesis,so according to five viscera syndrome differentiation,we can take different treatment and prescription respectively. [Results]The generation,transmission,mutual interaction of qi,blood,essence, body fluids in five viscera are dynamic.The pathological mechanism of polycystic ovary syndrome is based on the imbalance of qi,blood,essence,body fluids in internal organs,while phlegm wet and blood stasis are considered as treetop.Consequently,which are seen as the radical treatment such as to tonify and diffuse the lung, replenish qi and to calm down the heart, invigorate the spleen and nourish blood, to clear and soothe the liver, to tonify the kidney and secure the essence. While dampness drying, phlegm resolving, and blood activation are the treatment of treetop aspect, then they can reach the purpose of simultaneous treatment of treetop and root.As a result,the physiological function of five viscera will recover,clinical symptoms such as menstrual disorder, infertility,hirsutism and acne will be improved.[Conclusion]In clinic,we should start from the overall,broaden the train of thought,develop and innovate the application in differentiation syndrome of solid-hollow viscera.