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【正文】 PRL (mμ/L) BBT LH (μ/L) T(ng/ml) CTM 10 8 6 4 2 0 600 480 360 240 120 0 1000 750 500 250 0 365C 40 30 20 10 0 80 60 40 20 0 11 10 9 8 7 6 5 4 3 2 1 0 0 LH / FSH 21 14 7 0 +7 +14 21 14 7 0 lgT / LgE2 lgT / LgE2 = LH / FSH =3 days 10 8 6 4 2 0 600 480 360 240 120 0 1000 750 500 250 0 365C 40 30 20 10 0 80 60 40 20 0 FSH(Iμ/L) E 2(Pg/ml) PRL (mμ/L) BBT CTM LH / FSH LH(μ/L) T(ng/ml) LgT / lgE2 11 10 9 8 7 6 5 4 3 2 1 0 7 14 21 28 35 42 55 62 69 0 days Current Understanding of Polycystic Ovarian Disease Proceeding of a meeting held at The Royal Society of Medicine London UK 8th Feburary 1989 Chairman: Opening Remarks In 1935 Stein and Leventhal described the polycystic ovary syndrome. However, in a recent literature survey, I found that there was a precedent when I came across an abstract entitled ‘The regulatory effect on the hypothalamichypophyseal ovarian axis observed during the process of treatment of polycystic ovarian disease by tonifying the kidney and resolving phlegm ’. I thought that was interesting for a Chinese paper by J. Yu in 1986 and, a little further on, I found that it was a reconsideration of a paper by the auther Ho Tsa Chih which in turn was actually a second interpretation of information obtained duing the rule of the Emperor Chung His in there is a little earlier precedent for polycystic ovarian disease than Stein and Leventhal in 1935. PCOS 高胰島素、肥胖、 LH/FSH2, Clo? 46例 益腎活血 ——天癸方 二甲雙胍 排卵率 %, 妊娠 7/17 ( 1年) 高胰島素高睪酮無排卵大鼠模型 9drat PCO 垂體 — 退行性變 — FSH?LH? + ?無排卵 卵巢 — PCO,? 4A?FT?E2 ?logT/E2 ?ARmRNA ? 睪 酮 肥胖 腎上腺皮質(zhì) — 網(wǎng)狀帶 ? , DHEA? ,? 4A?,T? T ? 胰腺 — ARmRNA ?— C肽 ? Ins ? OGTT Ins ? Ins ? 攝食 ?— 腹膜后脂肪 ?— 體重 ?— leptin ? AR ER NPY OBRb POMC NPY ?EP NPY 下丘腦內(nèi) 共存 20253035404550116 31D a yFood Intake (grams)N o rm a l ra t s9 D A S R9 D A S R + HFigure 1. Food intake in normal rats, 9DASR, and 9DASR with TGR treatment. The food intake of all rats was measured daily from 70 to 100 days of life. 9DASR had higher food intake than normal rats have (P), and food consumption tended to decrease after treatment
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