月经两三个月才来一次，甚至半年不来；脸上、下巴反复长痘，嘴唇上、下巴长出小胡子般的毛；体重怎么都降不下来，尤其肚子；想怀孕，试了很久却总不成——如果这几件事凑在一起，很可能是多囊卵巢综合征（PCOS）。它是育龄女性最常见的内分泌问题之一，也常常被误会成「只是月经不规律」或「卵巢里长了囊」。其实它是一整套内分泌加代谢的失衡。好消息是：大多数 PCOS 女性经过适当调理，月经、皮肤和怀孕都能明显改善。
Periods that come every two or three months, or vanish for half a year; recurring acne on the face and chin, with fine moustache-like hairs on the lip and jaw; weight that won't budge, especially around the belly; and long, unsuccessful attempts to conceive — when these cluster together, it may well be polycystic ovary syndrome (PCOS). It's one of the commonest hormonal problems in women of reproductive age, and one often mistaken for "just irregular periods" or "cysts on the ovary." In truth it's a whole cluster of hormonal and metabolic imbalance. The good news: with the right care, most women with PCOS see clear improvement in their periods, skin, and fertility.
Haid yang datang setiap dua tiga bulan, atau hilang setengah tahun; jerawat berulang di muka dan dagu, dengan bulu halus seperti misai di bibir; berat yang tak turun, terutama di perut; dan percubaan lama untuk hamil yang tak berjaya — apabila ini berkumpul, ia mungkin sindrom ovari polikistik (PCOS). Ia salah satu masalah hormon paling biasa pada wanita usia subur. Berita baik: dengan penjagaan yang betul, kebanyakan wanita PCOS melihat peningkatan jelas pada haid, kulit, dan kesuburan.
PCOS 不只是「卵巢长了很多囊」
PCOS Isn't Just "Cysts on the Ovary"
PCOS Bukan Sekadar "Sista Pada Ovari"
「多囊卵巢」这个名字很容易让人误会，以为是卵巢里长了要切掉的囊肿。其实那些超声上看到的「小囊」，是一堆没能成熟排出的卵泡停在卵巢里——它们是「结果」，不是「病因」。PCOS 真正的问题是一整套内分泌和代谢的失调：排卵不规律、雄激素偏高（所以长痘、多毛）、常伴胰岛素抵抗（所以容易发胖、代谢差）。这三块互相影响、恶性循环。所以它不是一个「妇科局部」问题，而是全身内分泌代谢的问题——这也正好是中医擅长的整体调理。
The name "polycystic ovary" easily misleads — as if there were cysts to be cut out. Those "small cysts" seen on ultrasound are actually a cluster of follicles that failed to mature and release, stalled in the ovary — a result, not the cause. PCOS's real problem is a whole cluster of hormonal and metabolic disorder: irregular ovulation, high androgens (hence the acne and hair), and often insulin resistance (hence the easy weight gain and sluggish metabolism). These three feed one another in a vicious cycle. So it isn't a "local gynae" problem but a whole-body hormonal-metabolic one — precisely what TCM's holistic regulation is suited to.
Nama "ovari polikistik" mudah mengelirukan — seolah-olah ada sista untuk dipotong. "Sista kecil" yang dilihat pada ultrabunyi sebenarnya kumpulan folikel yang gagal matang dan lepas — satu hasil, bukan punca. Masalah sebenar PCOS ialah gangguan hormon dan metabolik: ovulasi tak teratur, androgen tinggi (jerawat dan bulu), dan sering rintangan insulin. Ia masalah seluruh badan — sesuai dengan pengawalan holistik TCM.
中医没有「多囊」这个病名，把它归到「月经后期」「闭经」「不孕」范畴。中医认为月经和生育由「肾—天癸—冲任—胞宫」这条轴调控，PCOS 的根本在肾（这条轴的动力不足），标在痰湿、血瘀、肝郁堵住了胞宫的通路：肾虚则卵泡长不好、排不出；痰湿（常和体重、胰岛素抵抗对应）壅滞，卵巢像被「浊物」裹住；肝郁（压力、情绪）让内分泌更乱；血瘀则经络不通。所以中医的目标不是「催一次经」，而是补肾为本、化痰祛湿活血为标，恢复自主排卵和规律月经——月经自己会来、会排卵，才是真的调好了。
TCM has no term "PCOS," placing it under "delayed menstruation," "amenorrhoea," and "infertility." It holds that menstruation and fertility are governed by the "kidney–tiangui–chong/ren–uterus" axis, and roots PCOS in the kidney (the axis's driving force is weak), with branches of phlegm-damp, blood stasis, and liver-qi stagnation blocking the uterus: kidney deficiency means follicles don't develop or release; phlegm-damp (often matching weight and insulin resistance) clogs, as if the ovary were wrapped in "turbidity"; liver-qi stagnation (stress) further disorders the hormones; blood stasis blocks the channels. So the goal isn't to "force one period" but to tonify the kidney as the root and resolve phlegm-damp and stasis as the branch, restoring spontaneous ovulation and a regular cycle — the period coming and ovulating on its own is what "fixed" really means.
TCM meletakkannya di bawah "haid lewat," "amenorea," dan "ketidaksuburan." Ia berpunca pada buah pinggang (daya paksi lemah), dengan cabang kahak-lembap, takungan darah, dan qi hati tersekat. Jadi matlamatnya bukan "memaksa satu haid" tetapi menguatkan buah pinggang dan menyuraikan kahak-lembap, memulihkan ovulasi spontan dan kitaran teratur.
你的多囊，是哪一种？
Which Kind of PCOS Do You Have?
PCOS Anda Jenis Yang Mana?
临床上 PCOS 大致分成这几种常见证型，多数人是混合——比如肾虚夹痰湿、痰湿夹血瘀。分清主要证型，医师才知道该以补肾、化痰、疏肝还是活血为主。
PCOS commonly falls into these patterns, and most people are mixed — kidney deficiency with phlegm-damp, phlegm-damp with stasis. Sorting the leading pattern tells the practitioner whether to focus on tonifying the kidney, resolving phlegm, soothing the liver, or moving the blood.
PCOS biasanya terbahagi kepada corak ini, dan kebanyakan orang bercampur. Mengasingkan corak utama menentukan fokus rawatan.
月经稀发、量少色淡，甚至闭经，初潮偏晚，常伴腰膝酸软、怕冷、性欲低、精神不振。是 PCOS 最核心的底子——「肾—天癸」这条轴动力不足，卵泡长不好、排不出。方向是补肾（分肾阴虚、肾阳虚），把生殖轴的「动力」补起来，是恢复排卵的根本。
Infrequent, scant, pale periods or amenorrhoea, late menarche, often with a sore lower back and knees, cold-aversion, low libido, and low energy. The core foundation of PCOS — the "kidney–tiangui" axis lacking drive, so follicles don't develop or release. The direction is to tonify the kidney (yin or yang), restoring the reproductive axis's "drive" — the root of restoring ovulation.
Haid jarang, sedikit, pucat, atau amenorea, dengan belakang lenguh, takut sejuk, dan tenaga rendah. Asas teras PCOS. Arahnya menguatkan buah pinggang — akar memulihkan ovulasi.
体型偏胖尤其腹型、白带偏多、身体困重、容易疲倦、喉咙常有痰、舌苔厚腻，减重特别难。这一型常和胰岛素抵抗对应，是 PCOS 里非常常见的一种。中医认为痰湿壅滞胞宫、阻碍排卵。方向是健脾化痰、祛湿泄浊，配合减重控糖，很多人痰湿一化开、体重一降，月经和排卵就跟着改善。
A heavier, especially belly-centred build, more vaginal discharge, a heavy tired body, frequent phlegm, a thick greasy tongue coat, and weight that's very hard to lose. This type often matches insulin resistance and is very common in PCOS. TCM sees phlegm-damp clogging the uterus and blocking ovulation. The direction is to strengthen the spleen, resolve phlegm, and drain damp, alongside weight loss and carb control — as the phlegm-damp clears and weight drops, periods and ovulation often improve with it.
Badan lebih berat terutama di perut, keputihan lebih, badan berat, dan berat sukar turun. Jenis ini sering sepadan dengan rintangan insulin dan amat biasa. Arahnya menguatkan limpa dan menyuraikan kahak-lembap, dengan penurunan berat.
月经紊乱与情绪、压力关系密切，经前烦躁、乳房胀痛、胸闷爱叹气，压力大时月经更乱、更容易长痘。现代女性工作生活压力大，这一型很常见，也常和其他型夹杂。方向是疏肝理气、解郁调经，把「情绪—内分泌」这条线理顺，很多时候情绪一松，周期就稳一些。
Cycles closely tied to mood and stress — pre-period irritability, breast tenderness, chest tightness, frequent sighing, with periods more erratic and acne worse under stress. Common in modern women under work-and-life pressure, and often mixed with other types. The direction is to soothe the liver, move the qi, and regulate the cycle, smoothing the "emotion–hormone" line — often as the mood eases, the cycle steadies.
Kitaran berkait rapat dengan emosi dan tekanan — mudah marah sebelum haid, payudara tegang, dan jerawat lebih teruk bila tertekan. Arahnya melembutkan hati dan mengawal kitaran.
月经推迟、经血颜色暗、有血块，经行小腹刺痛或胀痛，舌质暗或有瘀点。常和其他型夹杂，尤其久病之后。中医认为瘀血阻滞冲任胞脉，卵泡排出和内膜脱落都不顺。方向是活血化瘀、通经，把不通的经络打通，帮助月经排出顺畅、内膜规律脱落，也为受孕改善内环境。
Delayed periods with dark, clotted blood, stabbing or distending lower-abdomen pain during menstruation, and a dark or spotted tongue. Often mixed with other types, especially after a long course. TCM sees stasis obstructing the chong-ren and uterine vessels, so follicle release and endometrial shedding both falter. The direction is to move the blood and free the channels, easing menstrual flow and regular shedding, and improving the internal environment for conception.
Haid lewat dengan darah gelap dan berketul, sakit menusuk perut bawah semasa haid. Sering bercampur dengan jenis lain. Arahnya menggerakkan darah dan melancarkan kitaran, memperbaiki persekitaran dalaman untuk pembuahan.
安心中医怎么处理多囊？
How Does An Xin TCM Treat PCOS?
Bagaimana An Xin TCM Merawat PCOS?
中医处理 PCOS，核心是「补肾为本、化痰祛湿活血为标」，并按月经周期分阶段调理——目标是恢复自主排卵和规律月经，而不只是催一次经。方向对了，好转是月经周期慢慢变规律、经量改善、长痘多毛减轻、体重和精神改善，为备孕打下更好的底子。这是一个需要耐心的过程，一般以 3–6 个月为一个观察周期。
TCM's core for PCOS is "tonify the kidney as the root, resolve phlegm-damp and stasis as the branch," given by menstrual phase — the goal being to restore spontaneous ovulation and a regular cycle, not just to force one period. Get it right and improvement shows as the cycle gradually becoming regular, better flow, less acne and hair growth, and improved weight and energy — a better foundation for conceiving. It's a process that needs patience, usually reviewed over 3–6 months.
Teras TCM untuk PCOS: "menguatkan buah pinggang sebagai akar, menyuraikan kahak-lembap sebagai cabang," diberikan mengikut fasa haid — matlamatnya memulihkan ovulasi spontan. Arah yang betul menunjukkan kitaran menjadi teratur, jerawat berkurang, dan berat serta tenaga bertambah baik. Ia proses yang memerlukan kesabaran, biasanya dinilai dalam 3–6 bulan.
中医调 PCOS 很讲究「周期疗法」：卵泡期重补肾养血、帮卵泡发育；排卵期加活血通络、助排卵；黄体期温肾助阳、稳固内膜；月经期理气活血、帮经血顺利排出。再结合你的证型（肾虚、痰湿、肝郁、血瘀）加减，痰湿重的加化痰祛湿，肝郁的加疏肝。安心用科学中药（浓缩颗粒），冲水就能喝、方便按周期长期调。
TCM leans on "cyclic therapy" for PCOS: in the follicular phase, tonify the kidney and nourish blood to help follicles grow; around ovulation, add blood-moving herbs to aid release; in the luteal phase, warm the kidney-yang to steady the lining; during menstruation, move qi and blood to help the flow. This is then tailored to your pattern (kidney, phlegm-damp, liver-qi, stasis) — adding phlegm-resolving herbs for damp types, liver-soothing for stagnation. An Xin uses concentrated granules — mix with water, easy to keep up across the cycle.
TCM bersandar pada "terapi kitaran": fasa folikel menguatkan buah pinggang; sekitar ovulasi menambah herba penggerak darah; fasa luteal menghangatkan yang buah pinggang. Disesuaikan dengan corak anda. An Xin menggunakan granul tumpat — mudah diteruskan sepanjang kitaran.
针灸常取关元、中极、子宫、三阴交、太溪、丰隆等穴，调理冲任、健脾化痰、促进卵巢局部气血，帮助卵泡发育和排卵。研究也显示针灸对改善 PCOS 的排卵和月经有帮助。针灸和中药配合，一个从内在补养、一个从经络疏通，两条腿走路更稳。
Acupuncture commonly uses Guanyuan, Zhongji, Zigong, Sanyinjiao, Taixi, and Fenglong to regulate the chong-ren, strengthen the spleen, resolve phlegm, and boost blood flow to the ovaries, aiding follicle growth and ovulation. Research also suggests acupuncture helps ovulation and menstruation in PCOS. Paired with herbs — one nourishing from within, one freeing the channels — the two together are steadier.
Akupunktur biasanya menggunakan Guanyuan, Zhongji, Zigong, dan Sanyinjiao untuk mengawal chong-ren dan menggalakkan aliran darah ke ovari. Digandingkan dengan herba, kedua-duanya lebih mantap.
如果你是为了怀孕而来，中医的角色是调体质、改善排卵和内膜环境、为受孕打底，同时强烈建议配合西医——妇科监测排卵、必要时用促排卵药或二甲双胍改善胰岛素抵抗。中医打底 + 西医监测促排，很多 PCOS 女性因此顺利怀孕。切记：别自行停用医生开的药，两边一起管才最稳。想了解更多备孕思路，可参考我们的备孕调理与月经不调文章。
If you've come to conceive, TCM's role is to regulate the constitution, improve ovulation and the endometrial environment, and lay the groundwork, and it's strongly recommended to combine with gynaecology — ovulation monitoring and, where needed, ovulation-induction drugs or metformin for insulin resistance. TCM's groundwork plus Western monitoring and induction helps many women with PCOS conceive. Never stop prescribed medicine on your own — the two together are steadiest. For more on preparing, see our fertility preparation and irregular periods articles.
Jika anda datang untuk hamil, peranan TCM ialah mengawal perlembagaan dan menyediakan asas, dan amat digalakkan digabungkan dengan ginekologi. Jangan berhenti ubat yang ditetapkan sendiri. Lihat artikel penjagaan kesuburan kami.
三件事请一定记住。① PCOS 需要西医确诊，中医不替代诊断。月经紊乱的原因很多，PCOS 的确诊要靠妇科评估——排卵情况、雄激素表现、卵巢超声，并排除甲状腺功能异常、高泌乳素等其他原因。② 长期不排卵要监测子宫内膜。月经长期不来、内膜长期不脱落，有增生风险，需要妇科定期检查，中医调理的同时该做的检查不能省。③ 体重管理和控糖是核心。PCOS 很大程度由胰岛素抵抗驱动，减掉 5–10% 体重、控制精制糖和碳水、规律运动，本身就可能让排卵和月经明显改善——这是所有治疗的地基。中医调理与必要的西医检查治疗从不冲突，一起管才最稳。
Three things to remember. One: PCOS needs a Western diagnosis; TCM doesn't replace it. Irregular periods have many causes, and diagnosing PCOS relies on gynae assessment — ovulation, androgen signs, ovarian ultrasound — ruling out thyroid, prolactin, and other causes. Two: long non-ovulation needs endometrial monitoring. Periods long absent and a lining long unshed carry a risk of hyperplasia, needing regular gynae checks — don't skip the tests while doing TCM. Three: weight management and carb control are central. PCOS is largely driven by insulin resistance; losing 5–10% of body weight, cutting refined sugar and carbs, and exercising regularly can themselves markedly improve ovulation and periods — the foundation of all treatment. TCM care and necessary Western investigation never conflict.
Tiga perkara untuk diingat. Satu: PCOS memerlukan diagnosis Barat; TCM tidak menggantikannya. Diagnosis bergantung pada penilaian ginekologi. Dua: tidak berovulasi lama memerlukan pemantauan endometrium kerana risiko hiperplasia. Tiga: pengurusan berat dan kawalan karbohidrat ialah teras. Menurunkan 5–10% berat badan boleh memperbaiki ovulasi dengan ketara. Penjagaan TCM dan pemeriksaan Barat tidak pernah bercanggah.
在看诊之前，你现在可以先做的3件事
3 Things to Do Before Your Appointment
3 Perkara Yang Boleh Dilakukan Sebelum Temujanji
- 从「控糖」下手，这是 PCOS 的地基。PCOS 很大程度由胰岛素抵抗驱动，所以饮食上最关键的一步是控制精制糖和精制碳水：少喝含糖饮料（奶茶、汽水、包装果汁）、少吃白饭白面包糕点甜点，改用全谷杂粮、增加蛋白质和蔬菜、别让血糖大起大落。这不是要你饿肚子节食（骤减反而伤身），而是「吃对种类」。很多痰湿型 PCOS，光是把糖和碳水控好、动起来，月经就开始规律。 Start with carb control — the foundation of PCOS. PCOS is largely driven by insulin resistance, so the key dietary step is controlling refined sugar and carbs: fewer sugary drinks (milk tea, soft drinks, packaged juice), less white rice, bread, and pastries, swapping in whole grains, more protein and vegetables, and avoiding blood-sugar spikes and crashes. It's not about starving (crash dieting harms you) but "eating the right kinds." For many phlegm-damp PCOS, just controlling carbs and moving more starts to regularise the cycle. Mulakan dengan kawalan karbohidrat — asas PCOS. PCOS banyak didorong rintangan insulin, jadi langkah utama ialah mengawal gula dan karbohidrat halus: kurangkan minuman manis dan nasi putih, tukar kepada bijirin penuh dan lebih protein. Bukan berlapar, tetapi "makan jenis yang betul."
- 动起来 + 好好睡，帮内分泌回到轨道。规律运动能直接改善胰岛素敏感性，快走、慢跑、力量训练都好，每周累积起来比偶尔猛练有用。同样重要但常被忽略的是睡眠和压力——熬夜、长期压力会打乱内分泌、加重肝郁，让月经更乱。尽量规律作息、给自己减压。体重哪怕只减 5–10%，对恢复排卵都可能有明显帮助，一步一步来，别追求速成。 Get moving and sleep well to bring the hormones back on track. Regular exercise directly improves insulin sensitivity — brisk walking, jogging, strength training all count, and steady weekly totals beat occasional hard sessions. Just as important but often overlooked are sleep and stress: late nights and chronic stress disrupt the hormones and worsen liver-qi stagnation, making periods more erratic. Keep a regular routine and ease your stress. Even a 5–10% weight loss can markedly help restore ovulation — step by step, no crash goals. Bergerak dan tidur cukup untuk mengembalikan hormon. Senaman tetap memperbaiki kepekaan insulin. Sama penting ialah tidur dan tekanan — tidur lewat mengganggu hormon. Penurunan berat 5–10% pun boleh membantu memulihkan ovulasi — langkah demi langkah.
- 记录月经，带上你的检查报告。看诊前，记下你的月经情况：多久来一次、每次几天、量多少、颜色和血块、有没有痛经；同时留意长痘多毛、体重变化、情绪压力。如果之前做过检查（超声、激素六项、甲状腺、血糖胰岛素等），把报告带来。这些信息能帮医师又快又准地辨证、判断你偏哪一型、和西医诊断对得上。有备孕计划的，也先跟医师说清楚，好安排中西医配合的节奏。 Track your periods and bring your test reports. Before your visit, note your cycle: how often it comes, how many days, the flow, colour and clots, any period pain; and observe acne, hair growth, weight changes, and stress. If you've had tests (ultrasound, a hormone panel, thyroid, glucose/insulin), bring the reports. This helps the practitioner type your pattern fast and align with the Western diagnosis. If you're planning to conceive, say so early so the TCM-and-Western rhythm can be arranged. Rekod haid anda dan bawa laporan ujian. Sebelum lawatan, catat kitaran anda dan perhatikan jerawat, bulu, dan perubahan berat. Jika anda pernah buat ujian (ultrabunyi, hormon, tiroid), bawa laporannya. Jika merancang hamil, beritahu awal.