Reviewed by Casey Wong Pui Mun, Registered TCM Practitioner · November 2026
由注册中医师 黄佩文医师审阅

月經很久才來一次、長痘、體重降不下來？多囊卵巢 PCOS 與中醫調理

简单回答：多囊卵巢症候群（PCOS）是很常见的荷尔蒙与代谢状况，常见表现是月经不规律或好几个月才来一次、痘痘或毛发变多、体重容易增加、比较难怀孕。诊断需要西医透过病史、抽血和超音波确认。中医可以和西医治疗并行，从月经周期、体质、睡眠、饮食与情绪一起调理。醫道閣不会叫你停掉医生开的药。

Short answer: polycystic ovary syndrome (PCOS) is a common hormonal and metabolic condition. Typical signs are irregular periods or periods months apart, acne or extra hair growth, weight that is easy to gain, and difficulty conceiving. Diagnosis needs a medical doctor, using your history, blood tests and ultrasound. TCM can run alongside medical care, working on your cycle, constitution, sleep, diet and mood. We will never ask you to stop medicine your doctor prescribed.

你是不是也這樣？

・月经 35 天以上才来，或一年少于 8 次。
・下巴、下颚线一直长痘，或手臂、脸部毛发变多。
・很容易胖在肚子，怎么控制都降不下来。
・饭后很想睡、常常想吃甜的。
・备孕一段时间还没有消息。

Cycles longer than 35 days, or fewer than eight periods a year; acne along the chin and jaw, or more hair on the face or arms; weight that settles around the tummy and will not shift; sleepiness after meals and sugar cravings; trying to conceive for a while without success.

中醫怎麼看

中医不是看「多囊」这个名称，而是看每个人的体质。常见的有：痰湿偏重（身体沉重、容易水肿、舌苔厚腻）、肾虚（腰酸、怕冷、月经量少）、肝郁（压力大、经前胸胀、情绪起伏）、血瘀（经痛、血块多）。同样是 PCOS，调理方向可能完全不同，所以一定要先把脉问诊。

TCM looks at each person’s pattern rather than the label. Common ones include dampness (a heavy body, puffiness, a thick tongue coating), kidney deficiency (back ache, feeling cold, light periods), liver qi stagnation (stress, breast tenderness before periods, mood swings) and blood stasis (painful periods with clots). Two people with PCOS can need very different approaches, so a consultation comes first.

醫道閣怎麼處理

醫：依体质开中药，配合月经周期调整；需要时加上针灸。会请你带西医的抽血和超音波报告，一起追踪。
形：如果同时有骨盆、腰背紧绷或经痛，SRM 可以处理骨盆周围的张力。
養：饮食上减少精致糖和宵夜、规律睡眠、每周固定运动；记录月经日期，帮助判断进度。

Assess: herbal medicine matched to your pattern and adjusted through your cycle, with acupuncture when useful. Please bring your blood tests and ultrasound reports so we can follow them together. Structure: if pelvic or lower-back tension or period pain is part of the picture, SRM can work on the pelvis. Recover: less refined sugar and late-night eating, regular sleep, steady weekly exercise, and a period diary to track progress.

PCOS 的调理通常以「月经周期」来看进度，一般需要几个周期，不是一两次。

Progress with PCOS is measured in cycles, usually several, not in one or two visits.

第一次來會做什麼？

问诊约 15 分钟：月经纪录、皮肤与体重的变化、备孕计划、目前用药和检查报告，也会把脉看舌。之后医师会说明建议的调理方式。初诊问诊 RM60（带 X 光、血液或其他报告 RM100），复诊 RM30；疗程费用另计，开始前会先说明。

A consultation of about 15 minutes covers your period history, skin and weight changes, any plans to conceive, current medicines and test results, plus pulse and tongue. Your practitioner then explains what they suggest. First consultation RM60 (RM100 if we review X-rays, blood tests or other reports), follow-up RM30; treatment is priced separately and explained before anything starts.

這些情況請先看西醫

三个月以上没有月经、怀疑怀孕、出血量突然很多或经期很长、剧烈下腹痛，或从未做过 PCOS 相关检查，请先看妇产科。

See a gynaecologist first if you have not had a period for three months or more, might be pregnant, have very heavy or prolonged bleeding or severe lower-abdominal pain, or have never had PCOS-related tests.

延伸閱讀

妇科 Women’s Health

中医备孕

成人痘痘

月经与压力

个人情况因人而异，疗程建议需经问诊与医师评估后决定。本文不能取代医疗诊断。
Individual conditions vary. Recommendations follow consultation and practitioner assessment. This article does not replace a medical diagnosis.