北京中医药大学学报2024，Vol.47Issue(3)：302-306,5.DOI:10.3969/j.issn.1006-2157.2024.03.002
基于"脏腑别通"理论探讨男性下尿路症状的证治
Exploring the treatment based on syndrome differentiation of male lower urinary tract symptoms based on the theory of "zang-fu extraordinary connection"
摘要
Abstract
Male lower urinary tract symptoms is a collective term for a group of symptoms associated with lower urinary tract disorders characterized by frequent urination, urgent urination, and difficulty of urination, of which the common causes are benign prostatic hyperplasia or overactive bladder. With the aging of the global population, the incidence of male lower urinary tract symptoms is increasing year by year. Based on the theoretical connotation of " zang-fu extraordinary connection", the relationship between the lungs and the bladder, the spleen and the small intestine, and the kidneys and the sanjiao with the formation of male lower urinary tract symptoms is explained from three perspectives. It is believed that lung qi depression and closure, disturbance of qi transformation in bladder, and insufficient spleen transport occur, the small intestine is dysfunctional, kidney yang is exhausted, and obstruction of the sanjiao waterway are the basic pathogenesis of male lower urinary tract symptoms. It is emphasized that the location of the disease should be identified. If it is related to the lungs and the bladder, then the disease should be treated by lifting the pot to lift the lid and diffusing the lung qi to benefit the bladder with Wuling Powder plus perilla leaf and bitter apricot seed; if it is related to the spleen and the small intestines, then the disease should be treated by raising the clear and directing the turbid downward and improving the spleen qi in order to support the small intestines with Shenling Baizhu Powder; if it is related to the kidneys and the sanjiao, then the disease should be treated by seeking the yang within the yin and warming and tonifying the kidney qi in order to dredge up the sanjiao with Bawei Shenqi Pill. According to the patient's condition, treatment can be combined with acupuncture, exercise, and other therapies. This paper can provide reference for clinical treatment of male lower urinary tract symptoms.关键词
脏腑别通/男性下尿路症状/良性前列腺增生/膀胱过度活动症/辨证论治Key words
zang-fu extraordinary connection/male lower urinary tract symptoms/benign prostatic hyperplasia/overactive bladder/treatment based on syndrome differentiation分类
医药卫生引用本文复制引用
杨九天,郭军,高庆和,赵明,吴霜,马东岳,王安民,王福..基于"脏腑别通"理论探讨男性下尿路症状的证治[J].北京中医药大学学报,2024,47(3):302-306,5.基金项目
国家自然科学基金青年科学基金项目(No.82104880) （No.82104880）
中华中医药学会青年求实项目(No.2023-QNQS-02) National Natural Science Foundation of China(No.82104880) （No.2023-QNQS-02）
