药食同源杂志2025，Vol.1Issue(1)：39-43,5.
从气、血、水三分辨治良性前列腺增生症及膏方运用
Pattern differentiation and treatment of benign prostatic hyperplasia based on the aspects of qi,blood,and water and the application of corresponding condensed decoctions
摘要
Abstract
Benign prostatic hyperplasia(BPH),a prevalent urinary disorder in middle-aged and elderly men,manifests as prostate enlargement,compression and obstruction of the urethra,which subsequently leads to symptoms of urinary difficulties..BPH is one of the diseases where Chinese medicine(CM)has a distinct advantage in prevention and treatment,effectively improving the clinical symptoms and enhancing the quality of life of patients.Drawing from the etiological and pathological principles in Shang Han Za Bing Lun(Treatise on Cold Damage and Miscellaneous Diseases),this study advocates pattern-differentiating and therapeutic approaches for BPH targeting the aspects of qi,blood,and water.CM attributes the occurrence of BPH to kidney qi deficiency,blood stasis,phlegm obstruction,and blocked water passages,with core mechanisms involving qi deficiency,blood stasis,and fluid retention.Treatment strategies emphasize tonifying kidney qi,circulate blood and transform stasis,and promoting urination and draining dampness.With the sustained-release and long-lasting characteristics,the condensed decoction has demonstrated unique advantages in the treatment of BPH.It not only warms and tonifies kidney yang to strengthen the root but also eliminates blood stasis and promotes urination to address the symptoms.This dosage form aligns well with the mixed deficiency and excess constitution of middle-aged and elderly patients,who require long-term regulation.In clinical practice,by differentiating the patterns of BPH based on the condition of qi,blood,and water within the body,representative classical formulas such as Shenqi Pill,Guizhi Fuling Pill,Chunze Decoction,and Danggui Shaoyao Powder are skillfully integrated.This study aims to optimize the diagnosis and treatment of BPH by comprehensively analyzing the etiological and pathological characteristics of qi,blood,and water,and by combining these ther-apeutic methods and formulas,providing innovative methodologies for andrological management of BPH.关键词
良性前列腺增生症/气血水/小便不利/膏方Key words
benign prostatic hyperplasia/qi,blood,and water/urinary difficulty/condensed decoction分类
医药卫生引用本文复制引用
符方智,周青..从气、血、水三分辨治良性前列腺增生症及膏方运用[J].药食同源杂志,2025,1(1):39-43,5.基金项目
国家中医优势专科(外科)项目(国中医药医政函[2024]90号) （外科）
湖南省一类中医重点专科(男科)项目(湘中医药函[2023]4号) （男科）
湖南中医药大学研究生创新课题(2024CX016). （2024CX016）
