张亚强基于脾肾同调辨治女性压力性尿失禁
Zhang Yaqiang's experience in the treatment of female stress urinary incontinence based on spleen kidney concordance
刘冬 1马小娜 1秦丽娜 1张梦琪 2张亚强3
作者信息
- 1. 北京中医药大学第三附属医院 北京 100029
- 2. 中国医学科学院阜外医院深圳医院
- 3. 中国中医科学院广安门医院
- 折叠
摘要
女性压力性尿失禁是指在腹压突然增加的情况下尿液不自主地从尿道口漏出,近年来,发病率呈上升趋势.张亚强教授认为女性压力性尿失禁的主要病机为脏腑虚损、脾肾气虚,治疗以健脾补肾为基础,补先后天以治本,缩尿止遗以治标.在补中益气汤和菟丝子丸的基础上自拟"止遗I号方"加减化裁,随证佐以疏肝理气、化痰祛瘀之法灵活遣方,同时重视功能锻炼及心理疏导.并结合临床病案对张教授基于脾肾同调辨治女性压力性尿失禁经验进行介绍.
Abstract
Female stress urinary incontinence refers to the involuntary leakage of urine from the urethral orifice in the case of sudden increase in abdominal pressure. In recent years,the incidence has increased. Professor Zhang believes that the main pathogenesis of female stress urinary incontinence is the deficiency of viscera and the deficiency of spleen and kidney qi.The treatment is based on invigorating the spleen and tonifying the kidney. Tonifying spleen and kidney to treat the root cause,and reducing enuresis to treat symptoms. On the basis of Buzhong Yiqi decoction and Tusizi pill,the "Zhiyi No.Ⅰ formula" was invented and modified. The formula was flexibly formulated by soothing the liver and regulating qi,resolving phlegm and removing blood stasis. at the same time,functional exercise and psychological counseling were emphasized. Combined with clinical cases,Professor Zhang's experience in the treatment of female stress urinary incontinence based on spleen kidney concordance was introduced.
关键词
女性压力性尿失禁/脾肾气虚/止遗I号方/名医经验/张亚强Key words
female stress urinary incontinence/spleen and kidney qi deficiency/Zhiyi No.Ⅰ formula/experience of famous doctors/Zhang Yaqiang引用本文复制引用
基金项目
国家重点研发计划项目(2022YFC2503900)
国家重点研发计划项目(2022YFC2503902)
出版年
2024
国家科技期刊平台
NSTL
万方数据