首页|基于"阳化气,阴成形"理论辨证论治良性前列腺增生

基于"阳化气,阴成形"理论辨证论治良性前列腺增生

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良性前列腺增生(BPH)是导致排尿困难最常见的泌尿系统疾病,在中医学上归属于癃闭范畴.本文基于《黄帝内经》中"阳化气,阴成形"理论探讨BPH的病因病机和治疗方法,认为阳化气不足及阴成形太过共同导致体内气血津液代谢障碍,造成痰浊、血瘀等病理产物堆积,日久则引起尿道狭窄,甚至闭塞,从而出现尿等待、尿线细和尿潴留等排尿困难症状;提出BPH的治疗原则为调整阴阳,应以健脾益肾、温阳化气为施治之本,以祛邪通络、化坚散形为施治之要.本文总结相关临床和基础研究,证实上述治疗方法的有效性,为临床治疗BPH提供新的辨证思路和理论依据.
Treatment with syndrome differentiation of benign prostatic hyperplasia based on the theory of"yang transforming qi and yin shaping up body"
Benign prostatic hyperplasia(BPH)is the most common urinary system disease that causes difficulty urinating,and is classified as a type of retention of urine in traditional Chinese medicine.This article explores the etiology,pathogenesis and treatment methods of BPH based on the theory of"yang transforming qi and yin shaping up body"in Huangdi Neijing.It believes that the deficiency of yang transforming qi and the excess of yin shaping up body lead to metabolic disorder of qi,blood and body fluid in the body,resulting in the accumulation of pathological products such as turbid phlegm and blood stasis.Over time,it will cause urethral stricture,or even occlusion,resulting in dysuria such as urine waiting,thin urine line,and retention of urine.The treatment principle for BPH is to adjust yin and yang,with the foundation of strengthening spleen,and kidney,warming yang and transforming qi,and the key to dispelling evil,unblocking collaterals,and dispersing hardness and shape.This article summarizes relevant clinical and basic research,confirms the effectiveness of above treatment methods,and provides new dialectical thinking and theoretical basis for clinical treatment of BPH.

Benign prostatic hyperplasiaYang transforming qi and yin shaping up bodyRetention of urine

陈明琪、赵润璞

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河南中医药大学第一附属医院泌尿外科,河南郑州 450000

良性前列腺增生 阳化气,阴成形 癃闭

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(25)