首页|基于"核心病机观"探讨男科疾病的诊疗模式

基于"核心病机观"探讨男科疾病的诊疗模式

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男科疾病多具有病因复杂、共病普遍等特点,中医证候以复合证型为主,加上医师对疾病的认识受限及着眼点不同,容易导致同一病证得出不同的结论.如此错综复杂的情况使得部分男科疾病难以通过传统手段准确辨证,在一定程度上制约了中医男科学疗效的突破.核心病机是疾病的本质性病机,有其固定的病理基础,能够反映疾病发展演变规律.因此,在诊治部分难以准确辨证的男科疾病时,可从疾病的核心病机论治,以此避免单纯辨证的时限性和主观性局限,从而提高临床疗效.
Discussion on the diagnosis and treatment mode of andrology diseases based on"core pathogenesis view"
Many andrology diseases are characterized by complex etiology and common comorbidities.The syndromes of traditional Chinese medicine are dominated by complex syndrome types.In addition,doctors have limited understanding of the disease and different focus points,which can easily lead to different conclusions of the same disease pattern.Therefore,in such a complex situation,it is difficult for some andrology diseases to accurately differentiate symptoms and signs by traditional means,which restricts the breakthrough of the efficacy of traditional Chinese andrology to some extent.Core pathogenesis is the essential pathogenesis of disease,which has its fixed pathological basis and can reflect the law of disease development and evolution.Therefore,in the diagnosis and treatment of some male diseases that are difficult to accurately differentiate,we can treat them from the core pathogenesis of the disease,so as to avoid the limitation of time and subjectivity of simple syndrome differentiation,and thus improve the clinical efficacy.

Andrology diseasesCore pathogenesisMale infertilityErectile dysfunctionPremature ejaculationChronic prostatitis

黄念文、毕焕洲、王彬、王继升、李海松

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北京中医药大学东直门医院男科,北京 100700

北京中医药大学深圳医院泌尿外科,广东深圳 518172

男科疾病 核心病机 男性不育症 勃起功能障碍 早泄 慢性前列腺炎

国家自然科学基金资助项目中华中医药学会青年求实项目

819738452021-QNQS-03

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(1)
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