首页|基于四气五味理论探析通法在慢性前列腺炎证治中的应用

基于四气五味理论探析通法在慢性前列腺炎证治中的应用

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慢性前列腺炎(CP)是男科常见疾病,会严重影响患者的身心健康和生活质量,且西医治疗效果有限,但中医治疗CP具有一定优势.目前各医家主要从肝气郁滞、气滞血瘀、湿热下注等方面进行论治,本文基于四气五味探讨通法在CP治疗中的应用.《金匮要略》云:"若五脏元真通畅,人即安和."精室之用在于藏泻有度,精道通畅,即能够使相火归位,不至于产生离位之精而酿生精浊,精浊之治,贵在于"通",所求为"和".本文以通法为用,蕴含多意,包括清热利湿以通浊、活血化瘀以通络、行气解郁以通气、温阳益肾以通补等,临床上应灵活运用,分辨虚实,明辨药物之性味,选择清热、化瘀、利湿、行气、补益的药物,据因施治.四气五味理论是中药药性理论的核心,故本文以四气五味为基,通法为用,探讨CP之证治.
Exploration of the application of the Tongfa in the treatment of chronic prostatitis based on the theory of"four Qi and five flavors"
Chronic prostatitis(CP)is a common andrology disease,which significantly impairs physical and psychological health and the quality of life.Western medicine have demonstrated limited efficacy in treating this condition,but traditional Chinese medicine has distinctive advantage in treating CP.Contemporary doctors mainly manage from the aspects of the pathogenesis of liver Qi stagnation,Qi stasis with blood stasis,damp-heat descending,etc.This paper discusses the application of Tongfa in the treatment of CP based on four Qi and five flavors.As"Jingui Yaolüe"postulates,if the five entrails are fundamentally unobstructed,the individual attains tranquility and harmony.The efficacy of seminal vesicle function lies in its judicious containment and release.The unimpeded flow of seminal essence can return the Xianghuo to prevent the aberration of seminal essence and the ensuing generation of turbid substances.The therapeutic emphasis on managing turbidity underscores the importance of"Tong",aspiring towards harmony.The current article makes use of Tongfa and encompasses diverse therapeutic implications,including clearing heat and dampness to facilitate the removal of turbidity,promoting blood circulation and resolving stasis to facilitate vessel patency,regulating Qi circulation and alleviating stagnation to facilitate respiratory flow,and warming the Yang and nourishing the kidneys to facilitate tonification.Clinical applications necessitate flexible usage,nuanced discernment between deficiency and excess,adept understanding of the nature and flavor of medicinal agents,selection of drugs that possess heat-clearing,stasis-dissolving,dampness-expelling,Qi-moving,and tonifying properties,and management tailored to the specific context of each case.The four Qi and five flavors theory constitutes the cornerstone of herbal pharmacology.Therefore,we integrate the principles of the four Qi and five flavors with the therapeutic application of Tongfa in this paper,to explore syndrome and treatment of CP.

Chronic prostatitisThe four Qi and five flavorsTongfaSyndrome differentiation and treatment

覃忠健、张磊、鲍丙豪、陈露、黄浩男、文皓烺、王雪艳、童苏妍、刘保兴

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北京中医药大学研究生院,北京 100029

中日友好医院男科,北京 100029

慢性前列腺炎 四气五味 通法 辨证论治

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(12)