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Exploring the treatment based on syndrome differentiation of male lower urinary tract symptoms based on the theory of " zang-fu extraordinary connection"

  • role： First author第一作者
  • Affiliation：

    Beijing University of Chinese Medicine, Beijing 100029, China

    Department of Andrology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China

  • Introduction：杨九天，男，在读博士生
YANG Jiutian12,  
  • Affiliation：

    Department of Andrology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China

GUO Jun2,  
  • Affiliation：

    Department of Andrology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China

GAO Qinghe2,  
  • Affiliation：

    Beijing University of Chinese Medicine, Beijing 100029, China

    Department of Andrology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China

ZHAO Ming12,  
  • Affiliation：

    Beijing University of Chinese Medicine, Beijing 100029, China

    Department of Andrology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China

WU Shuang12,  
  • Affiliation：

    Department of Andrology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China

MA Dongyue2,  
  • Affiliation：

    Department of Andrology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China

WANG Anmin2,  
  • role： Corresponding author通信作者
  • Affiliation：

    Department of Andrology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China

  • Email：fu311306@163.com
  • Introduction：WANG Fu, Ph. D., Deputy Chief Physician, Master′ s Supervisor. Xiyuan Hospital, China Academy of Chinese Medical Sciences, No.1, Xiyuan Playground, Haidian District, Beijing 100091. E-mail: fu311306@163.com
WANG Fu2*

Resümee

Male lower urinary tract symptoms is a collective term for a group of symptoms associated with lower urinary tract disorders characterized by frequent urination, urgent urination, and difficulty of urination, of which the common causes are benign prostatic hyperplasia or overactive bladder. With the aging of the global population, the incidence of male lower urinary tract symptoms is increasing year by year. Based on the theoretical connotation of " zang-fu extraordinary connection", the relationship between the lungs and the bladder, the spleen and the small intestine, and the kidneys and the sanjiao with the formation of male lower urinary tract symptoms is explained from three perspectives. It is believed that lung qi depression and closure, disturbance of qi transformation in bladder, and insufficient spleen transport occur, the small intestine is dysfunctional, kidney yang is exhausted, and obstruction of the sanjiao waterway are the basic pathogenesis of male lower urinary tract symptoms. It is emphasized that the location of the disease should be identified. If it is related to the lungs and the bladder, then the disease should be treated by lifting the pot to lift the lid and diffusing the lung qi to benefit the bladder with Wuling Powder plus perilla leaf and bitter apricot seed; if it is related to the spleen and the small intestines, then the disease should be treated by raising the clear and directing the turbid downward and improving the spleen qi in order to support the small intestines with Shenling Baizhu Powder; if it is related to the kidneys and the sanjiao, then the disease should be treated by seeking the yang within the yin and warming and tonifying the kidney qi in order to dredge up the sanjiao with Bawei Shenqi Pill. According to the patient′s condition, treatment can be combined with acupuncture, exercise, and other therapies. This paper can provide reference for clinical treatment of male lower urinary tract symptoms.

Schlüsselwort

zang-fu extraordinary connection;male lower urinary tract symptoms;benign prostatic hyperplasia;overactive bladder;treatment based on syndrome differentiation

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