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:
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*

реферат

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.

ключеви́че слова́

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

References

  1. [1].
    GRAVAS S, GACCI M, GRATZKE C, et al. Summary paper on the 2023 european association of urology guidelines on the management of non-neurogenic male lower urinary tract symptoms[J]. Eur Urol, 2023, 84(2): 207-222.
  2. [2].
    WELLIVER C, FEINSTEIN L, WARD JB, et al. Trends in lower urinary tract symptoms associated with benign prostatic hyperplasia, 2004 to 2013: the urologic diseases in America project[J]. J Urol, 2020, 203(1): 171-178.
  3. [3].
    GACCI M, CORONA G, SEBASTIANELLI A, et al. Male lower urinary tract symptoms and cardiovascular events: a systematic review and meta-analysis[J]. Eur Urol, 2016, 70(5): 788-796.
  4. [4].
    VIGNOZZI L, GACCI M, MAGGI M. Lower urinary tract symptoms, benign prostatic hyperplasia and metabolic syndrome[J]. Nat Rev Urol, 2016, 13(2): 108-119.
  5. [5].
    GLASER AP, MANSFIELD S, SMITH AR, et al. Impact of sleep disturbance, physical function, depression and anxiety on male lower urinary tract symptoms: results from the symptoms of lower urinary tract dysfunction research network (LURN)[J]. J Urol, 2022, 208(1): 155-163.
  6. [6].
    SOLER R, ANDERSSON KE, CHANCELLOR MB, et al. Future direction in pharmacotherapy for non-neurogenic male lower urinary tract symptoms[J]. Eur Urol, 2013, 64(4): 610-621.
  7. [7].
    DEVLIN CM, SIMMS MS, MAITLAND NJ. Benign prostatic hyperplasia - what do we know?[J]. BJU Int, 2021, 127(4): 389-399.
  8. [8].
    王鹏,熊伟,龙衍,等.周青基于“肺为水之上源”论治男性下尿路症状经验[J]. 中医药导报,2023,29(8):193-197.
  9. [9].
    罗凤淼,周雨雨,蔡雨若,等.从“治水必治气”论治癃闭病的临床举隅[J]. 贵州中医药大学学报,2023,45(5):19-22.
  10. [10].
    吴梦婷,王停,刘珊,等.基于名医名家临证经验的前列腺增生症中医证候、证素分布文献分析[J]. 中国实验方剂学杂志,2019,25(20):173-180.
  11. [11].
    马越,孟瑶,李大可.李大可教授治疗癃闭病经验浅析[J]. 现代中西医结合杂志,2018,27(34):3807-3810.
  12. [12].
    李梴.医学入门[M].金嫣莉,何源,乔占兵,校注.北京:中国中医药出版社,1995:72.
  13. [13].
    左常波.董氏奇穴针灸特色疗法(1)[J]. 中国针灸,2003,23(5):34-37.
  14. [14].
    黄文豪,娄必丹.从“开阖枢”与经脉脏腑的关系浅析针刺镇痛选穴[J]. 中国针灸,2018,38(5):535-538.
  15. [15].
    许慎.说文解字[M].汤可敬,译注.北京:中华书局,2018.
  16. [16].
    高世栻.医学真传[M].王新华,点注.南京:江苏科学技术出版社,1983:32.
  17. [17].
    中华医学会男科学分会,男性下尿路症状诊断和治疗中国专家共识编写组.男性下尿路症状诊断和治疗中国专家共识[J]. 中华男科学杂志,2021,27(12):1129-1139.
  18. [18].
    赵大鹏,胡艳鑫,王茹,等.李延治疗癃闭经验[J]. 山东中医杂志,2020,39(11):1212-1215.
  19. [19].
    高庆和,赵家有,余国今,等.郭军四型论治癃闭临床经验[J]. 环球中医药,2013,6(11):845-846.
  20. [20].
    俞震.古今医案按[M].北京:中医古籍出版社,2008:241.
  21. [21].
    张介宾.类经[M].北京:中医古籍出版社,2016.
  22. [22].
    巢元方.诸病源候论[M].刘宇,孙冬莉,点校.北京:北京科学技术出版社,2016:167.
  23. [23].
    张元素.脏腑标本虚实寒热用药式校释[M].吴风全,郭忠印,秦满,等,校释.北京:中医古籍出版社,1994.
  24. [24].
    吴瑭.温病条辨[M].北京:人民卫生出版社,2005:81.
  25. [25].
    张志聪.侣山堂类辩[M].北京:人民卫生出版社,1983:25.
  26. [26].
    王好古.汤液本草[M].竹剑平,主校.北京:中国中医药出版社,2008:56.
  27. [27].
    龚居中.痰火点雪[M].傅国治,王庆文,点校.合肥:安徽大学出版社,1996:46.
  28. [28].
    许克昌.外科证治全书[M].毕法同,辑.北京:人民卫生出版社,1961:153.
  29. [29].
    张介宾.类经图翼[M].北京:人民卫生出版社,1965:11.
  30. [30].
    李中梓.医宗必读[M].郭霞珍,整理.北京:人民卫生出版社,2006:355.

Читать полностью

The above content is generated by Large Model Translation. The translated content is for reference only. We do not assume any commercial or legal responsibilty for any consequences arising from the use of our website