前列腺增生辨治五法  

Five Methods of Syndrome Differentiation and Treatment for Benign Prostatic Hyperplasia

作　　者：陈建设[1] 李培轮 孙自学[1] 王春霞[1] 王同明[1] 王冰玉[1] 

机构地区：[1]河南省中医院男科,河南郑州450002

出　　处：《实用中医内科杂志》2015年第11期67-69,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：河南省高校科技创新人才支持计划(No:2011HASTIT019);河南省中医药科学研究专项课题(No:2013ZY02005)

摘　　要：前列腺增生属"淋证""精浊""白淫""白浊"等范畴,辨证分型治疗,湿热蕴结-清热利湿,八正散或龙胆泻肝汤;气滞血瘀-理气活血,前列腺痛汤;阴虚火旺-滋阴降火,知柏地黄汤;病久脾气虚弱-补脾益气,补中益气汤;久病肝肾虚弱-补益肝肾,济生肾气丸。疾病常非单一病因病机,治疗不能拘于一格,应灵活多变,随证治之。Benign prostatic hyperplasia（BPH）belongs to Lizheng,Jingzhuo,Baiyin and Baizhuo in TCM.The treatment principle is syndrome differentiation and treatment.The treatment method of Heat and dampness accumulation is clearing heat and removing dampness and to use Bazhegn powder or Longdanxiegan decoction.The treatment method of Qi stagnation and blood stasis is regulating Qi and activating blood and to use Qianliexiantong decoction.The treatment method of Huo excess from Yin deficiency is nourishing Yin and reducing Huo and to use Zhibodihuang decoction.The treatment method of deficiency-weakness of spleen-Qi is invigorating spleen and replenishing Qi and to use Buzhongyiqi decoction.The treatment method of liver and kidney weakness is nourishing liver and kidney and to use Jishengshenqi pill.Because the etiology and pathogenesis are usually not single,the treatment methods cannot be arrested in a grid and should be flexible and changeable.

关 键 词：前列腺增生症 淋证 精浊 湿热蕴结 清热利湿 八正散 龙胆泻肝汤 气滞血瘀 理气活血 前列腺痛汤 阴虚火旺 滋阴降火 知柏地黄汤 脾气虚弱 补脾益气 补中益气汤 肝肾虚弱 补益肝肾 济生肾气丸 中医药治疗 

分 类 号：R697.32[医药卫生—泌尿科学]