基于“整体与局部”探讨间质性膀胱炎的中医治疗思路  

Traditional Chinese medical treatment ideas for interstitial cystitis based on “whole and part”

作　　者：黄念文 王伊光 王成李 陈小均 张伟涛 Huang Nianwen;Wang Yiguang;Wang Chengli;Chen Xiaojun;Zhang Weitao(Beijing University of Chinese Medicine,Beijing 100029;Dongfang Hospital,Beijing University of Chinese Medicine)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学东方医院

出　　处：《现代中医临床》2021年第3期43-46,共4页Modern Chinese Clinical Medicine

基　　金：北京中医药大学青年教师项目(No.2018-JYBZZ-JS123)。

摘　　要：间质性膀胱炎是指不明原因引起的慢性非细菌性膀胱炎,属于泌尿外科较为棘手的疾病之一,病情漫长且反复发作,严重影响患者的身心健康及生活质量。间质性膀胱炎病位在于膀胱,与肝、脾、肾关系极为密切,多以脾肾两虚为本,膀胱湿热为标,同时兼有肝郁,瘀血为其病理产物。本病为虚实夹杂之证,治疗时需分清标本虚实之主次,证情之缓急,同时针对间质性膀胱炎膀胱镜下黏膜的病变,可将其纳入"内疡"范畴论治,辅以中药灌注治疗。"内服汤药"与"外用灌注"相结合,可提高间质性膀胱炎的临床疗效。Interstitial cystitis refers to chronic non-bacterial cystitis caused by unknown factors. It is one of hard diseases in urology. The condition is long and recurrent, which seriously affects the patient’s physical and mental health and quality of life. Interstitial cystitis is located in the bladder, and is closely related to the liver, spleen, and kidneys. It is mostly based on the deficiency of the spleen and kidney as its root cause, and the dampness-heat of the bladder as its symptoms, often accompanied by liver depression, with blood stasis as its pathological product. This disease is a mixture of deficiency and excess, and in treatment, the priority of the deficiency and excess of the conditionand the priority of the syndrome should be distinguished during treatment. At the same time, the mucosal lesions of interstitial cystitis under cystoscopy, can be included in the category of "internal ulcer", and treated with traditional Chinese medicine, both internally and externally. The combination of "oral decoction" and "external perfusion" can improve the clinical efficacy of interstitial cystitis.

关 键 词：间质性膀胱炎 整体与局部 中药灌注 思路探讨 

分 类 号：R277.5[医药卫生—中医学]