魏子孝“抓主症”分期辨证治疗反复发作性尿路感染的临床经验  

Wei Zixiao′s Experience in the Treatment Based on Syndrome Differentiation by Stages of Recurrent Urinary Tract Infections by“Focusing on Primary Symptoms”

作　　者：高娅婷 张广德[2] GAO Ya-ting;ZHANG Guang-de(Graduate School of Beijing University of Chinese Medicine,Beijing 100029;Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091)

机构地区：[1]北京中医药大学研究生院,北京100029 [2]中国中医科学院西苑医院,北京100091

出　　处：《世界中西医结合杂志》2023年第6期1124-1128,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：中国中医科学院科技创新工程重大攻关项目(CI2021A01608)。

摘　　要：反复发作性尿路感染是临床常见病,持久难愈,易加重及诱发其他慢性疾病。魏子孝教授虚实相参、分期论治,发作期多实,以湿热难解为标,缓解期为虚,以正气不足为本,迁延期虚实并重。治疗时微观辨证、聚焦主症,病证结合,据虚实正邪标本的轻重,“不足补之,有余折之”,标本兼顾,注意整体调护,效果明显。Recurrent urinary tract infection is a common clinical condition that is persistent and difficult to cure,and it can worsen and induce other chronic diseases.Professor Wei Zixiao emphasizes both deficiency and excess syndromes and performs treatment by stages accordingly.During the acute phase,the syndrome is often characterized by excess,with manifestation of unresolved dampness-heat.During the remission phase,the syndrome tends to be deficiency,with root cause of insufficient healthy qi.During the chronic phase,both deficiency and excess syndromes coexist.During the treatment,it is important to conduct detailed syndrome differentiation,focus on primary symptoms,combined the disease with syndrome,and consider the treatment principles of tonifying deficiency and reducing excess according to the severity of the underlying deficiency/excess,pathogenic qi/healthy qi,and manifestation/root cause.It should take into account both the root cause and the manifestation,and pay attention to overall adjustment and nourishment.Hence,the results are significantly effective.

关 键 词：魏子孝 反复发作性尿路感染 抓主症 名医经验 

分 类 号：R691[医药卫生—泌尿科学]