基于经筋理论探讨针刺治疗良性前列腺增生的诊疗思路  

Exploration of the diagnosis and treatment for benign prostatic hyperplasia with acupuncture based on jingjin theory

作　　者：国文豪 吕璞 李宝赢 汤翰 陆永辉[1] GUO Wen-hao;LV Pu;LI Bao-ying;TANG Han;LU Yong-hui(Department of Acupuncture and Moxibustion,Xiyuan Hospital of China Academy of Chinese Medical Sciences,Beijing 100091,China)

机构地区：[1]中国中医科学院西苑医院针灸科,北京100091

出　　处：《中国针灸》2023年第9期993-995,共3页Chinese Acupuncture & Moxibustion

基　　金：中国中医科学院科技创新工程基金资助项目:CI2021A03514;北京市科学技术委员会“首都临床诊疗技术研究及示范应用”基金资助项目:Z191100006619055。

摘　　要：良性前列腺增生(BPH)以肾虚膀胱气化不利为本,精室瘀滞为标。基于经筋理论,以膜为体,刺筋(膜)行气,化滞通窍;CT引导下于膀胱募穴中极针刺至前列腺包膜行“募刺迫脏”,分层针刺治疗BPH,外应调“卫气”,内合调“精窍”,达到通利小便的目的。Benign prostatic hyperplasia is caused by kidney deficiency and impaired qi transformation of the urinary bladder and is manifested by the stagnation of essence chamber.Based on jingjin(muscle region of meridian,sinew/fascia)theory and taking the visceral membrane as the principal,acupuncture is delivered at sinew/fascia to promote qi circulation,resolve stasis and open the orifice.Guided by CT,the needle is inserted at Zhongji(CV 3),the front-mu point of the urinary bladder,and then goes to the prostatic capsule,meaning"the disease of zang organ is treated by needling the front-mu point".In treatment of benign prostatic hyperplasia,this acupuncture therapy stimulates the different layers of fascia,by which,the defensive qi on the exterior is regulated and"essence orifice"in the interior is adjusted so that the urination can be promoted.

关 键 词：良性前列腺增生 经筋理论 筋膜 针刺 脏腑病 募穴 穴 中极 

分 类 号：R246.2[医药卫生—针灸推拿学]