基于《伤寒论》“热入血室”探讨针刺期门治疗慢性前列腺炎  

Treatment of chronic prostatitis by acupuncture at qimen point based on the theory of"heat invading blood chamber"in Treatise on Cold Pathogenic Diseases

作　　者：徐新宇 殷一红 崔云 XU Xinyu;YIN Yihong;CUI Yun(The Third Clinical Medical School of Zhejiang Chinese Medical University,Hangzhou 310053,China;Ningbo Hospital of Traditional Chinese Medicine,Afiliated to Zhejiang Chinese Medical University,Ningbo 315010,China)

机构地区：[1]浙江中医药大学第三临床医学院,杭州310053 [2]浙江中医药大学附属宁波中医院,浙江宁波315010

出　　处：《吉林中医药》2024年第3期261-265,共5页Jilin Journal of Chinese Medicine

基　　金：浙江省自然科学基金项目(LY21H270015);浙江省中医药科技计划项目(2023ZF042);浙江中医药大学附属医院科研专项资助项目(2021FSYYZY08);宁波市自然科学基金项目(2022J282)。

摘　　要：慢性前列腺炎是临床常见病和多发病,病位在精室,发病和衍变不离热邪,且兼夹湿、瘀、肝郁气滞等。《伤寒论》中共4处论及“热入血室”,条文中描述的血室范畴非女子特有之子宫,亦包括肝脏、冲脉及男子精室,因此“热入血室”可转化为“热入精室”,进而解释慢性前列腺炎的发生并指导治疗。期门属肝经,与精室相连,通过针刺期门疏肝泄热能够对慢性前列腺炎起到针对性治疗效果。针刺期门当重视辨病辨证、合理选经配穴、重视针刺手法,综合运用刺络、扣刺、拔罐等治疗手段,并联合中药诊治方案提高临床疗效。Chronic prostatitis is a common and frequently-occurring disease in clinic.The disease is located in the essence chamber,and its onset and development are inseparable from heat pathogen,which is also combined with dampness,blood stasis,liver depression and qi stagnation,and so on.There are four references to"heat invading blood chamber"in Treatise on Cold Pathogenic Diseases,while the blood chamber described in those articles is not unique to the uterus of women,but also includes the liver,thoroughfare vessel and men's semen chamber.Therefore,"heat invading blood chamber"can be transformed into"heat invading essence chamber",which can explain the occurrence of chronic prostatitis and guide its treatment.Qimen point(Liv14)belongs to the liver channel,which is directly connected with the essence chamber.Administering acupuncture at qimen point can disperse the stagnated liver qi and relieve heat,achieving a targeted therapeutic effect on chronic prostatitis.This treatment should pay attention to disease differentiation and syndrome differentiation,reasonable selection of meridians and points,needling manipulations,the comprehensive use of pricking blood,clasping acupuncture,cupping and other means,and should be combined with oral Chinese medicines to effectively improve the clinical diagnosis and treatment of the disease.

关 键 词：慢性前列腺炎 热入血室 精室 针刺 热邪 肝 伤寒论 

分 类 号：R222.2[医药卫生—中医基础理论]