严兴茂从肾虚血瘀湿热辨治良性前列腺增生症经验介绍  

Experience Introduction of YAN Xingmao Treating Benign Prostatic Hyperplasia from Kidney Deficiency,Blood Stasis and Damp Heat

作　　者：杨念忠 李古月 严兴茂[2] YANG Nianzhong;LI Guyue;YAN Xingmao(Guizhou University of Traditional Chinese Medicine,Guiyang Guizhou 550025,China;Zunyi Hospital of Traditional Chinese Medicine,Zunyi Guizhou 563000,China)

机构地区：[1]贵州中医药大学,贵州贵阳550025 [2]遵义市中医院,贵州遵义563000

出　　处：《新中医》2024年第11期213-216,共4页New Chinese Medicine

基　　金：贵州中医药大学研究生创新基金项目(YCXZR2021016)。

摘　　要：良性前列腺增生症(BPH)是以夜尿频多、尿无力及尿不尽为主要特征的老年男性常见疾病,具有病程长、易复发、难治愈等特点,严重影响患者日常生活及健康。严兴茂主任医师认为BPH的核心病机为肾虚不固,瘀血阻滞,湿热蕴结;临证从肾虚血瘀湿热辨证论治,施以补肾固本、活血化瘀、清热除湿,常采用真武汤、桂枝茯苓丸经方联合清利湿热之品化裁治疗,强调随症加减,灵活运用经方,巧用虫类药活血化瘀以获良效。Benign prostatic hyperplasia(BPH)is a common disease in senile men,with frequent urination at night,urine weakness and persistent urine as the main characteristics.The disease typically has a protracted course and is prone to relapse,making it challenging to cure.These characteristics significantly impair the daily life and overall health of the patients.Chief physician YAN Xingmao believes that the core pathogenesis of BPH is kidney deficiency and insecurity,blood stasis and obstruction,damp-heat accumulation.In clinical practice,the treatment of syndromes is based on the differentiation of kidney deficiency,blood stasis,and damp-heat,with treatment methods of tonifying the kidney and securing the root,invigorating blood and dissolving stasis,and clearing heat and eliminating dampness.Zhenwu Decoction and Guizhi Fuling Pills are often used in combination with products for clearing damp-heat,with an emphasis on flexibly applying modified classical formulas according to different symptoms and using insect drugs to invigorate blood and dissolve stasis to achieve good results.

关 键 词：良性前列腺增生症 经方 肾虚血瘀湿热 真武汤 桂枝茯苓丸 

分 类 号：R256.53[医药卫生—中医内科学]