谭新华运用角药治疗男性下尿路症状的经验  

TAN Xinhua's experience in treating male lower urinary tract symptoms with triple combination of Chinese medicines

作　　者：冯恩敏 王彪 吴丽通 李波男 龙衍 邹博 周青[1] FENG Enmin;WANG Biao;WU Litong;LI Bonan;LONG Yan;ZOU Bo;ZHOU Qing(The First Clinical School of Chinese Medicine,Hunan University of Chinese Medicine,Changsha,Hunan 410007,China)

机构地区：[1]湖南中医药大学第一中医临床学院,湖南长沙410007

出　　处：《湖南中医药大学学报》2024年第7期1236-1241,共6页Journal of Hunan University of Chinese Medicine

基　　金：国家自然科学基金区域联合创新项目(U20A20408);湖南中医药大学学科建设“揭榜挂帅”项目(22JBZ016);湖南省性与生殖健康中医临床医学研究中心(2020SK4014);湖南省一类中医重点专科(中医男科)(湘中医药函[2023]4号);湖南省研究生科研创新项目(QL20230200)。

摘　　要：谭新华教授运用角药治疗男性下尿路症状经验丰富,临床疗效显著,其所用角药类型可划分为补益类与祛邪类,分别有3种首选角药组合。补益类:针对脾肾气虚证,首选黄芪-人参-白术组合;针对肾阴亏虚证,首选熟地黄-女贞子-墨旱莲组合;针对肾阳不足证或下焦虚寒证,首选山药-益智仁-乌药组合。祛邪类:针对肝气郁滞证,首选柴胡-白芍-川楝子组合;针对气血瘀滞证,首选怀牛膝-桃仁-莪术组合;针对下焦湿热证型,首选车前子-萹蓄-瞿麦组合。从角药配伍角度分析谭新华教授治疗男性下尿路症状,并于文末附医案1则加以说明,以期进一步传承和发扬其学术思想,为临床提供参考。Professor TAN Xinhua is highly experienced in the significantly effective treatment of male lower urinary tract symptoms(LUTS)by triple combination of Chinese medicines,which are divided into tonifying and pathogenic factor-eliminating categories,with three medicinal combinations as the preferred choice in each category.For the tonifying category,Huangqi(Astragali Radix)-Renshen(Ginseng Radix et Rhizoma)-Baizhu(Atractylodis Macrocephalae Rhizoma)combination is preferred for the spleen and kidney qi deficiency pattern;Shudihuang(Rehmanniae Radix Praeparata)-Nvzhenzhi(Ligustri Lucidi Fructus)-Mohanliang(Ecliptae Herba)combination is preferred for kidney yin deficiency pattern;Shanyao(Dioscoreae Rhizoma)-Yizhiren(Alpiniae Oxyphyllae Fructus)-Wuyao(Linderae Radix)combination is preferred for kidney yang deficiency or lower jiao deficiency cold pattern.As for the pathogenic factor-eliminating category,Chaihu(Bupleuri Radix)-Baishao(Paeoniae Radix Alba)-Chuanlianzi(Toosendan Fructus)combination is preferred for liver qi stagnation pattern;Huainiuxi(Achyranthis Bidentatae Radix)-Taoren(Persicae Semen)-Ezhu(Curcumae Rhizoma)combination is preferred for qi stagnation and blood stasis pattern;Cheqianzi(Plantaginis Semen)-Bianxu(Polygoni Avicularis Herba)-Qumai(Dianthi Herba)combination is preferred for lower jiao damp-heat pattern.This article has analyzed Professor TAN's experience in treating male LUTS from the perspective of the compatibility of the triple combination of Chinese medicines,and illustrated it with one medical case at the end of the article,in order to further inherit and develop his academic ideas and provide reference for clinical practice.

关 键 词：精癃 淋证 精浊 中医药疗法 男性下尿路症状 角药 谭新华 

分 类 号：R277.5[医药卫生—中医学]