基于“一气周流”理论探讨良性前列腺增生的治疗  

Exploration on the Treatment of Benign Prostatic Hyperplasia Based on the Theory of“One Qi Circulation”

作　　者：饶学植 张凌威 黄剑 郑入文[2] RAO Xuezhi;ZHANG Lingwei;HUANG Jian;ZHENG Ruwen(The Second Clinical Medical College of Beijing University of Chinese Medicine,Beijing 100078,China;Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京中医药大学第二临床医学院,北京100078 [2]北京中医药大学东方医院,北京100078

出　　处：《中医药学报》2024年第9期33-37,共5页Acta Chinese Medicine and Pharmacology

基　　金：国家自然科学基金青年基金项目(81904287)。

摘　　要：良性前列腺增生是老年男性常见的慢性疾病,主要表现为排尿困难,夜尿次数增多的下尿路症状群。清代医家黄元御在其著作《四圣心源》中提出“一气周流”理论,强调脏腑气机不能流通是疾病发生的主要原因。本研究基于“一气周流”思想探究良性前列腺增生的中医病机,认为“肾虚血瘀”是良性前列腺增生的主要病机,“肝肺失调,湿热内生”是次要病机,进而提出“补肾祛瘀,扶中周气”为本病的治疗原则。本研究为良性前列腺增生的中医治疗提供了新思路。Benign prostatic hyperplasia(BPH)is a common chronic disease in elderly male,mainly manifested as dysuria,increased lower urinary tract symptoms in which nocturia is the main symptom.Huang Yuanyu,a doctor in the Qing Dynasty,put forward the theory of“one qi circulation”in his book The Heart Source of the Four Saints.He stressed that zang-fu qi not flowing properly is the main reason for the occurrence of the disease.This study explores the traditional Chinese medicine pathogenesis of benign prostatic hyperplasia based on the concept of“one qi circulation”.The authors believe that“kidney deficiency and blood stasis”is the main pathogenesis of benign prostatic hyperplasia;while failure of the liver and lung in regulation leading to endogenous dampness and heat is the secondary pathogenesis.The authors propose the treatment principle of“tonifying the kidney and removing blood stasis,and supporting the central and circulating qi”for this disease.This study,therefore,provides new ideas for the traditional Chinese medicine treatment of benign prostatic hyperplasia.

关 键 词：一气周流 黄元御 良性前列腺增生 中药 治疗原则 

分 类 号：R256.51[医药卫生—中医内科学]