从“以通为用”理论分期辨治附睾炎探析  

Exploring the Strategy for Staged Diagnosis and Treatment of Epididymitis Based on the Theory of“Promoting Unobstructed Function”

作　　者：韦一 洪志明[1,2] 杨宇[1,2] 邝浩 王胜杰 陈文铄 陈春秀 张廉勤 Wei Yi;Hong Zhiming;Yang Yu;Kuang Hao;Wang Shengjie;Chen Wenshuo;Chen Chunxiu;Zhang Lianqin(Guangzhou University of Chinese Medicine,Guangdong,Guangzhou 510006,China)

机构地区：[1]广州中医药大学,广东广州510006 [2]广东省深圳市中医院,广州中医药大学第四临床医学院,广东深圳518033

出　　处：《中国中医急症》2024年第10期1742-1746,共5页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家自然科学基金青年科学基金项目(82305229);广东省深圳市中医重点专科建设项目(2019-2023年);深圳市科技计划项目(JCYJ20230807094759010);深圳市中医院“3030计划”中医临床研究项目(G3030202112)。

摘　　要：基于“以通为用”理论探讨附睾炎的分期论治,认为临床附睾炎可分为3期,急性期湿热互结,浊毒内生;亚急性期瘀热互攘,坚结不散;慢性期脾虚失运,凝液成痰。基于“以通为用”理论指导附睾炎的治疗,强调以恢复精室通利畅达为核心,并根据不同发病阶段分别侧重于清热利湿、活血化瘀、健脾化痰,补通结合,以补助通,促使精室恢复通畅,进而治愈本病,为中医药治疗附睾炎提供新诊治思路。This study discusses the staged treatment of epididymitis based on the theory of“promoting unob-structed function”.It is believed that clinically,epididymitis can be divided into three stages:the acute stage char-acterized by the mutual entanglement of dampness and heat,with the internal generation of turbid toxins;the sub-acute stage marked by the mutual conflict of stasis and heat,with persistent induration;and the chronic stage fea-turing spleen deficiency and failure of transportation,resulting in the formation of phlegm from stagnant fluids.Guided by the theory of“promoting unobstructed function”,the treatment of epididymitis emphasizes restoring the unobstructed flow in the seminal region.Depending on different stages of onset,the focus shifts to clearing heat and promoting diuresis,promoting blood circulation for removing blood stasis,and strengthening the spleen to re-solve phlegm,combining replenishment with unobstructed flow,so as to help restore the smoothness of the seminal region and ultimately cure the disease.This approach provides a new diagnostic and therapeutic perspective for the treatment of epididymitis with traditional Chinese medicine.

关 键 词：附睾炎 精室 以通为用 分期论治 

分 类 号：R697.2[医药卫生—泌尿科学]