中医药临床优势病种探讨--慢性前列腺炎  

Clinical Diseases Responding Specifically to Traditional Chinese Medicine:Chronic Prostatitis

作　　者：覃湛[1,2] 莫美 何超拔 耿立果 王彬[4] 王继升 李恪丞[4] 黄念文[4] 洪志明 袁少英 张霄潇[6] QIN Zhan;MO Mei;HE Chaoba;GENG Liguo;WANG Bin;WANG Jisheng;LI Kecheng;HUANG Nianwen;HONG Zhiming;YUAN Shaoying;ZHANG Xiaoxiao(Zhuhai Hospital,Guangdong Hospital of Traditional Chinese Medicine(TCM),Zhuhai 519015,China;National Key Laboratory of Dampness Syndrome of Chinese Medicine,The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 501020,China;National Key Laboratory of Chinese Medicine Modernization,Tianjin 300410,China;Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;Shenzhen TCM Hospital,Shenzhen 518033,China;China Association of Chinese Medicine,Beijing 100029,China)

机构地区：[1]广东省中医院珠海医院,广东珠海519015 [2]广州中医药大学第二附属医院省部共建中医湿证国家重点实验室,广州501020 [3]现代中药创制全国重点实验室,天津300410 [4]北京中医药大学东直门医院,北京100700 [5]深圳市中医院,广州深圳518033 [6]中华中医药学会,北京100029

出　　处：《中国实验方剂学杂志》2024年第24期152-158,共7页Chinese Journal of Experimental Traditional Medical Formulae

基　　金：第七批全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号)。

摘　　要：慢性前列腺炎是男科门诊的常见病与多发病。由于慢性前列腺炎具有症状多样、病因复杂、机制不清晰、反复发作等特点,西医常会面临治疗手段有限、治疗效果欠佳的问题。为充分发挥中医药在治疗慢性前列腺炎领域的独特优势,中华中医药学会组织中医男科、西医泌尿外科及相关药学领域专家围绕慢性前列腺炎的现代医学认识进展、中医病因病机治法各家学说、与各个交叉学科的切入点、中医药参与慢性前列腺炎全程管理的作用与优势、慢性前列腺炎相关机制研究等进行深入探讨。与会专家讨论后认为,慢性前列腺炎是中医优势病种之一。中医药能有效改善慢性前列腺炎泌尿、社会心理、器官特异性、感染、神经系统、疼痛不适、性功能障碍等临床症候群,提高生活质量。对于不能耐受西药的不良反应或不能接受西药可能出现的不良反应的慢性前列腺炎患者;非炎症性慢性前列腺炎/慢性骨盆疼痛综合征(CP/CPPS)患者;以疼痛症状为主的慢性前列腺炎患者;以下尿路症状为主的慢性前列腺炎患者;合并焦虑抑郁状态的慢性前列腺炎患者;合并精液液化异常的慢性前列腺炎患者等均可采用中医药为主导的治疗。目前,慢性前列腺炎最佳诊疗策略尚未形成,需要从临床流行病学、循证医学及分子生物学等不同角度深入探讨研究。中西医应当整合两者的优势,在互相借鉴的基础上,明确了中医药干预的定位和优势,以提高我国慢性前列腺炎的诊疗水平。Chronic prostatitis is a common and frequently occurring disease in male clinics.Due to the diverse symptoms,complex etiology,unclear mechanisms,and recurrent episodes of chronic prostatitis,Western medicine often faces the challenge of limited treatment options and unsatisfactory outcomes.In order to fully leverage the unique advantages of traditional Chinese medicine(TCM)in the treatment of chronic prostatitis,the China Association of Chinese Medicine organized a discussion among experts from the fields of TCM urology,Western urology,and related pharmacy.The experts focused on the advancements in the understanding of chronic prostatitis in modern medicine,various theories on the etiology,pathogenesis,and treatment of chronic prostatitis in TCM,entry points from interdisciplinary fields,the role and advantages of TCM in the comprehensive management of chronic prostatitis,and research into mechanisms related to chronic prostatitis.After discussions,the experts concluded that chronic prostatitis is one of the diseases where TCM has a distinct advantage.TCM can effectively improve the clinical syndromes of chronic prostatitis,including urinary issues,social psychology,organ specificity,infection,nervous system problems,pain and discomfort,sexual dysfunction,etc.,and can enhance the quality of life.For patients with chronic prostatitis who cannot tolerate or may not accept the adverse effects of Western medicine,as well as for those with non-inflammatory chronic prostatitis/chronic pelvic pain syndrome(CP/CPPS),those with pain as the primary symptom,those with urinary tract symptoms,those with coexisting anxiety and depression,and those with abnormal semen liquefaction,TCM-based treatment can be the main approach.Currently,the optimal diagnosis and treatment strategy for chronic prostatitis has not yet been established,and further research from perspectives such as clinical epidemiology,evidence-based medicine,and molecular biology is needed.Both TCM and Western medicine should integrate their respective strengths,c

关 键 词：慢性前列腺炎 中医药优势病种 专家指导建议 中西医结合 

分 类 号：R242[医药卫生—中医临床基础] R2-0[医药卫生—中医学] R256.56R698R697.33