以“肝主宗筋”理论辨治压力性尿失禁  

Differentiation and treatment of stress urinary incontinence by the theory of‘liver mains Zong Jin’

作　　者：张婷婷 屈玉疆[1,2] 张星平 ZHANG Tingting;QU Yujiang;ZHANG Xingping(The Fourth Clinical Medical School of Xinjiang Medical University,Urumqi 830099,China;The Affiliated Traditional Chinese Medicine Hospital of Xinjiang Medical University,Urumqi 830099,China)

机构地区：[1]新疆医科大学第四临床医学院,乌鲁木齐830099 [2]新疆医科大学附属中医医院,乌鲁木齐830099

出　　处：《中华中医药杂志》2024年第11期5941-5944,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.82160873,No.81960837);全国名老中医药专家传承工作室建设项目(No.国中医药人教函〔2022〕75);新疆维吾尔自治区“十四五”中医学重点学科(No.新教函〔2022〕112号)。

摘　　要：压力性尿失禁是妇女常见疾患。目前多以肾气虚损,膀胱气化不利,水泉不止为病机治疗。然津液的输布和代谢依赖肺、脾、肾三脏的功能正常,亦离不开肝调畅气机的枢纽作用,肝脉绕阴器,肝气的疏利有助于肾司开合,使津液排泄有度。在此基础上,笔者循“肝主宗筋,束机关,利小便”为理论依据,结合临床,发现压力性尿失禁从肝论治,注重调达肝气,滋养肝血,使提系胞宫有力、膀胱开阖有度,进而改善不自主“漏尿”症状,获得良效。Stress urinary incontinence is a common disease among women,which is currently treated as a pathogenesis of kidney deficiency,bladder qi dysfunction,and uncontrolled urine flow.However,the distribution and metabolism of fluids depend on the normal function of the lungs,spleen,and kidneys,and also cannot be separated from the pivot role of the liver in regulating the qi.The liver meridian surrounds the genital area,and the smooth flow of qi in the liver helps the kidneys to open and close properly,allowing the excretion of fluids in moderation.Based on this,authors follow the theory that‘liver mains Zong Jin,binds the organs,and facilitates urination’and combines it with clinical practice to find that pressure urinary incontinence can be treated from the perspective of the liver by focusing on regulating liver qi and nourishing liver blood,thus making the uterus and bladder strong and able to open and close properly,which ultimately leads to the improvement of‘leakage’symptoms and good clinical effects.

关 键 词：肝主宗筋 理论基础 压力性尿失禁 张星平 医案 

分 类 号：R277.5[医药卫生—中医学]