基于“虚劳干血”理论治疗老年女性间质性膀胱炎/膀胱疼痛综合征浅析  

An Analysis on Treatment of Interstitial Cystitis or Bladder Pain Syndrome in Elderly Women Based on“Deficiency Consumption and Blood Dryness”Theory

作　　者：陈豪特 蒋筱 韦秋萍 王权胜[2] 沈建武[3] 诸靖宇[1] 盛艳 高莺 CHEN Haote;JIANG Xiao;WEI Qiuping;WANG Quansheng;SHEN Jianwu;ZHU Jingyu;SHENG Yan;GAO Ying(Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University,Hangzhou Zhejiang 310007,China;The First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning Guangxi 530000,China;Xiyuan Hospital of China Academy of Chinese Medical Sciences,Beijing 100091,China)

机构地区：[1]浙江中医药大学附属杭州市中医院,浙江杭州310007 [2]广西中医药大学第一附属医院,广西南宁530000 [3]中国中医科学院西苑医院,北京100091

出　　处：《新中医》2024年第24期75-78,共4页New Chinese Medicine

基　　金：浙江中医药大学校级科研项目(2023FSYYZQ13);国家中医药管理局高水平中医药重点学科建设项目中医养生学(zyyzdxk-2023167);浙江省中医药科技计划项目(2024ZR129);杭州市生物医药和健康产业发展扶持专项(2023WJC323)。

摘　　要：基于《金匮要略·血虚虚劳病脉证并治第六》“虚劳干血”理论,探讨老年女性间质性膀胱炎/膀胱疼痛综合征(IC/BPS)的病因病机。IC/BPS的病因为因虚成劳;病机为因虚致瘀,虚实夹杂,煎熬瘀血,干血内成。遵急则治其标、缓则治其本的原则,治疗上可以丸剂祛瘀生新、滋阴清热,缓中补虚、攻补兼施;或以汤剂活血化瘀,涤荡干血。临床中应用大黄䗪虫丸从虚劳干血论治IC/BPS疗效肯定,可为中医临床诊治本病拓宽思路。Based on the theory of"deficiency consumption and blood dryness"from"Essentials from the Golden Cabinet:Chapter Six on the Diagnosis and Treatment of Blood Deficiency and Deficiency Consumption Diseases and Syndromes",this paper explores the etiology and pathogenesis of interstitial cystitis or bladder pain syndrome(IC/BPS)in elderly women.It is believed that the cause of IC/BPS is due to consumptive disease caused by deficiency;the pathogenesis is due to stasis caused by deficiency,a mixture of deficiency and excess,simmering stasis blood,and dry blood forming internally.Following the principle of treating the branch in urgent conditions and the root in moderate conditions,the treatment can use pills to dispel stasis to promote regeneration,enrich yin and clear heat,revive the center and supplement deficiency,and treat diseases with both attack and supplementation;or use decoctions to invigorate blood and dissolve stasis,and clear up dry blood.The clinical application of Dahuang Zhechong Pills in treating IC/BPS from the perspective of"deficiency consumption and blood dryness"has a definite clinical effect,which can broaden the thinking for the diagnosis and treatment of this disease in traditional Chinese medicine.

关 键 词：间质性膀胱炎/膀胱疼痛综合征 老年女性 虚劳干血 大黄䗪虫丸 中医辨治 

分 类 号：R694.3[医药卫生—泌尿科学]