李国信以痈论治慢性前列腺炎  

LI Guoxin's Treatment of Chronic Prostatitis with Carbuncle Theory

作　　者：党世竟 李国信[2] 慕杨娜[2] 梁丽喆 李亿 刘容 刘晓颐 吴红江 DANG Shijing;LI Guoxin;MU Yangna;LIANG Lizhe;LI Yi;LIU Rong;LIU Xiaoyi;WU Hongjiang(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;The Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110034,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属第二医院,辽宁沈阳110034

出　　处：《实用中医内科杂志》2025年第4期42-45,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：国家“十二五”重大新药创制专项(2012ZX09303017);李国信辽宁省名中医传承工作室项目(辽中医药函[2021]1号);辽宁省“兴辽人才计划”医学名家项目(YXMJ-MZY-04)。

摘　　要：总结李国信教授以痈论治慢性前列腺炎的经验。李国信教授认为,慢性前列腺炎可归属中医“精浊”范畴,又创造性地将其归入“肾内痈”范畴。进而提出以痈论治慢性前列腺炎的理论思想。慢性前列腺炎(chronic prostatitis,CP)初期以湿热、瘀血为主,后期久病及肾,久病致虚。治疗该病前期治以“消”为先导,消除湿热、消散瘀血为主;后期久病致虚,治以“补”为根基,自拟前列痈消(补)方。配合中药坐浴熏洗,穴位贴敷疗法,中药保留灌肠,针刺治疗,以及改变不良生活习惯,普及疾病知识等,借此达到防治结合、标本兼治之功。文章总结李国信教授以痈论治慢性前列腺炎临证经验,以期能为今后临床治疗慢性前列腺炎提供思路和参考。It summarized the experience of Professor LI Guaxin's treatment of chronic prostatitis with carbuncle theory.Professor LI Guoxin believes that chronic prostatitis can be classified into the category of"turbid essence"of traditional Chinese medicine,and creatively classified into the category of"carbuncle in kidney".Then it put forward the theory idea of treating chronic prostatitis by carbuncle.Chronic prostatitis(CP)is mainly characterized by damp-heat and blood stasis in the early stage and involving kidney due to prolonged illness,which can lead to deficiency.The early stage treatment should be"eliminating",which means eliminating damp-heat and blood stasis.The later stage treatment is based on tonifying method.The self-made Qianlie Yongxiao(bu)Prescriptions[自拟前列痈消(补)方]are used.The treatment should be cooperated with Chinese medicine sitting bath fumigation,acupoint application,Chinese medicine preservation enema,acupuncture treatment,changing bad living habits and popularizing disease knowledge,so as to achieve the combination of prevention and treatment,and treat both symptoms and root causes.This paper summarized Professor LI Guoxin's experience in treating chronic prostatitis,in order to provide ideas and reference for the clinical treatment of chronic prostatitis in the future.

关 键 词：慢性前列腺炎 以痈论治 肾内痈 瘀血 湿热 前列痈消方 

分 类 号：R249[医药卫生—中医临床基础] R277.5[医药卫生—中医学]