基于“虚气留滞”理论探讨良性前列腺增生的诊治  

Based on the Theory of"Deficient Qi,Stagnation"to Explore the Diagnosis and Treatment of Benign Prostatic Hyperplasia

作　　者：王峻鑫 李恪丞 李杰[1] 邓国和 邓龙生[1] WANG Junxin;LI Kecheng;LI Jie;DENG Guohe;DENG Longsheng(Xiamen Traditional Chinese Medicine Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Xiamen 361006,China;Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]福建中医药大学附属厦门中医院,福建厦门361006 [2]北京中医药大学东直门医院,北京100700

出　　处：《云南中医药大学学报》2025年第2期1-4,9,共5页Journal of Yunnan University of Chinese Medicine

基　　金：福建省第四批老中医药专家学术经验继承工作室(闽卫中医函[2022]554号)。

摘　　要：文章基于“虚气留滞”理论,探讨良性前列腺增生的病机演化和治疗。良性前列腺增生发病本自正气亏虚,在病情发展中虚气与产生的病理产物“血瘀、痰湿”缠结。其本虚标实的病理特点高度符合“虚气留滞”理论因虚致实、因实留虚的内涵。在此基础上,文章提出良性前列腺增生治疗上虚实同调的原则,在调补虚气复归正用的基础上活血通瘀、祛痰利湿以去实邪。并结合西医学探讨雄激素在“虚气留滞”理论中的价值和基于此的中药治疗方案,以期为良性前列腺增生的治疗提供新思路。The pathological features of BPH are characterized by both deficient Qi's stagnation,which are caused by the deficiency of Qi.The pathogenesis of benign prostatic hyperplasia is from the deficiency of positive Qi and in the development of the disease,the deficient Qi and the pathological products"blood stasis,phlegm and dampness"are entangled.The pathological characteristics of deficiency of its root and sufficiency of its surface are highly consistent with the connotation of the theory of"deficient Qi's stagnation".Based on this,this paper proposes the principle of regulating both deficiency and excess in the treatment of BPH,with the aim of restoring Qi to its normal state while activating blood and removing blood stasis and phlegm and dampness to eliminate pathological conditions.It also explores the role of androgen in the"deficient Qi's stagnation"theory and the Chinese medicine treatment based on this,in order to provide new ideas for the treatment of BPH.

关 键 词：良性前列腺增生 虚气留滞 雄激素 病机演变 治疗策略 

分 类 号：R256.59[医药卫生—中医内科学]