尿道综合征的辨治经验总结

尿道综合征是现代医学病名，为已婚女性常见病，治疗颇为棘手。文章以中医理论为基础，结合患者特征，将尿道综合征分成5个类型论治，提出尿道综合征的主要病机为湿热内困、下注膀胱，可兼气滞、血瘀、阴亏，导致膀胱气化不利。湿热为病，湿为本，热为标，热为湿困蕴化而成。除湿热之邪，湿宜“温”化，热要“凉”清。治疗湿热之证，要寒、温药并用，寒而不过以免助湿，温而不多以防助热，四诊合参，在定性湿热的基础上，仔细分辨“湿”与“热”孰重孰轻，准确把握寒、温药的用药比例，小心进退，力求无偏，是治疗湿热证有效的关键所在。

Syndrome Differentiation and Treatment of Urethral Syndrome

Urethral syndrome, a successive of diseases determined by modern medicine, are commonly seen in married females. Usually, such diseases are hard to treat. Based on different manifestations in clinical, this paper provides 5 treatment patterns of these diseases according to Traditional Chinese Medicine(TCM) theories. The author put forward that the main pathogenesis of these diseases are dampness-heat retention and its pouring downward to bladder, which could also be accompanied by Qi stagnation, blood stasis or Yin deficiency, and thus give rise to disorder of Qi transformation in bladder. For urethral syndrome caused by dampness-heat, dampness is the root and heat is its manifestation, since dampness could lead to heat. To solve this problem, dampness should be removed warmly and heat coolly. Accordingly, the treatment of urethral syndrome should involve both herbs with cold property and warm property. Also, it should avoid excessive use in both herbs, for cold herbs may induce coldness and warm herbs may fuel heat. In summary, to treat these diseases, the four diagnostic techniques should be adopted comprehensively, and appropriate proportion of cold and warm herbs should be given in light of accurate identification of dampness and heat severity.