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从瘀论治慢性前列腺炎
引用本文:郁春,;王家辉.从瘀论治慢性前列腺炎[J].实用中医内科杂志,2014(10):69-72.
作者姓名:郁春  ;王家辉
作者单位:[1]涟水县中医院外科,江苏涟水223400; [2]海南医学院中医学院中医外科教研室,海口571101
摘    要:慢性前列腺炎可归属"淋浊、精浊、白淫、白浊、少腹痛"等范畴,血瘀贯穿于始终,乃病机关键。前列腺属肝经循行部位,湿热蕴结,经络阻滞,肝经气血瘀滞;久病成瘀,因虚致瘀,以致血脉瘀滞。现代医学也认为,多种致病因素引起局部微循环障碍,导致前列腺及盆腔的慢性充血、瘀血,纤维组织增生,腺小管阻塞,前列腺腺泡的炎性物质引流不畅、内压增高,从而出现慢性前列腺炎的各种症状。综论病机,详析证候,有气滞血瘀、湿阻血瘀、肾虚血瘀、气虚血瘀等;"精浊者,因败精流于尿窍,滞而难出",从瘀论治,提纲挈领,不可斤斤计较于望诊所见,有些虽无瘀证可辨,但一经加用活血化瘀药物,即可取得明显疗效;活血化瘀药味多辛苦,辛能行散,苦能疏泄,善走散通行,主归肝、心二经,入血分,通过活血化瘀达到止痛的作用。在辨证基础加用活血化瘀药,往往取得明显疗效。

关 键 词:慢性前列腺炎  淋浊  少腹痛  从瘀论治  气滞  湿阻  肾虚  气虚  中医药治疗  医案

From The Blood Stasis Treatment of Chronic Prostatitis
Institution:YU Chun , WANG Jiahui ( 1. Lianshui Couunty Water County Hospital Surgery Lianshui 223400, Jiangsu, China; 2. Surgery of Traditional Chinese Medicine College of Hainan Medical College of Traditional Chinese Medicine Teaching and Research Section Hainan 571101, China )
Abstract:Chronic prostatitis attributable to "stranguria with turbid discharge, turbid semen, white ooze, and gonorrhea "category.Prostate is liver meridian courses, damp and hot accumulate knot, meridian block, the liver meridian Qi and blood stasis ; A long illness into stasis, caused by deficiency blood stasis, blood stasis .Blood stasis through always, is the key to pathogenesis.Modern medicine also think, There are many factors of disease cause local microcirculation dysfunction, Lead to prostate and chronic pelvic congestion, blood stasis, fibrous tissue hyperplasia, gland small tube obstruction, prostate gland bubble of inflammatory substances drainage not free, higher internal pressure, resulting in chronic prostatitis symptoms, eview pathogenesis, detailed analysis syndrome, qi and blood stasis, wet resistance and blood stasis, kidney qi deficiency and blood stasis, blood stasis, etc."Essence of pure material, due to loss of superficial urinary qiao, hysteresis and hard ", from the blood stasis syndrome differentiation, grasp, do not haggle over every ounce in clinic see, some are no stasis discernible, once it is added with promoting blood circulation to remove blood stasis drugs, can obtain obvious curative effect.How hard the ingredients for activating blood circulation, can come loose, bitterness, can support the good become separated, lord belong to the second by the liver, heart, into the bloodstream, by promoting blood circulation to remove blood stasis, reach the role of the pain.Based on syndrome differentiation combined with promoting blood circulation to remove blood stasis drugs, often have the obvious curative effect.
Keywords:Chronic prostatitis  Drench turbidity  Less pain  From the blood stasis treatment  And Qi stagnation  Moisture resistance  Kidney empty  Qi deficiency  Traditional Chinese medicine treatment  Basis
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