| 引用本文: |
王旭昀,王杰,卢冬冬,于旭东,张耀圣.刍议"阴火"与慢性前列腺炎证治[J].湖南中医药大学学报,2024,44(4):633-637[点击复制] |
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| 刍议"阴火"与慢性前列腺炎证治 |
| 王旭昀,王杰,卢冬冬,于旭东,张耀圣 |
| (首都医科大学附属北京中医医院, 北京 100010;中日友好医院中医外科, 北京 100029;北京中医药大学东直门医院外科, 北京 100700) |
| 摘要: |
| 阴火论"源于《黄帝内经》，是内伤虚损性质的病理之火。由李东垣首次提出，认为阴火可致"淋溲便难""小便赤或涩"等症，此与慢性前列腺炎临床表现多有相似之处。且阴火起于下焦，病位上与男子胞（前列腺）密切相关，故认为可从"阴火"论治慢性前列腺炎。具体而言，在病因上，脾胃亏损是阴火产生的内在基础，亦是慢性前列腺炎发病的重要病因病机；而湿热、郁热均是阴火的重要成因，亦是慢性前列腺炎发病的重要病理因素。在治疗上，要抓住脾胃亏损这一本质，补气升阳；同时注意甘寒泻火，以去标热；重视风药，从权用药及重视情志因素等，如此方可提高临床疗效。 |
| 关键词: 阴火 慢性前列腺炎 脾胃亏损 湿热郁热 证治 |
| DOI：10.3969/j.issn.1674－070X.2024.04.017 |
| 投稿时间：2023-11-16 |
| 基金项目:北京中医药薪火传承3+3项目（4051206-02）。 |
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| On "yin fire" and treatment illustration of chronic prostatitis |
| WANG Xuyun,WANG Jie,LU Dongdong,YU Xudong,ZHANG Yaosheng |
| (Beijing Hospital of Chinese Medicine, Capital Medical University, Beijing 100010, China;Department of Surgery of Chinese Medicine, China-Japan Friendship Hospital, Beijing 100029, China;Department of Surgery, Dongzhimen Hospital of Beijing University of Chinese Medicine, Beijing 100700, China) |
| Abstract: |
| The theory of "yin fire" ,originated from Huang Di Nei Jing (Huangdi's Internal Classic),is the pathogenic fire produced by chronic consumptive conditions due to internal dysfunctions.It was first proposed by LI Dongyuan,who thought that yin fire can cause"strangury and dysuria "," red urine or painful urination ",and other symptoms which are similar to the clinical manifestations of chronic prostatitis (CP).Moreover,yin fire derives from the lower jiao,the location of which is closely related to the prostate,so it is believed that the treatment of CP can be considered from the perspective of" yin fire".Specifically,the spleen and stomach deficiency,the underlying basis of yin fire formation,is the essential etiology and pathogenesis of CP,and damp heat and stagnant heat,the important cause of yin fire,are vital pathological factors of this disease.As for the treatment,in order to improve the clinical efficacy,importance should be attached to tonifying qi and raising yang to treat the spleen and stomach deficiency which is the essence of the disease;at the same time,Chinese medicines that are sweet in taste and cold in property should be used to reduce fire so as to eliminate the branch of heat;wind medicines (medicines functioning ascending and dispersing) can be applied,and various medicines should be selected according to patients'specific conditions;additionally,attention should also be paid to the emotional status of patients. |
| Key words: yin fire chronic prostatitis the spleen and stomach deficiency damp heat and stagnant heat treatment illustration |
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