摘要
中医学认为,气血强弱盛衰的转化,是人体生长壮老已的过程,而气血失和则是疾病发生发展转归的根本。“女子以血为本,以气为用”,经、孕、产、乳均以气血为物质基础,产后女性常处于气血不足、气虚血瘀状态,老年女性肝血肾精渐衰,气血亦为不足。根据女性压力性尿失禁的发病人群特点及症状特点,得出气血失和是该病的基本病机的结论,诊疗时当从气血辨证。五脏气血失和是其病理基础,而瘀、湿是女性压力性尿失禁发展的重要病理产物,故在诊断时当辨别气血盛衰多少、气滞血瘀程度,在治疗时应当依据病情轻重重视疏肝健脾、益气活血、补气升提,以达到恢复正常排尿功能的目的。此外,在体质、证候要素、微观辨证、药理研究等方面的现代研究成果亦为从气血来认识及诊疗女性压力性尿失禁提供了依据。
Traditional Chinese medicine(TCM)is based on the belief that the transformation of qi and blood strength and weakness is the process of human growth and aging,while the disorder of qi and blood is the root of the development of disease."Women take blood as the basis and qi for use."Menstruation,pregnancy,birth,and breast milk are based on qi and blood.Postpartum women are often in the states of qi and blood deficiency and blood stasis due to qi deficiency.In older women,the liver blood and kidney essence gradually decline,and qi and blood are also insufficient.According to the characteristics of the population and symptoms of female stress incontinence,it is believed that disorder of qi and blood is the basic pathogenesis of the disease,and the diagnosis should be based on the characterization of qi and blood.It is believed that the disorder of qi and blood in the five organs is the basis of the pathology,while stasis and dampness are important pathological products of the development of female stress incontinence.Therefore,when diagnosing,we should distinguish between the amount of qi and blood strength and the degree of qi stagnation and blood stasis;when treating,we should pay attention to invigorating the spleen and dispersing the stagnated liver qi,benefiting qi to activate blood circulation,and invigorating qi for ascending to restore urinary function.In addition,modern research based on TCM constitution,microscopic syndrome differentiation,and pharmacological analysis provides a scientific basis for the treatment of female stress incontinence by targeting qi and blood.
作者
周艳艳
高瞻
丁家森
王忠
陈豪特
邵魁卿
ZHOU Yanyan;GAO Zhan;DING Jiasen;WANG Zhong;CHEN Haote;SHAO Kuiqing(Xiyuan Hospital of Chinese Academy of Chinese Medical Sciences,Beijing 100091,China;Graduate School of China Academy of Chinese Medicine Sciences,Beijing 100027,China)
出处
《北京中医药大学学报》
CAS
CSCD
北大核心
2022年第12期1277-1281,共5页
Journal of Beijing University of Traditional Chinese Medicine
基金
首都医学发展科研基金项目(首发No.2020-2-2033)
中国中医科学院科技创新工程重大攻关项目(No.CI2021A01908)。
关键词
压力性尿失禁
气血理论
气血失和
女性
stress incontinence
qi-blood theory
disorder of qi and blood
female
