摘要
慢性尿路感染在中医学中归属于“劳淋”范畴。目前,对于劳淋西医可选择的临床治法有限,中医在临床上则多从补益肾气、清利膀胱湿热方面来治疗,部分患者疗效欠佳。因劳淋病为水病,故文章基于中医学的整体观念,从肺与膀胱同属人身水道运行系统的生理基础出发,基于肺与膀胱别通理论,探讨治疗劳淋的思路。肺与膀胱在气化功能上息息相关,同主“开之气机”,水道“开”则溺窍通;在人身的水液代谢方面存在“上源清而下源利”的关系,足见二者气化通畅则小便通利;此二者又通过经络系统在生理上紧密联系,是故肺脏气机不利或肺津不充皆可使上焦不利,下焦水道不利,溺窍不通,进而出现淋漓涩痛等症;而肺主气,肺气不利则气之卫外功能不足,故劳淋多因外感、情志内伤等原因再发。文章从“肺与膀胱相通应”立论,从利肺助通调水道来治疗小便不利,兼顾上源水道不利的临床情况。从肺和膀胱在水液代谢方面存在的密切联系入手,基于此理论提出从肺论治劳淋的思路,并进一步分析劳淋的病机,以期提高中医治疗劳淋的临床疗效,促进患者康复,为中医治疗劳淋提供一些新思路和方法。
Traditional Chinese medicine(TCM)attributes chronic urinary tract infection(UTI)to the concept of“Lao Lin(劳淋)”.At present,Western medicine has limited options for the clinical treatment of UTI,while TCM mainly treats UTI from the aspects of tonifying kidney Qi(气)and clearing bladder damp heat,but the curative effect of some patients is not ideal.As chronic UTIs are classified as water-related disorders in TCM,this paper adheres to the holistic principles of TCM,and explores treatment approaches for chronic UTI based on the physiological foundation that the lungs and bladder belong to the same waterway system within the human body,rooted in the theory of their distinct yet interconnected functions.The lung and bladder are intrinsically linked in their Qi-transformation functions,jointly governing the“opening”aspect of Qi dynamics.When the water pathways are“open”,the urinary orifices remain unobstructed.In bodily fluid metabolism,they maintain a relationship:“when the upper souce is clear,the lower source will function smoothly”.In TCM,“upper source”mainly refers to the lung,which regulates the water passway,and the“lower source”refers to the bladder and kidneys related to urine excretion.Thus,impaired lung Qi function or insufficient lung fluids can lead to dysfunction in the upper Jiao,causing obstruction in the lower Jiao’s water pathways and urinary orifice blockage,resulting in symptoms like dripping,difficult and painful urination,and dysuria.As the lung governs Qi,impaired lung Qi weakens its defensive function.Thus,chronic UTI often recur due to external pathogens or emotional distress.This paper therefore proposes a treatment approach based on the lung-bladder communication theory of enhancing lung function to regulate water metabolism.This addresses UTI while simultaneously addressing impaired upper-source water metabolism.This paper begins with the close connection between the lung and bladder in fluid metabolism.Based on this theory,it proposes a treatment approach for chronic UTI from the perspective of the lung,further analyzing the pathogenesis of such disorders.The aim is to enhance the clinical efficacy of TCM treatment for chronic UTI,promote patient recovery,and provide new insights and methods for TCM treatment of these conditions.
出处
《中医临床研究》
2025年第30期128-132,共5页
Clinical Journal Of Chinese Medicine
关键词
中医
劳淋
尿路感染
从肺论治
Traditional Chinese medicine
Fatigue strangury
Urinary tract infection
Treating from the perspective of lung
