摘要
施汉章教授认为慢性前列腺炎是内外合邪致湿热蕴阻,气机升降失常,败精留滞日久则化瘀生痰,病机以肾虚为本,湿热、痰瘀为标,属本虚标实、虚实夹杂证。治疗强调微观辨证,患病早期湿热蕴阻为主者治以清热利湿,中期湿热兼夹痰瘀者治以清热利湿化瘀,久病迁延脾肾两虚为主则治以益气固肾。并注重多途径给药,进行心理疏导,取得显著疗效。
Prof. SHI considered that chronic prostatitis(CP) is caused by invasion of internal and external pathogenic factors leading to stagnation of damp - heat and dysfunction of functional activity, and prolonged stagnation of evil essence leads to gereration of phlegm and blood - stasis. As to its pathogenesis, kidney - deficiency is the primary aspect and damp - heat, phlegm and blood - stasis are the secondary aspect, and is attributive to a syndrome with deficiency in primary aspect and excess in secondary aspect as well as coexistence of both. He emphasized the microcosmic syndrome differentiation. In the early stage (chiefly stagnation of damp - heat), it should be treated by clearing heat and damp; in the middle stage (coexistence of damp - heat, phlegm and blood - stasis), by clearing heat, eliminating damp and removing blood - stasis; in the lingering stage (deficiency of spleen and kidney), by benefiting qi and strengthening kidney. He also paid attention to multiple ways of medication and psychological guidance in order to obtain a marked curative effect.
出处
《新中医》
CAS
北大核心
2004年第5期11-12,共2页
New Chinese Medicine
关键词
前列腺炎
辨证论治
施汉章
prostatitis
syndrome differentiation and treatment
SHI Han - zhang