慢性前列腺炎中医药诊治经验探讨

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (953 KB)
输出: BibTeX | EndNote (RIS)

摘要目的探讨中医药诊治慢性前列腺炎的经验。方法收集医案,建立数据库,通过SAS9.4软件进行研究,分析证型与用药的规律。结果共搜集医案259例,证型有湿热型、肾虚型、瘀滞型。以湿热型为主,兼夹瘀。治法以升清降浊、清利湿热、活血化瘀为主,少用补肾法。使用经验方剂,共使用中药27味。常用的前14位中药分别为柴胡、桔梗、升麻、泽泻、茯苓、白花蛇舌草、蚕沙、丹参、甘草、菊花、王不留行、车前子、木通、猪苓。结论慢性前列腺炎中医病因病机多为湿热蕴结下焦,清气不升、浊阴不降,治则为升清降浊、清利湿热、兼以活血化瘀。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	洪燕
	余建玮
	万彦婷
	方晓彬
	接明明
	洪广槐

关键词 ：慢性前列腺炎, 诊治, 中医药, 数据挖掘

Abstract：Objective To discuss the diagnosis and treatment of traditional Chinese medicine in treating chronic prostatitis based on data mining.Methods A database was set up through collecting selected medical records , and the syndrome types and herbal prescription rule were analyzed through SAS 9.4 software.Results Two hundred and fifty-nine medical records(mainly damp heat type with blood stasis) were collected, and the syndrome differentiation types include damp heat type, kidney deficiency type and stasis type. The treatment methods were mainly to raise the clear and reduce the turbidity, clear away damp heat, and promote blood circulation and remove blood stasis, with less use of tonifying the kidney. Empirical prescription was used and 27 kinds of herbs were adopted. The most frequently used top-14 herbs were bupleurum, patycodon grandiflorum, cohosh, alisma orientalis, poria cocos, hedyotis diffusa, silkworm sand, salvia miltiorrhiza, licorice, chrysanthemum, wang buliuxing, plantain, mutong and polyporus umbellatus.Conclusions The etiology and pathogenesis of traditional Chinese medicine in treating chronic prostatitis is mainly the accumulation of damp heat, no rise of the clear and no drop of the turbidity, so the treatment is based on the method of raising the clear and lowering the turbidity, clearing the damp heat and promoting blood circulation and removing blood stasis.

Key words： chronic prostatitis diagnosis and treatment;traditional Chinese medicine data mining

收稿日期: 2022-03-03

ZTFLH:

R697.33

基金资助:江西省中医药科研课题(2019A323)

作者简介: 洪燕,本科学历,主任医师。

引用本文:

洪燕, 余建玮, 万彦婷, 方晓彬, 接明明, 洪广槐. 慢性前列腺炎中医药诊治经验探讨[J]. 武警医学, 2022, 33(9): 745-747. HONG Yan, YU Jianwei, WAN Yanting, FAN Xiaobing, JIE Mingming, HONG Guanghuai. Experience analysis of diagnosis and treatment of traditional Chinese medicine in treating chronic prostatitis. Med. J. Chin. Peop. Armed Poli. Forc., 2022, 33(9): 745-747.

链接本文:

http://journal08.magtechjournal.com/Jwk_wjyx/CN/ 或 http://journal08.magtechjournal.com/Jwk_wjyx/CN/Y2022/V33/I9/745

[1]	邵阳,石齐,叶青.武警某部军人慢性前列腺炎样症状的调查研究[J].武警医学,2021,32(1):51-54.
[2]	陈佳,詹长生,张力,等.难治性慢性前列腺炎的治疗进展[J].临床泌尿外科杂志,2020,35(8):665-667.
[3]	叶成光,宋国宏.慢性非细菌性前列腺炎中西医结合治疗研究进展[J].世界最新医学信息文摘,2019,19(52):247.
[4]	卫正余.不同方剂直接注射治疗三种慢性前列腺炎314例[J].武警医学,2005,16(7):522-523.
[5]	孙涛,黄新飞,姚诗清,等.前列腺2号方联合灌肠、穴位贴敷治疗慢性前列腺炎疗效观察[J].中华全科医学,2020,18(4):662-665.
[6]	Hakan,Akdere,Ilhan,et al.Analgesic effects of oligonol, acupuncture and quantum light therapy on chronic nonbacterial prostatitis[J].Iranian Red Crescent M J,2015,17(4):e26006.
[7]	俞旭君,高庆和.慢性前列腺炎中西医结合多学科诊疗指南[J].中华男科学杂志,2020,26(4):369-376.
[8]	罗成,关永晖,张银海,等.立体化治疗方案对慢性前列腺炎/慢性盆腔疼痛综合征患者症状改善及心理状态的影响[J].疑难病杂志,2022,21(4):410-414.
[9]	洪广槐,吴少敏.升清降浊汤治疗慢性前列腺炎的临床研究[J].江西中医药,1994,25(1):11.
[10]	张李博,王瑶,吴金鸿,等.国医大师王世民论治慢性前列腺炎经验[J].湖南中医药大学学报,2020,40(12):1441-1444.
[11]	王子龙,玄续军.《慢性前列腺炎中西医结合多学科诊疗指南》解读[J].泌尿外科杂志,2021,13(4):10-14.
[12]	国家中医药管理局医政司.《中医病证诊断疗效标准》[J].湖北中医杂志,2002,23(2):57.
[13]	李保林,麻景梅,田雨柔,等.甘草中新发现化学成分和药理作用的研究进展[J].中成药,52(8):2438-2448.
[14]	杨杰,张瑜,万斌,等.当归头与尾阿魏酸代谢模式研究初探[J].中国中医基础医学杂志,2019,25(7):991-993.
[15]	吴玲芳,王子墨,赫柯芊,等.赤芍的化学成分和药理作用研究概况[J].中国实验方剂学杂志,2021,27(18):198-206.
[16]	魏羽琦,曹程,刘梦秋,等.琥珀调控颈总动脉结扎脑缺血大鼠海马区神经元凋亡改善大鼠学习与记忆能力的效用部位与作用机制研究[J].世界科学技术-中医药现代化,2022,24(1):88-97.
[17]	殷婷婷.加味琥珀散治疗血瘀型宫内妊娠物残留的临床疗效观察[J].山东中医药大学(电子期刊),2022,1(3):39.