CJI (Traditional Chinese Medicine)
谭新华治疗前列腺炎经验方前炎清方组方思路探析
周海亮1,周兴2,何清湖1,周青2,李波男1,指导:谭新华2
1.湖南中医药大学中西医结合学院,湖南 长沙 410208;2.湖南中医药大学第一附属医院,湖南 长沙 410007摘要:谭新华教授论治前列腺炎以脾肾亏虚为本、气血湿热郁为标,虚实夹杂互为顽邪;谭师精于辨证,深谙病机之间相互关联,故针对前列腺炎肾虚不固、阴虚火旺、湿热蕴结、气滞血瘀等病机,强调整体论治原则,协调整体阴阳,气血湿郁热同调,创制前列腺炎经验方前炎清方,临床疗效确切,可为诊治前列腺疾病提供新的思路与方法。
关键词:名医经验;谭新华;前列腺炎;前炎清方
中图分类号:R277.573.3 文献标识码:A 文章编号:1005-5304(2020)03-0122-03
DOI:10.3969/j.issn.1005-5304.201812001 开放科学(资源服务)标识码(OSID):
Discussion on Prescribing Thoughts of Experience Qianyanqing Prescription of Tan Xinhua for Treatment of Prostatitis
ZHOU Hailiang1, ZHOU Xing2, HE Qinghu1, ZHOU Qing2, LI Bonan1, Instructor: TAN Xinhua2
1. College of Integrated Traditional Chinese and Western medicine, Hunan University of Chinese Medicine, Changsha
410208, China; 2. The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha 410007, China Abstract: The treatment of prostatitis by Professor Tan Xinhua is based on deficiency of spleen and kidney as the root, and manifested by dampness and heat depression of qi and blood as the symptoms, with intermingled deficiency and excess becoming intractable pathogenesis. Professor Tan is skilled in syndrome differentiation, understands correlation between pathogenesis, emphasizes the principle of overall treatment by targeting kidney deficiency, hyperactivity of fire due to yin deficiency, damp-heat accumulation, qi stagnation and blood stasis. He also proposes to balance overall dampness and heat depression of qi and blood at the same time, and creates experience Qianyanqing Prescription for prostatitis, with confirmed clinical efficacy, which can provide new ideas and methods for the diagnosis and treatment of prostatitis.
Keywords: experience of famous doctors; Tan Xinhua; prostatitis; Qianyanqing Prescription
湖南中医药大学中医外科学谭新华教授是第一、三批全国名老中医药专家学术经验继承工作指导老师,从事中医临床与教学工作 60 余年,擅长外科及男科疑难杂病等诊治,尤对慢性前列腺炎有独到经验。笔者幸得机缘侍诊,受益匪浅,现将谭师治疗前列腺炎经验方前炎清方的组方思路及方义探析如下。组方思路临床上,根据疾病性质不同,前列腺炎可分为急性与慢性。急性前列腺炎病因明确,直接由病原体感
基金项目:国家自然科学基金(81673984、81774324);湖南
省自然科学基金(2018JJ3402);湖南省教育厅优秀青年项目
(16B200);长沙市杰出创新青年人才项目(kq1802015);湖南省高层次卫生人才 225 工程医学学科骨干人才培养对象
(2019 年);湖南创新型省份建设专项(2019RS2041)
通讯作者:周兴,E-mail:27752770@qq.com染引起盆腔泌尿系急性炎症反应;慢性前列腺炎病因复杂,一般认为是前列腺在病原体或某些非感染因素作用下,患者出现以盆腔区域及会阴部疼痛或不适、
滴白、排尿异常等症状为特征的慢性疾病[1]。本病属中医学“精浊”范畴。
1.1 符合西医对前列腺炎病理机制的认识目前,西医关于前列腺炎的认识,普遍接受“多元化学说”。其核心内容是:前列腺炎发病可能在前列腺周围组织器官、肌肉和神经的原发性或继发性疾病已经治愈,甚至在这些疾病彻底根除后,其造成的损害与病理改变仍会持续引起病理反应,这可能是慢性前列腺炎病情反复的重要原因。其病因中心可能是
感染、炎症和异常的盆底神经肌肉活动的共同作用[2]。前炎清方功在益气固本、清利湿热、解毒消痈、化瘀通络止痛,具有抗菌消炎、清除内毒素、解除异常神经肌肉紧张等作用。这符合西医对前列腺炎发病机制