浅论老年性遗尿的辨证论治

On the Syndrome Differentiation for Treatment of Senile Enuresis

老年性遗尿是一种常见的多发病证 ,其病因病机可归纳为 :肾虚精亏、肝郁气滞、劳累过度、湿浊留滞和外邪袭扰等几个方面 ;临床可分为 :肾虚不固、膀胱失约 ;脾肾阳虚 ,下元不固、肝郁气滞 ,气化不利 ;外邪袭扰 ,膀胱不约和湿热下注 ,水腑不宁等几种基本证候来论治 ;在治疗时一方面要考虑到人老体虚 ,应适当补肾益脾 ,用药要平和 ,攻逐需要度 ,化气利水 ,恢复膀胱正常功能。另一方面 ,在用药的同时 ,应配合积极健康的精神、心理、体育、推拿和针灸等疗法 ,以期收到更好的临床效果。

Senile enuresis as a common multiple disease,its pathogenic factors and pathogenesis may be divided into:renal essence deficiency due to kidney asthenia,qi stagnation due to liver depression,overstrain,retention of dampness and invasion by external pathogenic factors;clinically its syndromes may be divided into unconsolidation due to kidney asthenia causing the urinary bladder's of control,yang deficiency of spleen and kidney causing unconsolidation of kidney,qi stagnation due to liver depression causing urinary out control,and downward flow of dampness and heacausing unrest of kidney.In treating the disease,taking the weak physique of old people into consideration we should strengthen the kidney and water circulation to restore the normal functions of urinary bladder.On the other hand,administration may achieve better effects with the simultaneous application of mental,psychological,sports,massage,acupuncture and moxibustion therapies.