慢性前列腺炎中医证候研究中的问题及对策

Problems and countermeasures of chronic prostatitis in study of TCM syndrome

概述慢性前列腺炎中医证候学的研究现状,着重分析存在的关键问题:行业标准及教材中,本病4类证型的名称不尽统一,各证型中的症状描述亦有差别,证候诊断标准有待明确;从文献分析可以看出,在临床实践中,医生多依据自己的经验辨证分型,除传统的4类证型外,脾气不足证和肝气郁结证的出现频率也较高;证候的研究方法亟待提高。并提出研究对策:①明确常见的基本证型及辨证标准;②制定基本证型的计量诊断标准;③开展前瞻性的多中心临床调查。

To summarize the status of chinese medicine syndrome study in chronic prostatitis, emphatically analyze the key problems. In the national standard and textbook, the names of four syndrome types are not unifi ed, difference of symptoms description still exist, and diagnostic criteria of basic syndrome type needs to be clarified. Analysis of literature showed that syndrome differentiation was commonly based on the experience of physician in clinical practice. In addition to the four syndrome types, occurrence frequency of spleen qi deficiency and liver qi stagnation syndrome types are relatively high. Research method of syndrome should be improved urgently. This paper proposes counter measures： Clarify the commonly basic syndrome types and syndrome differentiation standards. Formulate the quantitative diagnostic criteria of basic syndrome types.conduct the prospectively multicenter clinical survey.