立足中气下陷治疗岭南地区盆底功能障碍性疾病

Discussion on the treatment of pelvic floor dysfunction based on sinking of middle qi in Lingnan area

盆底功能障碍性疾病立足于中气下陷这一证型,在中医学上可归属气虚秘、脱肛、阴挺、肛坠、小便失禁、大便滑脱等范畴。通过对本病的辨治研究,认为岭南地区所见的此类盆底功能障碍性疾病的患者,其病机又兼以土虚木乘为多见,为肝胆湿热、气机阻滞、不得升举之象。结合体质特点,其治法以健脾益气举陷、清热化湿疏肝为法,以健脾益气举陷为主,清热化湿、疏达肝气为辅。只有结合三因学说,方可提高盆底功能障碍性疾病的治疗效果,有效解除患者痛苦。

Pelvic floor dysfunction is based on the syndrome of sinking of middle qi, which could be attributed to constipation due to deficiency of vital energy, anal prolapse, genitalia prolapse, anal fall, urinary incontinence, incontinence of lingering diarrhea and so on. Through the researches on syndrome dif erentiation of this disease, it was deemed that the leading pathogenesis of patients with pelvic l oor dysfunction usually was dei cient earth being subjugated by wood which could lead to liver and gallbladder damp-heat, functional activities of qi would be obstructed. Combining with physical characteristics, the treatment was given priority to reinforce the spleen to replenish qi and lift depression, and clearing away heat and dampness and smoothing liver was complementary. Only combining with theory on three categories of etiologic factors, the treatment effect could be improved and suf ering of patients with pelvic l oor dysfunction could be relieved effectively.