前列腺痛的治疗策略

Treatment strategies of Prostatodynia

近年来,中西医对前列腺痛的治疗都取得了新的进展。现代医学对前列腺痛进行了UPOINT表型分类系统的重新认识,治疗从抗感染为核心转向个体化的综合治疗,中医对前列腺痛的认识从以湿热为主转变为血瘀肝郁为主的病机特点,治疗则以辨证论治为核心,活血化瘀贯穿始终。因此,结合前列腺痛的治疗进展和多年的临床实践,笔者将前列腺痛的治疗策略总结为辨病论治为前提,即首先必须明确诊断;辨证论治为核心,重视血瘀肝郁的病机特点;中西结合是趋势,只有中西医结合,发挥各自的优势,才能更好的解决临床问题;身心同治是关键,重视躯体症状与心理症状的相互影响作用,共同治疗;综合治疗是手段,前列腺痛已经进入综合治疗时代,只有综合使用现有的治疗手段,才能达到理想的治疗效果。

In recent years,Chinese and Western medicine treatment of prostatodynia had made new progress. Modern medicine re-recognize the prostatodynia for UPOINT phenotypic classification system. The treatment had changed from anti-infection to individualized comprehensive treatment. The pathogenesis of TCM had changed from dampness-heat to blood stasis and Qi stagnation with blood circulation throughout the whole treatment. Therefore,combined the treatment progress of prstatodynia and many years of clinical practice,we had summed the treatment strategy of prostatodynia for five ferms. Disease diagnosis is the premise,which a doctor shall confirm first of all; Treatment according to syndrome differentiation of TCM is core,hence attention shall be paid in pathogenesis features of blood stasis and Liver depression;Integrative Medicine is the tend,which is the basis for new boost in treatment efficacy; Simultaneous treatment of physical and mental is the key. Somatic symptoms and Psychological symptoms mutually influence each other,thus simultaneous treatment is entailed; comprehensive treatment is means. The treatment of prostatodynia have already entered to comprehensive era. Only extensively using the existing treatments can we achieve the desired therapeutic effect.