从伏邪理论探讨慢性前列腺炎的病因病机

Discussion on the Etiology and Pathogenesis of Chronic Prostatitis from the Theory of Incubating Pathogens

慢性前列腺炎邪气的源头有两种,一种为旧感邪气,患者正气受损,不足与邪气抗争和祛邪外出,邪气趁机内伏,而后伺机发作;另一种为新感小邪,小邪因为致病力弱,不容易与正气抗争,所以小邪中人的特点是患者并不察觉或有仅有轻微症状,之后邪气内潜。慢性前列腺炎是由于邪气蛰伏于精室,邪正相争,继发化气,表现出"结必有热""结必有水""结必有瘀""结必正虚"等病机,久之不愈,甚至可传为癥瘕。在慢性前列腺炎的治疗过程中,化热是治疗的重点,化热日久则入血伤血,临床多用蒲公英、牡丹皮、赤芍等。

There are two sources of pathogenic qi in chronic prostatitis(CP).One is the former invasion of pathogenic qi.The patient′s healthy qi is damaged and is not enough to fight against pathogenic qi and dispel it.Pathogenic qi takes the opportunity to lie inside and then wait for the opportunity to attack.The other is the new invasion of slight pathogen.Slight pathogen is not easy to fight with healthy qi because of its weak pathogenicity.Therefore, the characteristics of people in slight pathogen are that patients are not aware of or have only slight symptoms, and then the pathogenic qi is latent.CP is due to the dormancy of pathogenic qi in the seminal chamber, the struggle between pathogenic qi and vital qi, and the secondary transformation of qi.It shows the pathogenesis of "accumulation must be accompanied by heat", "accumulation must be accompanied by water", "accumulation must be accompanied by stasis" and "long time of accumulation must be accompanied by deficient vital qi".It can even be passed on as a symptom for a long time.In the treatment of CP,heat is the focus of treatment.If heat stays for a long time, it will enter the blood and hurt the blood.Pugonɡying(Dandelion),Mudanpi(tree peony root bark),Chishao(red peony)and so on are often used clinically.