经方治疗Ⅲ型前列腺炎水瘀互结证初探

A preliminary study on treating type Ⅲ prostatitis of the water-stasis syndrome with classical prescription

活血利水法最早见于张机(字仲景)的《伤寒杂病论》。津血同源,津液与血液都化生于水谷精微,在生理情况下,血行脉中、津行脉外,两者相互渗透转化,维持动态平衡,在病理情况下,气血运行不利,津液输布异常而形成水瘀互结之证,但《伤寒杂病论》文中并未提出水瘀互结证型,现代中医学教科书亦未曾提到此证型。现实临床诊疗中水瘀互结证却非常常见,特别是男科常见病之Ⅲ型前列腺炎,水瘀互结于“精室”而成此证。本文旨在论述水瘀互结证成因,并初步探讨经方治疗Ⅲ型前列腺炎水瘀互结证的研究前景。

The promoting blood circulation and diuresis method was first found in TCM master ZHANG Ji's Shanghan Zabing Lun(《伤寒杂病论》).Body fluid and blood are of the same origin,and both are produced by the essence of water and grain.Under normal physiological conditions,blood runs in the veins and body fluid runs outside the veins.The two penetrate and transform each other to maintain a dynamic balance.In pathological conditions,the circulation of Qi(气)and blood is unfavorable,and the distribution of body fluid is abnormal,thus forming a syndrome of mutual binding of water and blood stasis.However,there was no this syndrome in Shanghan Zabing Lun and modern TCM textbooks.The water-stasis syndrome is very common in actually clinical diagnosis and treatment,especially type Ⅲ prostatitis,a common disease in andrology,which is due to the combination of water and blood stasis in the"semen room".In this paper,the cause of the water-stasis syndrome was discussed,and the research prospects of classical prescriptions on type Ⅲ prostatitis of the water-stasis syndrome were preliminarily explored.