郭军教授基于“脑-心-肾-精室”轴理论应用桂益通癃方治疗良性前列腺增生症的经验

Professor Guo Jun’s experience in the treatment of benign prostatic hyperplasia with Guiyi Tonglong Formula based on the“brain-heart-kidney-essence chamber”axis theory

中医认为良性前列腺增生症多由肾虚不固,膀胱气化失司导致,郭军教授在此基础上结合现代人群工作压力大等精神心理因素,提出“脑-心-肾-精室”轴理论,强调身心同治,整体与局部相结合的辨治观。郭军教授认为肾与精室同居下焦,主水而从局部调节尿液代谢,心脑同居上焦,藏神而从整体调节肾与精室生理功能。“脑-心-肾-精室”轴任何一个环节紊乱均可导致本病发生,主要包括心脑失养、神乱不藏,肾虚不固、气化失司,瘀阻下焦、精室失用三类。在“脑-心-肾-精室”轴理论指导下拟定了桂益通癃方。此方围绕补肾温阳,活血化瘀立法,通补兼备,可为临床治疗良性前列腺增生症提供借鉴。

Traditional Chinese medicine believes that benign prostatic hyperplasia is often caused by kidney deficiency and instability,as well as bladder disturbance in functioning of qi.Professor Guo Jun proposes the“brain-heart-kidney-essence chamber”axis theory based on this and combined with modern psychological factors such as high work pressure,emphasizing the differentiation and treatment of both body and mind,as well as the combination of overall and local factors.Professor Guo Jun believes that the kidneys and seminal chambers reside together in the lower jiao,which is responsible for water and regulates urine metabolism locally.The heart and brain reside together in the upper jiao,which hides the mind and regulates the physiological functions of the kidneys and seminal chambers as a whole.Any disorder of“brain-heart-kidney-essence chamber”axis can lead to the occurrence of this disease,mainly including three types:loss of nourishment of heart and brain,confusion of the mind,kidney deficiency and instability,disturbance in functioning of qi,stagnation of lower jiao and dysfunction of seminal chamber.Guiyi Tonglong Formula is formulated under the guidance of the“brain-heart-kidney-essence chamber”axis theory.This prescription revolves around tonifying the kidney and warming yang,promoting blood circulation and resolving blood stasis,and has both dredging and tonifying functions.It can provide reference for the clinical treatment of benign prostatic hyperplasia.