基于络病理论论治良性前列腺增生

Discussion on Treatment of Benign Prostatic Hyperplasia Based on Collateral Disease Theory

良性前列腺增生是一种引起中老年男性排尿障碍的良性慢性疾病。研究发现间质成分增生和腺体增大是良性前列腺增生主要的病理改变。络病理论认为良性前列腺增生有易虚易瘀、易积成形、久病入络的病变特点;病机以肾络空虚为本,络脉不通为机,湿热瘀浊为标,其中络脉不通是良性前列腺增生的核心病机;治疗原则以通为用,常采用补虚通络、活血通络、祛邪通络法治疗良性前列腺增生。笔者在络病理论的基础上结合现代医学研究探讨良性前列腺增生的病因病机及治法,以期为中医药治疗良性前列腺增生提供新思路。

Objective:Benign prostatic hyperplasia is a benign chronic disease that causes urination disorder in middle-aged and elderly men.Studies have found that hyperplasia of interstitial components and enlargement of the gland are the main pathological changes.The"collateral disease theory"believes that this disease is pathologically featured by easy deficiency and stasis,easy to form by accumulation,and prolonged diseases transforming to collaterals;the root of pathogenesis is emptiness and deficiency of kidney collaterals,the obstruction of collaterals is the mechanism,and the damp-heat,blood stasis and turbidity is the branch.Among them,the obstruction of collaterals is the core pathogenesis of benign prostatic hyperplasia;the principle of treatment is to unblock,and the methods of freeing the collateral vessels by supplementing deficiency,activating blood and eliminating the pathogenic factors are often used to treat benign prostatic hyperplasia.On the basis of"collateral disease theory",the author combined with modern medical research to explore the etiology,pathogenesis and treatment of benign prostatic hyperplasia to provide new ideas for the staging treatment of the disease with traditional Chinese medicine.