中医药治疗慢性前列腺炎研究进展

Research progress of traditional Chinese medicine in the treatment of chronic prostatitis

慢性前列腺炎是以膀胱生殖区疼痛和排尿刺激症状为主要表现的临床综合征,是成年男性的疑难病与多发病。慢性前列腺炎具有病情顽固、发病缓慢、反复发作、缠绵难愈等特点,为男科临床难治性疾病。慢性前列腺炎的发病率为6.0%~32.9%,与健康人群相比,其射精、勃起等功能明显下降,部分患者伴有乏力、失眠、抑郁等症状,严重影响患者的心理健康与生活质量。因此,早期有效地改善患者病情意义重大。中医药对慢性前列腺炎治疗有独特优势,方法多样,疗效肯定,其认为病性为本虚标实,本虚为心脾两虚、脾肾亏虚,标实为血瘀、湿热等,最终多演变成虚实夹杂之证。本文从慢性前列腺炎的病因病机与治疗情况进行了综述。

Chronic prostatitis is a difficult and frequently-occurring disease in adult males,which shows the clinical syndrome characterized by pain in the bladder reproductive area and irritation of urination.Chronic prostatitis is a refractory disease in andrology clinic because of its stubborn condition,slow onset,repeated attacks,lingering and refractory characteristics.The incidence of chronic prostatitis is 6.0%-32.9%.Compared with healthy people,the functions of ejaculation and erection are significantly reduced.Some patients have symptoms such as fatigue,insomnia and depression,which seriously affect their mental health and quality of life.Therefore,early and effective improvement of the patient’s condition is of great significance.Traditional Chinese medicine has unique advantages in the treatment of chronic prostatitis,with various methods and definite curative effect.It considers that the nature of the disease is deficiency of both heart and spleen,deficiency of spleen and kidney,deficiency of blood stasis,damp-heat and so on,which eventually evolves into the syndrome of deficiency and excess.This article reviews the etiology,pathogenesis and treatment of chronic prostatitis.