崔云教授从“六郁”论治慢性前列腺炎学术思想初探
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摘要
[目的]探讨崔云教授治疗慢性前列腺炎的学术思想及临床经验。[方法]跟随崔云教授临证侍诊,收集相关医案,分析崔云教授对慢性前列腺炎病机的认识,总结其从六郁论治慢性前列腺炎的特色疗法,并分析典型案例。[结果]基于中医传统六郁理论,崔云教授认为本病发于气郁,而肝气郁滞,气机不畅为本,变于诸郁相因,相兼相化。治疗上以疏肝解郁、调畅气机为总则,同时紧扣病机之变化,辨郁论治。遣方用药的特点是以传统经方为基石,同时结合现代药理学研究。所举案例,在疏肝解郁、调畅气机的基础上,辅以化痰祛湿、清热散火、活血化瘀、消食化积之法,体现了其辨郁论治的治疗思路。[结论]崔云教授从"六郁"论治慢性前列腺炎的学术思想已具备中医学完整的理、法、方、药体系,值得学习和推广。
[Objective] To explore the academic thought and clinical experience of Professor CUI Yun in treating chronic prostatitis. [Method] To analyze Professor CUI Yun's understanding of the pathogenesis of chronic prostatitis and summarize his characteristic therapy of treating chronic prostatitis from six depressions by following Professor CUI Yun's clinical attendance and collecting relevant medical records. Typical cases are also analyzed. [Result]Professor CUI Yun thinks that the pathogenesis of chronic prostatitis is originated from Qi depression. Stagnation of liver Qi and irregular flow of Qi are the bases. All kinds of depression affect each other,causing a change. The emphasis of treatment is on relieving stagnation of liver Qi and regulating Qi.Meanwhile,the disease should be treated with the change of pathogenesis and the type of depression. The prescriptions are based on classical prescription,combined with modern pharmacology and changed with symptoms. The case mentioned,on the basis of relieving stagnation of liver Qi and regulating Qi activity,is supplemented by the method of eliminating phlegm and removing dampness,clearing heat-fire,promoting blood circulation for removing blood stasis,relieving dyspepsia. This reflects the thought of treatment according to depression differentiation.[Conclusion] Professor CUI Yun's academic thought on treating chronic prostatitis from "six depressions" already has a complete system,which includes the mechanism, method,prescription and medicine of TCM. It is worthy of being studied and popularized.
[Objective] To explore the academic thought and clinical experience of Professor CUI Yun in treating chronic prostatitis. [Method] To analyze Professor CUI Yun's understanding of the pathogenesis of chronic prostatitis and summarize his characteristic therapy of treating chronic prostatitis from six depressions by following Professor CUI Yun's clinical attendance and collecting relevant medical records. Typical cases are also analyzed. [Result]Professor CUI Yun thinks that the pathogenesis of chronic prostatitis is originated from Qi depression. Stagnation of liver Qi and irregular flow of Qi are the bases. All kinds of depression affect each other,causing a change. The emphasis of treatment is on relieving stagnation of liver Qi and regulating Qi.Meanwhile,the disease should be treated with the change of pathogenesis and the type of depression. The prescriptions are based on classical prescription,combined with modern pharmacology and changed with symptoms. The case mentioned,on the basis of relieving stagnation of liver Qi and regulating Qi activity,is supplemented by the method of eliminating phlegm and removing dampness,clearing heat-fire,promoting blood circulation for removing blood stasis,relieving dyspepsia. This reflects the thought of treatment according to depression differentiation.[Conclusion] Professor CUI Yun's academic thought on treating chronic prostatitis from "six depressions" already has a complete system,which includes the mechanism, method,prescription and medicine of TCM. It is worthy of being studied and popularized.
引文
[1]中国中西医结合学会男科专业委员会.慢性前列腺炎中西医结合诊疗专家共识[J].中国中西医结合杂志,2015,35(8):933-941.
[2]吕心朋,崔云,江大为,等.崔云运用疏肝通络法治疗慢性前列腺炎经验撷菁[J].中华中医药杂志,2016,31(8):3132-3134.
[3]董德河,段瑞华,张毅,等.中医药治疗慢性前列腺炎的研究现状[J].中国性科学,2018,27(7):26-29.
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[17]王好古.汤液本草[M].北京:中国中医药出版社,2013:64.
[18]国家中医药管理局《中华本草》编委会.中华本草[M].上海:上海科学技术出版社,2009:1512,1688.
[19]兰茂.滇南本草[M].昆明:云南科学技术出版社,2004:282.
[20]贾所学.药品化义[M].北京:中国中医药出版社,2013:100.
[21]李时珍.本草纲目[M].北京:中国医药科技出版社,2011:1077.
[22]李梴.医学入门[M].北京:中国中医药出版社.1995:145.
[23]郑军状,崔云,江大为,等.崔云运用“肝肾同源”理论治疗男科疾病经验[J].江西中医药大学学报,2016,28(5):23-26.
[24]刘擎,陶方泽,崔云,等.崔云教授运用温清饮治疗男科病经验探析[J].浙江中医药大学学报,2018,42(5):363-366.
[25]崔瑛.浅谈对食郁证的认识[J].江西中医药,2008,39(4):12-13.
[26]王涵,顾成娟,仝小林.仝小林从郁论治胃肠病学术思想浅议[J].世界中西医结合杂志,2017,12(6):757-759.
[2]吕心朋,崔云,江大为,等.崔云运用疏肝通络法治疗慢性前列腺炎经验撷菁[J].中华中医药杂志,2016,31(8):3132-3134.
[3]董德河,段瑞华,张毅,等.中医药治疗慢性前列腺炎的研究现状[J].中国性科学,2018,27(7):26-29.
[4]陈无择.三因极一病症方论[M].北京:中国医药科技出版社,2011:22.
[5]朱震亨.丹溪心法[M].北京:人民卫生出版社,2017:205.
[6]丹波元坚.杂病广要[M].北京:人民卫生出版社,1983:471.
[7]张璐.张氏医通[M].太原:山西科学技术出版社,2010:52.
[8]陈修园.医学实在易[M].北京:中国中医药出版社,2016:8.
[9]虞抟.医学正传[M].太原:山西科学技术出版社,2012:117.
[10]叶天士.临证指南医案[M].北京:人民卫生出版社,2006:265.
[11]黄元御.四圣心源[M].北京:中国医药科技出版社,2016:17.
[12]朱丹溪.格致余论[M].南京:江苏科学技术出版社,1985:2.
[13]龚延贤.万病回春[M].北京:人民卫生出版社,2007:108.
[14]倪朱谟.本草汇言[M].上海:上海科学技术出版社,2005:125.
[15]陈士铎.本草新编[M].北京:中国医药科技出版社,2011:158.
[16]张山雷.本草正义[M].福州:福建科学技术出版社,2006:162.
[17]王好古.汤液本草[M].北京:中国中医药出版社,2013:64.
[18]国家中医药管理局《中华本草》编委会.中华本草[M].上海:上海科学技术出版社,2009:1512,1688.
[19]兰茂.滇南本草[M].昆明:云南科学技术出版社,2004:282.
[20]贾所学.药品化义[M].北京:中国中医药出版社,2013:100.
[21]李时珍.本草纲目[M].北京:中国医药科技出版社,2011:1077.
[22]李梴.医学入门[M].北京:中国中医药出版社.1995:145.
[23]郑军状,崔云,江大为,等.崔云运用“肝肾同源”理论治疗男科疾病经验[J].江西中医药大学学报,2016,28(5):23-26.
[24]刘擎,陶方泽,崔云,等.崔云教授运用温清饮治疗男科病经验探析[J].浙江中医药大学学报,2018,42(5):363-366.
[25]崔瑛.浅谈对食郁证的认识[J].江西中医药,2008,39(4):12-13.
[26]王涵,顾成娟,仝小林.仝小林从郁论治胃肠病学术思想浅议[J].世界中西医结合杂志,2017,12(6):757-759.