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从“淋家忌补”辨析再发性泌尿道感染的防治

An Analysis about Prevention and Treatment of Recurrent Urinary Tract Infection from "No Supplementing in Patients with Stranguria"
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摘要 再发性泌尿道感染具有小便淋沥不已,日久不愈,遇劳而发的临床表现,中医证属劳淋病范畴。朱丹溪曾提出"淋家忌补"一论,而综观古今,对于该病的病因病机及选方用药与"淋家忌补"一论并不是完全一致。如何全面理性的认识劳淋的病因病机及治法,何时补,何时泻,何时补泻皆施。本文从"淋家忌补"此论出发来阐述古今医家对劳淋病因病机的不同认识及在治疗方法上的异同之处。 In recurrent urinary tract infection,clinical syndromes are presented with dribbling urination,lasting for a long course,relapse with fatigue. These syndromes could be cataloged into stranguria,due to overstrain. ZHU Dan-xi once pointed out that " No supplementing in patients with stranguria". According to the ancient and modern history,there are no agreements on pathogenesis and selected prescriptions with the theory of " No supplementing in patients with stranguria,". There exist some questions such as how to recognize pathological mechanisms and treatment methods,when to supplementing,when to expelling,when to combine treatment of supplementing and reducing.This paper discusses various recognition on etiology and pathological mechanisms among ancient-modern doctors,differentiation and identification in therapy methods.
作者 蔡成屿 陈敏 CAI Chengyu;CHEN Min(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai Universityof Traditional Chinese Medicine,Shanghai 200437,China)
出处 《中医文献杂志》 2019年第2期42-46,共5页 Journal of Traditional Chinese Medical Literature
基金 上海市科学技术委员会中医引导类项目(编号:15401930800)
关键词 再发性泌尿道感染 劳淋 淋家忌补 文献研究 recurrent urinary tract infection Lao Lin no supplementing in patients with stranguria due to overstrain literature research
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