基于下焦蓄血理论治疗Ⅲ型前列腺炎（瘀滞型）的临床研究
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摘要
本论文旨在探讨下焦蓄血理论与慢性前列腺炎之间的关系,并提出应用蓄血三方治疗型前列腺炎的具体方法。论文共分为三个部分,具体为文献研究、临床研究和讨论。
目的：
主要探讨《伤寒论》中的下焦蓄血理论和慢性前列腺炎之间的联系,并为慢性前列腺炎的中医学治疗开辟新的思维途径和提供新的治疗方案,同时也为经方在男科疾病中的发挥开拓出更为广阔的空间。
方法：
本论文使用美国国立卫生研究院(NIH)对慢性前列腺炎的分类标准,共收集60例III型前列腺炎病例,分为30例治疗组和30例对照组。治疗组予患者口服桃核承气汤合抵当汤加减,对照组予患者口服前列欣胶囊。规范治疗4周后,按照权威的慢性前列腺炎症状评分指数(NIH-CPSI)以及中医证候(下焦蓄血证)的症状积分表进行数据统计,以评定并对比最终的疗效。
结果：
本次论文研究显示,经过4周的治疗,结果治疗组痊愈2例,显效16例,有效10例,无效2例,总有效率为93.3%；对照组痊愈1例,显效12例,有效13例,无效4例,总有效率为86.67%。可见治疗组在痊愈率、显效率、总有效率方面均优于对照组。从治疗过程上分析,治疗组在降低NIH-CPSI,总分及中医辨证评分方面与对照组之间有统计学意义(P<0.05),说明在Ⅲ型前列腺炎的治疗过程中,桃核承气汤合抵当汤加减相比于前列欣胶囊具有明显的优势。具体的来看,治疗组在降低疼痛症状积分和NIH-CPSI总积分以及在改善生活质量积分方面均优于对照组(P<0.05)。治疗组和对照组在排尿症状积分方面相比无统计学意义(P>0.05)。
结论：
出自《伤寒论》中的下焦蓄血理论可以有效应用于指导Ⅲ型前列腺炎瘀滞证型的治疗,而桃核承气汤合抵当汤加减在前列腺炎的治疗过程的作用,应当受到进一步的重视,并且值得我们进行更加深入细致研究。
This paper aims to explore the coke under the Xuxue theory and the relationship between chronic prostatitis, and the application of Xuxue three Decoction for the treatment of type III prostatitis specific method. The thesis consists of three parts, including literature research, clinical research and discussion.
Purpose
Primary validation" typhoid" in the lower coke Xuxue theory and the relationship between chronic prostatitis and chronic prostatitis, Chinese medicine treatment of open up new ways of thinking and treatment options, but also for the classical prescriptions in the andrology disease in play with the broader path.
Method
This thesis uses the United States National Institutes of Health (NIH) on chronic prostatitis classification criteria, were collected in60patients with type III prostatitis cases, divided into30cases in treatment group and30cases in the control group. The treatment group to oral Taohe Chengqi Decoction and decoction of resistance, the control group oral forefront Yan capsule. Specification for4weeks after treatment, according to the authority of the chronic prostatitis symptom score index (NIH-CPSI) and the syndrome of traditional Chinese medicine (coke under the syndrome of blood stasis) table of integrals and statistical data, to the final effect.
Result
The study shows that, after4weeks of treatment, the treatment group2cases were cured,16cases, effective in10cases, ineffective in2cases, the total effective rate was93.3%; the control group1cases were cured,12cases, effective in13cases, ineffective in4cases, the total effective rate was86.67%. The treatment group in the cure rate, significant efficiency, the total efficiency was better than control group. From the treatment process analysis, the treatment group in reducing the total score of NIH-CPSI and TCM syndrome score and control group have significant difference (P<0.05), described in the III type of the treatment of prostatitis, Taohe Chengqi Decoction and decoction of resistance relative to the forefront Yan capsule has obvious advantages. Particularly, the treatment group in reducing the pain symptom scores and NIH-CPSI total score, the improvement in quality of life score were better than the control group (P<0.05). The voiding symptoms integral but no difference (P>0.05). Visible Taohe Chengqi Decoction Combined with Didang decoction forefront Yan capsule in improvement of voiding symptoms is unable to be taken by.
Conclusion
"Treatise on Febrile Diseases" in the Xuxue theory can be used to guide III prostatitis and blood stasis type of treatment, and Taohe Chengqi Decoction and Decoction in the treatment of prostatitis:process, should be paid more and more attention, and is worthy of our in-depth and meticulous research.
目的：
主要探讨《伤寒论》中的下焦蓄血理论和慢性前列腺炎之间的联系,并为慢性前列腺炎的中医学治疗开辟新的思维途径和提供新的治疗方案,同时也为经方在男科疾病中的发挥开拓出更为广阔的空间。
方法：
本论文使用美国国立卫生研究院(NIH)对慢性前列腺炎的分类标准,共收集60例III型前列腺炎病例,分为30例治疗组和30例对照组。治疗组予患者口服桃核承气汤合抵当汤加减,对照组予患者口服前列欣胶囊。规范治疗4周后,按照权威的慢性前列腺炎症状评分指数(NIH-CPSI)以及中医证候(下焦蓄血证)的症状积分表进行数据统计,以评定并对比最终的疗效。
结果：
本次论文研究显示,经过4周的治疗,结果治疗组痊愈2例,显效16例,有效10例,无效2例,总有效率为93.3%；对照组痊愈1例,显效12例,有效13例,无效4例,总有效率为86.67%。可见治疗组在痊愈率、显效率、总有效率方面均优于对照组。从治疗过程上分析,治疗组在降低NIH-CPSI,总分及中医辨证评分方面与对照组之间有统计学意义(P<0.05),说明在Ⅲ型前列腺炎的治疗过程中,桃核承气汤合抵当汤加减相比于前列欣胶囊具有明显的优势。具体的来看,治疗组在降低疼痛症状积分和NIH-CPSI总积分以及在改善生活质量积分方面均优于对照组(P<0.05)。治疗组和对照组在排尿症状积分方面相比无统计学意义(P>0.05)。
结论：
出自《伤寒论》中的下焦蓄血理论可以有效应用于指导Ⅲ型前列腺炎瘀滞证型的治疗,而桃核承气汤合抵当汤加减在前列腺炎的治疗过程的作用,应当受到进一步的重视,并且值得我们进行更加深入细致研究。
This paper aims to explore the coke under the Xuxue theory and the relationship between chronic prostatitis, and the application of Xuxue three Decoction for the treatment of type III prostatitis specific method. The thesis consists of three parts, including literature research, clinical research and discussion.
Purpose
Primary validation" typhoid" in the lower coke Xuxue theory and the relationship between chronic prostatitis and chronic prostatitis, Chinese medicine treatment of open up new ways of thinking and treatment options, but also for the classical prescriptions in the andrology disease in play with the broader path.
Method
This thesis uses the United States National Institutes of Health (NIH) on chronic prostatitis classification criteria, were collected in60patients with type III prostatitis cases, divided into30cases in treatment group and30cases in the control group. The treatment group to oral Taohe Chengqi Decoction and decoction of resistance, the control group oral forefront Yan capsule. Specification for4weeks after treatment, according to the authority of the chronic prostatitis symptom score index (NIH-CPSI) and the syndrome of traditional Chinese medicine (coke under the syndrome of blood stasis) table of integrals and statistical data, to the final effect.
Result
The study shows that, after4weeks of treatment, the treatment group2cases were cured,16cases, effective in10cases, ineffective in2cases, the total effective rate was93.3%; the control group1cases were cured,12cases, effective in13cases, ineffective in4cases, the total effective rate was86.67%. The treatment group in the cure rate, significant efficiency, the total efficiency was better than control group. From the treatment process analysis, the treatment group in reducing the total score of NIH-CPSI and TCM syndrome score and control group have significant difference (P<0.05), described in the III type of the treatment of prostatitis, Taohe Chengqi Decoction and decoction of resistance relative to the forefront Yan capsule has obvious advantages. Particularly, the treatment group in reducing the pain symptom scores and NIH-CPSI total score, the improvement in quality of life score were better than the control group (P<0.05). The voiding symptoms integral but no difference (P>0.05). Visible Taohe Chengqi Decoction Combined with Didang decoction forefront Yan capsule in improvement of voiding symptoms is unable to be taken by.
Conclusion
"Treatise on Febrile Diseases" in the Xuxue theory can be used to guide III prostatitis and blood stasis type of treatment, and Taohe Chengqi Decoction and Decoction in the treatment of prostatitis:process, should be paid more and more attention, and is worthy of our in-depth and meticulous research.
引文
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