前列腺炎的中医辨证论治.docx
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前列腺炎的中医辨证论治
前列腺炎的中医辨证论治
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minor-latin">精室（前列腺炎）
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minor-latin">属淋症，慢性前列腺炎以尿道口凉白色分泌物，轻度尿频或尿道灼痛，少腹，会阴，搞完，胀痛不适，腰骶部疼痛为主的主要症状，属于精浊，白浊，膏淋等范畴，中老年人肾气渐虚，下元不固，复因湿热浊邪蕴结下焦，气血瘀堵不畅而发病。
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minor-latin">病因病机
1.
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minor-latin">湿热下注，在前列腺疾病初起，急性期较为突出，外界气候，比如夏天湿热也会影响人体内部的环境，产生各种疾病，出现血尿。
即在前列腺炎当腺体血管破裂时可见血尿，这是湿热的一种表现。
2.
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minor-latin">气血瘀滞，病程较长，以疼痛为主。
贯穿疾病的全过程。
前列腺疾病不止有尿路刺激症状，同时还有会阴部，小腹前阴部疼痛，有事可能兼有腰骶部位疼痛，这种疼痛主要因为血瘀气滞引起。
3.
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minor-latin">肾气亏损，有腰膝酸软，疲乏无力，阳痿早泄等症状，多见慢性前列腺炎，与激素水平调节以及免疫功能下降有关。
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minor-latin">临床表现：
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minor-latin">型常发病突然，表现为寒战，发热，疲乏无力，会阴部和趾骨上疼痛，急性尿潴留。
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minor-latin">型类似，多有疼痛和排尿异常。
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minor-latin">辨证分型
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minor-latin">湿热蕴结：
阴囊潮湿，小便短炽，点滴不畅，尿末滴白，小腹胀满，口苦口黏。
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minor-latin">阴虚湿热，头晕耳鸣，五心烦热，口苦口干，腰膝酸软，失眠盗汗，小腹会阴部胀痛不适，小便次多量少，尿急，阴茎隐痛不适，梦遗滑精，阳事易举，或阳痿。
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minor-latin">肾虚夹浊：
头晕耳鸣，腰膝酸软，面色光白，神疲乏力，小腹部胀痛不适，小便频数，排尿乏力，小便后尿道口有白色粘液物流出。
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minor-latin">瘀浊内阻，小腹，会阴部坠胀不适，刺痛，小便点滴而下，或时而通畅，时而堵塞，小便后尿道口有白色粘液，血精，心烦易怒。
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minor-latin">强通，刺血疗法。
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minor-latin">主穴：
腰阳关，八髎，关元，曲泽，三阴交。
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minor-latin">湿热蕴结：
阴陵泉。
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minor-latin">阴虚湿热：
心腧，阴陵泉。
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minor-latin">肾虚夹浊：
百会，照海可加灸。
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minor-latin">瘀浊内阻。
筋缩，蠡沟。
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minor-latin">微痛（针灸）治疗
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肾腧，八髎，关元，大赫，三阴交，蠡沟。
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minor-latin">湿热蕴结：
阴陵泉，
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minor-latin">阴虚湿热，心腧，阴陵泉。
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minor-latin">肾虚夹浊，百会，太溪，可加灸。
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minor-latin">瘀浊内阻，肝腧，中封。
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minor-latin">蠡沟穴是足厥阴肝经络穴，正坐或仰卧，小腿内侧，足内裸上五寸，胫骨内侧面的中央。
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minor-latin">主治：
肾结石，前列腺炎，胫部酸痛，月经不调，阴痒，阴挺，疝气，睾丸肿痛，子宫内膜炎，子宫脱垂。
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minor-latin">针蠡沟，四寸沿肝经向上刺。
治疗尿道结石。
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minor-latin">肾结石：
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minor-latin">肾腧，关元，大赫，蠡沟。
长针，平着向上刺。
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minor-latin">补肾，清热利湿。
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minor-latin">起夜多，休息不好，腰酸耳鸣。
增生肥大。
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