基于“命门学说”论治良性前列腺增生

The Treatment of Benign Prostatic Hyperplasia Based on the “Theory of Life Gate”

摘要: 良性前列腺增生是中老年男性多发病，以下尿路症状最为常见，命门学说主要认为命门与肾同源一体，为人体元阴元阳的源泉，肾阳气化不足，命门火亏，则膀胱失于温化，瘀血，痰浊等阴浊邪气聚积于前列腺，从而引发夜尿增多、排尿淋漓不尽等下尿路症状。基于此病，提出的治则以温补肾阳，助阳化气为本，活血化瘀，祛痰散结是施治之要，用来改善中老年下尿路症状，为临床应用提供参考。

Abstract: Benign prostatic hyperplasia is a common disease among middle-aged and elderly men, with lower urinary tract symptoms being the most common. The theory of the life gate holds that the life gate and the kidney are of the same origin and are an integrated entity, being the source of the body’s primordial yin and yang. Insufficient transformation of kidney yang qi and deficiency of life gate fire lead to the bladder’s failure to warm and transform, causing the accumulation of blood stasis, phlegm turbidity and other yin turbid pathogenic factors in the prostate, thereby triggering symptoms such as increased nocturia and incomplete urination. Based on this disease, the treatment principle is to warm and tonify kidney yang and assist yang in transforming qi as the fundamental approach, while promoting blood circulation to remove blood stasis and resolving phlegm to disperse nodules are the key points of treatment. This is aimed at improving lower urinary tract symptoms in middle-aged and elderly people and providing a reference for clinical application.