中医药治疗附睾炎的研究进展

Research Progress of Traditional Chinese Medicine in the Treatment of Epididymitis

摘要: 附睾炎是男性生殖系统的常见疾病。疾病进展过程中，急性期患者常出现阴囊坠胀疼痛、红肿发热等症状；若治疗不及时或不当，病情易迁延为慢性，表现为阴囊坠胀、疼痛反复发作且难以根治，不仅严重影响患者生活质量，甚至可能损害生育功能。近年来，大量临床实践与研究证实，中医药在急、慢性附睾炎治疗中展现出独特优势，尤其在改善临床症状、降低疾病复发率与慢性化风险，以及减少抗生素滥用等方面，发挥着显著作用。基于此，本文将从中医学对附睾炎的认识、附睾炎的中医病因病机、中医药治疗附睾炎的方法等维度，对中医药治疗附睾炎的相关研究进展展开综述。

Abstract: Epididymitis is a common disorder of the male reproductive system. During the progression of the disease, patients in the acute phase typically present with symptoms such as scrotal distension and pain, redness and swelling, as well as fever. If treatment is delayed or the therapeutic regimen is inappropriate, the condition is prone to developing into chronic epididymitis, which is characterized by recurrent scrotal distension and pain that is difficult to completely cure. This not only severely impacts the patient’s quality of life but may even impair their reproductive function. In recent years, a large body of clinical practices and research has confirmed that Traditional Chinese Medicine (TCM) possesses unique advantages in the treatment of acute and chronic epididymitis. It plays a crucial role particularly in alleviating clinical symptoms, reducing the recurrence rate of the disease and the risk of chronicization, as well as curbing the abuse of antibiotics. Based on this, this article will review the progress of relevant research on TCM treatment for epididymitis from perspectives including TCM understanding of epididymitis, TCM etiology and pathogenesis of epididymitis, and TCM therapeutic methods for epididymitis.