关于中医治疗慢性前列腺炎的当前进展

Current Advances in Traditional Chinese Medicine Treatment for Chronic Prostatitis

摘要: 慢性前列腺炎(Chronic Prostatitis, CP)好发于中青年男性，是指前列腺腺体在病原微生物或某些其他诱因作用下，患者出现排尿功能失调，如尿频、尿急、尿痛、排尿等待等，偶见尿道口有分泌物排出，及出现盆腔疼痛等症状，并伴有性功能障碍等。最新版指南将其划分为慢性前列腺炎及慢性骨盆疼痛综合征，是临床中泌尿外科的常见病。CP的发病机制尚不明确，可能与感染、排尿障碍、盆腔疾病、免疫、心理、神经内分泌异常、氧化应激等。西医缺乏特效治疗方法，而中医药治疗CP独具优势，并积累了丰富的临床经验，疗效确切，不良反应少，具有广阔的发展前景。

Abstract: Chronic prostatitis (CP) predominantly affects middle-aged and young men. It refers to pathological changes in the prostate gland caused by pathogenic microorganisms or other factors, leading to urinary dysfunction such as frequent urination, urgency, dysuria, and delayed urination. Occasionally, urethral discharge may occur, accompanied by pelvic pain and sexual dysfunction. The latest guidelines classify it into chronic prostatitis and chronic pelvic pain syndrome, representing common conditions in clinical urology. The pathogenesis of CP remains unclear, potentially involving infection, voiding dysfunction, pelvic disorders, immune factors, psychological influences, neuroendocrine abnormalities, and oxidative stress. Western medicine lacks specific treatments, whereas Traditional Chinese Medicine (TCM) offers distinct advantages for CP management. TCM has accumulated extensive clinical experience, demonstrating reliable efficacy with fewer adverse reactions, and holds broad prospects for development.