李淑菊教授治疗劳淋验案三则

Three Proven Cases of Professor Li Shuju in Treating Overstrain-Induced Stranguria

摘要: 劳淋作为中医五淋之一，以反复发作、时作时止、日久难愈、遇劳诱发为核心特征，主症见小便短赤、溺痛轻微而淋漓不已。反复发作性泌尿道感染在中医学中归属于劳淋范畴，是临床常见多发病，尤以女性群体高发，临床表现为尿频、尿急、尿痛，严重者可出现肉眼血尿。该病具有病程冗长、缠绵难愈、反复发作的特点，虽不直接危及生命，但易显著降低患者日常生活质量。目前临床常规应用抗生素治疗常因耐药性问题导致疗效欠佳，而中医药在该领域的治疗优势日益凸显，取得了理想的临床效果。李淑菊教授从事中医临床工作二十余载，深耕泌尿系统疾病诊治，积累了丰富的临床经验。本文梳理笔者研究生跟师期间，随李淑菊教授诊治的三则劳淋典型验案，总结其辨证施治思路与用药经验。李教授立足中医辨证论治精髓，灵活运用瓜蒌瞿麦丸、猪苓汤、八正散、缩泉丸、五苓散、补中益气汤等经典方剂加减化裁，治疗劳淋疗效确切，为临床诊治此类疾病提供了更多实用思路与参考依据。

Abstract: Overexertion-induced Strangury is one of the five types of stranguria in traditional Chinese medicine (TCM), characterized by core features of recurrent attacks, intermittent onset, prolonged unhealing, and exacerbation upon overexertion. The main symptoms are short, reddish urination, with mild painful urination that dribbles continuously. Recurrent urinary tract infection is categorized as overexertion-induced strangury in TCM, it is a common and frequently-occurring clinical disease with a higher incidence in females, presenting with frequent micturition, urgent micturition, dysuria, and even gross hematuria in severe cases. The disease is featured by a long course of illness, persistent and refractory conditions, and recurrent episodes. Although it does not directly threaten life, it significantly impairs the quality of daily life in patients. Currently, the conventional clinical application of antibiotics often yields suboptimal therapeutic outcomes due to drug resistance issues, whereas traditional Chinese medicine (TCM) has demonstrated increasingly prominent therapeutic advantages in this field, achieving ideal clinical efficacy. Professor Li Shuju has been engaged in TCM clinical practice for more than 20 years, devoting herself to the diagnosis and treatment of urinary system diseases and accumulating rich clinical experience. This article summarizes three typical cases of overexertion-induced strangury treated by Professor Li Shuju during the author’s postgraduate training, and summarizes her approach to syndrome differentiation and treatment as well as her medication experience. Professor Li, based on the essence of TCM syndrome differentiation and treatment, flexibly applied modified versions of classic prescriptions such as Gualou Qumai Pill, Zhuling Tang, Bazheng Powder, Suoquan Pill, Wuling Powder, and Buzhong Yiqi Tang to achieve definitive therapeutic efficacy in treating overexertion-induced dysuria. This approach provides more practical insights and reference for the clinicaldiagnosis and treatment of such conditions.