基于络病学说探讨慢性前列腺炎的中医健康管理

Discussion on Traditional Chinese Medicine Health Management of Chronic Prostatitis Based on Collateral Disease Theory

摘要: 慢性前列腺炎的发生、发展与络病关系密切，核心病机为湿、热、瘀滞等伏邪潜络，情志、饮食、劳倦等诱因触发，以致络脉受损。故在治疗上采用祛邪扶正、通补结合的原则，以活血化瘀、畅通络道贯穿治疗始终，早期、急性期以祛邪通络为主，具体有清热利湿、行气化滞、温经散寒等通经活络法，驱邪外出，疏泄腺体，通畅络脉；后期、迁延期以扶正养络为主，如益气温补荣络、养阴填精安络等填充络脉法，并固精络以防伏邪扰络。

Abstract: The occurrence and development of chronic prostatitis is closely related to collateral diseases. The core pathogenesis is dampness, heat and blood stasis as hidden pathogenic factors hiding in the collaterals, which are triggered by emotions diet and fatigue, resulting in collateral damage. Therefore, in the treatment, the principle of eliminating pathogenic factors, strengthening the body resistance and combining dredging and tonifying is adopted, with promoting blood circulation, removing blood stasis and unblocking collaterals throughout the treatment, and in the early and acute stages, eliminating pathogenic factors and unblocking collaterals are the main methods, including clearing heat and promoting diuresis, activating qi stagnation, warming meridians and dispelling cold, etc., to drive away pathogenic factors, drain glands and unblock collaterals; in the later period, strengthening the body resistance and nourishing collaterals are the main methods, such as supplementing qi, warming and nourishing collaterals, nourishing yin, filling essence and calming collaterals, etc., to consolidate collaterals and prevent latent evil from disturbing collaterals.