李智杰教授治疗泌尿系结石的经验

Professor Li Zhijie’s Experience in Treating Urinary Calculi

摘要: 泌尿系结石，为现代多发病，是肾结石、输尿管结石、膀胱结石、尿道结石的总称，常表现为腰部疼痛不适、排尿时尿流中断、尿道窘迫疼痛、小便淋漓不尽、点滴而出、小便黄或夹血块，或尿中夹有砂石。中医称其为“石淋”，多虚实夹杂，初期以湿热、气滞、血瘀实证为主，治疗以清热利湿、行气导滞、活血化瘀；日久病程迁延至脾肾两虚，膀胱气化无力，治疗以健脾益肾，助膀胱气化。本病致死率不高，但其产生的剧痛及其他不良反应会严重降低患者的生活质量，给患者带来极大的痛苦。李智杰教授从事中医临床和科研工作30余年，对石淋的诊治经验丰富，见解独特。根据石头的大小、部位、是否处于活动期运用不同的治法，配合饮食运动疗法，促进结石排出体外。

Abstract: Urolithiasis, a common disease in modern times, is a general term for kidney stones, ureteral stones, bladder stones, and urethral stones. It is often manifested as pain and discomfort in the waist, interruption of urinary flow during urination, urethral distress, pain, dripping urine, yellow urine, or blood clots, or sand and stones in the urine. Chinese medicine calls it “urolithiasis”, which is often characterized by a mixture of deficiency and excess. At the initial stage, it is mainly characterized by dampness and heat, qi stagnation, and blood stasis. The treatment focuses on clearing heat and promoting dampness, promoting qi to guide stagnation, and promoting blood circulation and resolving stasis; the long-term course of the disease extends to the deficiency of both the spleen and kidney, and the inability of bladder gasification. The treatment is to strengthen the spleen, benefit the kidney, and assist bladder gasification. The mortality rate of this disease is not high, but the severe pain and other adverse reactions it produces can seriously reduce the quality of life of patients and bring great pain to them. Professor Li Zhijie has been engaged in clinical and scientific research in traditional Chinese medicine for more than 30 years, with rich experience and unique insights in the diagnosis and treatment of urolithiasis. According to the size, location, and whether the stone is in an active phase, different treatments are used, combined with diet and exercise therapy, to promote the removal of stones from the body.