从“治痿独取阳明”探讨压力性尿失禁的中医治疗新思路

Discussion on the New Idea of Traditional Chinese Medicine Treatment of Stress Urinary Incontinence from “Treating Impotence Alone by Taking Yangming”

摘要: 压力性尿失禁(stress urinary incontinence, SUI)是一种表现为在腹压增加时尿液无意识支配却自然流出的疾病。相关症状随年龄增长而加重，严重影响我国中老年女性的健康水平及日常生活，故对SUI的治疗研究以期提高妇女生活质量及健康水平有深远意义。“治痿独取阳明”在中医学理论体系中熠熠生辉至今，而压力性尿失禁的发病机理又与中医学中的“痿证”密切相关。本文以“治痿独取阳明”理论为落脚点，通过阐述SUI的病因病机及其与痿证之间的相互关系，从升阳健脾、调护奇经、益气固脬三个方面出发，探讨临床治疗SUI的新思路。

Abstract: Stress urinary incontinence (SUI) is a kind of disorder in which the abdominal pressure increases resulting in uncontrolled leakage of urine from the urethra. Related symptoms worsen with age, se-riously affecting the health level and daily life of middle-aged and elderly women in China. There-fore, the research on SUI has far-reaching significance to improve the quality of life and health of women. “Treat impotence alone by taking Yangming” has been shining brightly in the theoretical system of traditional Chinese medicine, and the pathogenesis of stress urinary incontinence is closely related to the “impotence syndrome” in traditional Chinese medicine. Based on the theory of “Treat impotence alone by taking Yangming”, this paper expounds the etiology and pathogenesis of SUI and the relationship between it and atrophy syndrome, starting from three aspects: raising the Yang and strengthening the spleen, regulating and protecting the extraordinary classics, and toni-fying qi and solid bladder, to explore new ideas for clinical treatment of SUI.