A Case Study of LI Haisong Treating Benign Prostatic Hyperplasia

MENG Fanchao; WANG Jisheng; WANG HaoHao; KUANG Hao; LI Haisong

Suggestions

您当前的位置：

首页 >

文章列表页 >

A Case Study of LI Haisong Treating Benign Prostatic Hyperplasia

Previous: 无

Next: 无

A Case Study of LI Haisong Treating Benign Prostatic Hyperplasia
1.Department of Andrology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China
2.Urology Surgery,The Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, 100029, China
DOI：

扫描看全文

MENG Fanchao, WANG Jisheng, WANG HaoHao, et al. A Case Study of LI Haisong Treating Benign Prostatic Hyperplasia[DB/OL].（2023-02-27）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32266581&Fpath=home&index=0
DOI：

MENG Fanchao, WANG Jisheng, WANG HaoHao, et al. A Case Study of LI Haisong Treating Benign Prostatic Hyperplasia[DB/OL].（2023-02-27）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32266581&Fpath=home&index=0 DOI：

摘要

病史摘要,2,患者毛某，62岁，半年前开始尿频量少，夜尿增多，3~4次/晚，尿无力，尿线细，尿不尽，腰膝酸软。B超示前列腺增生伴钙化。曾服用盐酸坦索罗辛缓释胶囊、癃清片、癃闭舒胶囊等药物治疗，效果不理想，遂前来就诊。四诊信息：面带愁容；问诊腰酸，下肢无力沉重，尿不尽，夜尿3~4次/晚，大便调。睡眠质量一般，情绪低落。舌质暗红，苔薄白，脉沉。中医诊断　精癃（肾虚血瘀证）西医诊断　良性前列腺增生症干预措施　颗粒剂：熟地黄20 g，肉苁蓉20 g，盐菟丝子15 g，醋莪术15 g，川牛膝15 g，黄柏10 g，生薏米30 g，黄芪30 g，山药15 g，贯叶金丝桃20 g，乌药20 g，白果6 g，醋五味子6 g，桂枝6 g，烫水蛭6 g，红景天20 g，桑螵蛸10 g，酒黄精20 g。日一剂，水冲服，早晚饭后分服，28剂。中成药：灵泽片，每日3次，每次4片，28天；乌灵胶囊，每日3次，每次3粒，28天。西药：他达拉非（5 mg），每日1次，每次1片，28天。疗效转归　夜尿次数减少，腰膝酸软减轻，睡眠改善。

Abstract

Summary of case history, Mao, 62 years old, began to urinate less frequently and increased nocturia six months ago, 3-4 times/night, urinary weakness, fine urine line, endless urine, waist and knee acid and soft. Bultrasound shows prostatic hyperplasia with calcification. He has taken tamsulosin hydrochloride sustained-release capsules, Longqing tablets, Longbishu capsules, but the effect is not satisfactory. His sleep quality was general, low mood. His tongue was dark red, the tongue coating was thin white, and the pulse was heavy.,TCM diagnosis, Jinglong; Kidney deficiency and blood stasis syndrome,Western medicine diagnosis, Benign prostatic hyperplasia,Therapeutic methods, Treatment principle: Tonifying kidney and Qi, promoting blood circulation and removing blood stasis,Clinical outcomes, The frequency of night urine is reduced, the waist and knee are alleviated, and sleep is improved.

关键词

良性前列腺增生症精癃

Keywords

Benign prostatic hyperplasiaJinglong

references

Homma Y, Gotoh M, Kawauchi A, et al. Clinical guidelines for male lower urinary tract symptoms and benign prostatic hyperplasia. Int J Urol, 2017,24(10):716–729.

Gratzke C, Bachmann A, Descazeaud A, et al. EAU guidelines on the assessment of non-neurogenic male lower urinary tract symptoms including benign prostatic obstruction[J]. Eur Urol, 2015,67(6):1099–1109.

McVary KT. BPH: epidemiology and comorbidities. Am J Manag Care, 2006,12(5 suppl):S122–8.

Langan RC. Benign Prostatic Hyperplasia. Prim Care, 2019,46(2):223-232.

Welch G, Weinger K, Barry MJ. Quality-of-life impact of lower urinary tract symptom severity: results from the health professionals follow-up study. Urology, 2002,59(2):245–250.

宋宏文,余白浪,周海旺.良性前列腺增生症的发病机制目前研究现状[J].世界最新医学信息文摘,2017,17(21):160-161.

张春和,李焱风,秦国政,等.前列通窍胶囊治疗肾虚瘀阻型前列腺增生症87例临床研究[J].中华中医药杂志,2016,31(10):4299-4302.

杨伟,赵红.良性前列腺增生症的中医治疗研究进展[J].中西医结合心血管病电子杂志,2019,7(5):84-85.

马健雄,陈望强,丁劲,等.李海松治疗良性前列腺增生症八法[J].中华中医药杂志,2019,34(8):3535-3537.

孟繁超,李海松,赵琦,等.灵泽片治疗良性前列腺增生症真实世界临床应用的疗效观察[J].中国男科学杂志,2021,35(4):40-44.

邢效如,赵新春,王魁恩,等.乌灵胶囊联合帕罗西汀对广泛性焦虑症伴失眠患者的疗效及安全性[J].精神医学杂志,2016,29(4):290-292.

Giuliano F, Ückert S, Maggi M, et al. The mechanism of action of phosphodiesterase type 5 inhibitors in the treatment of lower urinary tract symptoms related to benign prostatic hyperplasia. Eur Urol, 2013,63(3):506-516.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

MENG Chengfu's Experience in Differentiating and Treating Benign Prostatic Hyperp lasia from Blood Stasis

Related Author

No data

Related Institution

The Second Clinical Medical College, Henan University of TCM

Reproductive Medicine Department, Henan Province Hospital of TCM

⁰