基于“整体与局部”探讨间质性膀胱炎的中医治疗思路

黄念文; 王伊光; 王成李; 陈小均; 张伟涛

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基于“整体与局部”探讨间质性膀胱炎的中医治疗思路

中国中医药临床案例成果库 | 理论探讨

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基于“整体与局部”探讨间质性膀胱炎的中医治疗思路
Traditional Chinese medical treatment ideas for interstitial cystitis based on "whole and part"
1.北京中医药大学　北京　100029
2.北京中医药大学东方医院
DOI：

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黄念文, 王伊光, 王成李, 等. 基于“整体与局部”探讨间质性膀胱炎的中医治疗思路[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32290453&Fpath=home&index=0

Huang Nianwen, Wang Yiguang, Wang Chengli, et al. Traditional Chinese medical treatment ideas for interstitial cystitis based on "whole and part"[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32290453&Fpath=home&index=0
黄念文, 王伊光, 王成李, 等. 基于“整体与局部”探讨间质性膀胱炎的中医治疗思路[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32290453&Fpath=home&index=0 DOI：

Huang Nianwen, Wang Yiguang, Wang Chengli, et al. Traditional Chinese medical treatment ideas for interstitial cystitis based on "whole and part"[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32290453&Fpath=home&index=0 DOI：

摘要

间质性膀胱炎是指不明原因引起的慢性非细菌性膀胱炎，属于泌尿外科较为棘手的疾病之一，病情漫长且反复发作，严重影响患者的身心健康及生活质量。间质性膀胱炎病位在于膀胱，与肝、脾、肾关系极为密切，多以脾肾两虚为本，膀胱湿热为标，同时兼有肝郁，瘀血为其病理产物。本病为虚实夹杂之证，治疗时需分清标本虚实之主次，证情之缓急，同时针对间质性膀胱炎膀胱镜下黏膜的病变，可将其纳入“内疡”范畴论治，辅以中药灌注治疗。“内服汤药”与“外用灌注”相结合，可提高间质性膀胱炎的临床疗效。

Abstract

Interstitial cystitis refers to chronic non-bacterial cystitis caused by unknown factors. It is one of hard diseases in urology. The condition is long and recurrent, which seriously affects the patient’s physical and mental health and quality of life. Interstitial cystitis is located in the bladder, and is closely related to the liver, spleen, and kidneys. It is mostly based on the deficiency of the spleen and kidney as its root cause, and the dampness-heat of the bladder as its symptoms, often accompanied by liver depression, with blood stasis as its pathological product. This disease is a mixture of deficiency and excess, and in treatment, the priority of the deficiency and excess of the conditionand the priority of the syndrome should be distinguished during treatment. At the same time, the mucosal lesions of interstitial cystitis under cystoscopy, can be included in the category of " internal ulcer" , and treated with traditional Chinese medicine, both internally and externally. The combination of " oral decoction" and " external perfusion" can improve the clinical efficacy of interstitial cystitis.

关键词

间质性膀胱炎整体与局部中药灌注思路探讨

Keywords

interstitial cystitiswhole and partexternal perfusionin traditional Chinese medicinediscussion of ideas

references

马凯群，张嘉鹏，郑振明，等.尿标记物和影像学在间质性膀胱炎/膀胱疼痛综合征诊断中的潜在价值[J].临床泌尿外科杂志，2019,34(10):830-834.

GERARDO BOSCO, EDOARDO OSTARDO, ALEX RIZZATO, et al. Clinical and morphological effects of hyperbaric oxygen therapy in patients with interstitial cystitis associated with fibromyalgia[J].BMC Urology, 2019,19(11):573-578.

李家成.膀胱炎的诊疗[J].世界最新医学信息文摘，2019,19(65):69.

蔡国钢，周泽禹，谢群.间质性膀胱炎/膀胱疼痛综合征发病机制及相关危险因素[J].临床与病理杂志，2019,39(6):1304-1310.

范永升.金匮要略[M].北京：中国中医药出版社，2003:233

巢元方.诸病源候论(新校版)[M].北京：人民军医出版社，2006.

张介宾.景岳全书[M].上海：上海卫生出版社，1958:182-190.

席宁，赵宇捷，郭金瑞，等.商宪敏教授从脏腑论治老年病经验概述[J].现代中医临床，2017,24(6):52-56.

张静，吴栗洋，杨晶，等.高压氧治疗难治性间质性膀胱炎/膀胱疼痛综合征的疗效观察[J].首都医科大学学报，2020,41(3):444-448.

刘淑粉.膀胱疼痛综合征/间质性膀胱炎患者心理体验的质性研究[J].广州医药，2018,49(3):100-102.

Depression and catastrophizing predict suicidal ideation in tertiary care patients with interstitial cystitis/bladder pain syndrome[J]. Canadian Urological Association Journal，2016,10(11-12):383-388.

贾竑晓，尹冬青.中医“五神藏”理论与常见精神症状的中医病位[J].现代中医临床，2020,27(5):68-72.

高雪松，王永志，李丽，等.疏肝类中药复方干预抑郁症药理机制的研究进展[J].现代中医临床，2018,25(2):46-49.

张卫，史刚刚，韩瑞发.间质性膀胱炎膀胱黏膜组织病理和超微病理的相关研究[J].天津医药，2010,38(9):750-753.

YUKE CHEN, WEI YU, YANG YANG, et al. Expression of programmed death ligand－1 on bladder tissues is detected in a clinically and histologically well－defined interstitial cystitis cohort[J]. Neurourology and Urodyna-mics, 2018, 37(4):1396-1404.

王羽侬，王顺梅，王伊光，等.中医药促进创面愈合机制研究进展[J].中国医药导报，2014,11(19):156-158.

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