王耀光教授从三焦论治癃闭经验

Professor WANG Yaoguang's experience in treating uroschesis using theory of Sanjiao

关键词:  癃闭  三焦辨证  疏利三焦针法

Key words:  uroschesis  differentiation of Sanjiao  dredge Sanjiao needling method

摘要:

癃闭是以小便量少，排尿困难，甚则小便闭塞不通为主要症状的一种病症，王耀光教授认为癃闭主要是三焦气化不利，肾与膀胱气化失司引起水液代谢障碍所致。临床从三焦辨证角度来论治癃闭，将癃闭分为上癃、中癃、下癃，从三焦分以辨证论治，上癃包括肺热壅盛证、脑性癃闭，中癃包括脾气虚证、肝郁气滞证、脊髓损伤引起的癃闭，下癃包括膀胱湿热证、肾虚血瘀证。提出癃闭的根本治法为疏利三焦，以中药与疏利三焦针法联合治疗排尿障碍疾病，临床疗效显著。

Abstract:

Uroschesis is a condition in which the amount of urine is small,dysuria is difficult,and even urinary occlusion is the main symptom. Professor WANG Yaoguang believes that uroschesis is mainly caused by unfavourable Sanjiao gasification,abnormal kidney and bladder gasification,and disorder of water metabolism,and he treats uroschesis by using the theory of Sanjiao in the clinical. He divides uroschesis into upper-uroschesis,middle-uroschesis and lower-uroschesis,and treat uroschesis using theory of syndrome differentiation. The upper-uroschesis includes lung hyperthermia syndrome and uroschesis caused by brain injury syndrome. The middle-uroschesis includes spleen qi deficiency syndrome and liver depression and qi stagnation syndrome and uroschesis caused by spinal cord injury syndrome. The lower-uroschesis includes bladder damp-heat syndrome,kidney deficiency and blood stasis syndrome. He points out that the fundamental therapy of uroschesis is to dredge Sanjiao,and treats dysuria through acupuncture combined with Chinese medicine,and the clinical efficacy of the treatment is significant.