以“黜浊治中”理论探讨针药并治前列腺癌术后尿失禁

Discussion on acupuncture combined with medicine in the treatment of post-prostatectomy incontinence from the theory of “removing turbid pathogenic and cultivating the middle burner”

关键词:  前列腺癌根治术后尿失禁  黜浊治中  益气运中法  缩泉止遗针法

Key words:  urinary incontinence after radical prostatectomy  removing turbid pathogenic and cultivating the middle burner  tonifying the middle and benefiting qi method  acupuncture method for urination

摘要:

前列腺癌根治术后尿失禁是一种常见的术后并发症，严重影响着患者的身心健康，西医对该病的治疗虽然取得了一定疗效，但总体效果并不理想，而中医在该病的治疗优势逐渐凸显，鉴于临床上关于该病的针药并治少有探索，文章以“黜浊治中”理论探讨针药并治前列腺癌术后尿失禁，以“益气运中法”联合“缩泉止遗针法”，通过针药并治针刺导药，通调并用，靶向趋病，疗效显著。并附验案1则实践针药并用能够有效加速前列腺癌根治术后尿失禁患者尿控功能的恢复、提高患者生活质量，为临床治疗提供了思路和方法。

Abstract:

Urinary incontinence after prostate cancer surgery is a common complications,which seriously affects the physical and mental health of patients. The overall therapeutic effect of Western medicine is not ideal. Traditional Chinese medicine has played an important role in the treatment of urinary incontinence after prostate cancer surgery. Combined use of acupuncture and medicine rarely reported. Discussion on acupuncture combined with medicine in the treatment of post-prostatectomy incontinence from the theory of "removing turbid pathogenic and cultivating the middle burner",combine the "spring shrinking and relieving needle technique acupuncture method" for urination with tonifying the middle and benefiting qi method,guide medicine through acupuncture,regulate and use both methods,target the disease,and the curative effect is remarkable. Clinical practice has proved that combined use of acupuncture and medicine can effectively speed up the recovery of urinary continence in patients with urinary incontinence after radical prostatectomy,providing inspiration and methods for clinicians and improving the quality of life of patients with urinary incontinence after prostate cancer surgery.