|
|
|
| Professor Lu Jianxin’s experience in the treatment of female bladder detrusor underactivity with a integration of traditional Chinese and western medicine |
| ZHOU Jiale1 WANG Ziqiang1 LAI Jingling2 AN Yifang1 ZHU He1 SHI Peiqi1 LU Jianxin1 |
1.Department of Urology, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China;
2.Graduate School, Beijing University of Chinese Medicine, Beijing 100029, China |
|
|
|
|
Abstract Bladder detrusor underactivity refers to a series of lower urinary tract symptoms caused by the delayed or incomplete emptying of the bladder during the normal urination period due to the reduced contractility or duration of the bladder detrusor. The serious complications include upper urinary tract damage and renal failure, which threaten the life and health of patients. At present, the treatment methods at home and abroad are limited, and there is still a lack of targeted treatment programs. Through many years of clinical observation and practical experience, Professor Lu Jianxin believes that the key pathogenesis of this disease lies in “qi mechanism disorder”, and puts forward the treatment idea of “regulating qi and restoring”. At the same time, Professor Lu Jianxin also found that such patients are often accompanied by “relative obstruction” problems, which makes the disease further aggravated. Therefore, Professor Lu Jianxin through the integration of traditional Chinese and western medicine treatment, on the basis of the operation to remove the “relative obstruction”, combined with the traditional Chinese medicine thought of “conditioning qi mechanism” throughout the whole, syndrome differentiation and subtraction. This also reflects Professor Lu Jianxin’s medical philosophy of “accepting the strengths of each institution, integrating Chinese and western medicine, and striving for effectiveness”.
|
|
|
|
|
|
[1] Lee SM，Hashim H. Recent advances in the understanding and management of underactive bladder [J]. F1000Res，2018， 7：437.
[2] 杜政男，陶方泽，王安喜，等.中西医治疗膀胱逼尿肌无力的研究进展[J].中国中西医结合外科杂志，2022，28（6）：911-915.
[3] 李冰，王永福，任亚锋，等.艾灸对骶髓损伤后逼尿肌无反射型神经源性膀胱大鼠膀胱组织M2、P2X3受体的影响[J].中国针灸，2022，42（3）：291-297.
[4] 王起，张维宇，刘献辉，等.骶神经调节术治疗膀胱逼尿肌无力的疗效分析[J].北京大学学报（医学版），2021，53（4）：671-674.
[5] 粟李琴，韦丹.中医治疗尿潴留的临床研究进展[J].湖南中医杂志，2022，38（8）：201-205.
[6] 洪诗晓.仲景水饮病辨治规律研究[D].福州：福建中医药大学，2022.
[7] 闫丽君，潘和长.《诸病源候论》淋证相关理论浅析[J].湖北中医杂志，2022，44（3）：38-41.
[8] 宋修道，王国为，杨威.《三因极一病证方论》六气方用药规律研究[J].中国中医基础医学杂志，2022，28（2）：236- 238.
[9] 刘统治，金国娥，胡雪冰.李东垣滋肾丸治疗小便淋闭[J].中医药临床杂志，2018，30（6）：1033-1035.
[10] 赵泽阳，杨宇峰，李卓奇，等.古代医家癃闭病因病机证治思想探析[J].辽宁中医药大学学报，2019，21（9）：145- 148.
[11] 黄培，孙洁，赖孟超.张介宾诊治癃闭病特色探析[J].浙江中医杂志，2022，57（3）：168-169.
[12] 王雨.李中梓对易水学派学术思想的继承与发展[D].北京：北京中医药大学，2020.
[13] 杨璞叶，付青青，秦灵芝.“一气周流”思想辨治新型冠状病毒肺炎合并尿潴留[J].陕西中医药大学学报，2022， 45（6）：8-13.
[14] 尤舒彻，王晓鹤.《素问》医德思想初探[J].山西中医，1995（6）：40-41.
[15] 马帅统.益元灸法治疗脊髓损伤后神经源性膀胱尿潴留的临床研究[D].郑州：河南中医药大学，2017.
[16] 戚骁，石培琪，安一方，等.调理气机法治疗下尿路症状体会[J].中国中医药信息杂志，2020，27（9）：133-135.
[17] 安一方.调理气机法治疗女性提示膀胱出口梗阻的下尿路症状疗效的临床研究[D].北京：中国中医科学院，2020.
[18] 刘朝东，马笑光，王增产.55例女性逼尿肌无力症的诊治[J].重庆医学，2005，34（5）：740-742.
[19] Kuo HC. Recovery of detrusor function after urethral botulinum A toxin injection in patients with idiopathic low detrusor contractility and voiding dysfunction [J]. Urology，2007，69（1）：57-61；discussion 61-62.
[20] 王文君，牛明了，张龙江.从《脾胃论》元气学说论治功能性便秘[J].国医论坛，2023，38（3）：21-23.
[21] 毕小凤.黄芪茎叶主要化学成分及其部分药理作用研究[D].晋中：山西中医药大学，2017.
[22] 杨新栎，王也民，赵亚硕，等.从病机探讨五苓散的适用病症[J].河北中医药学报，2021，36（5）：10-12.
[23] 安荣仙，张蔷，王洋，等.祝肇刚从虚论治食管裂孔疝经验[J].辽宁中医杂志，2022，49（3）：24-27.
[24] Hartigan SM，Reynolds WS，Dmochowski RR. Detrusor underactivity in women：A current understanding [J]. Neurourol Urodyn，2019，38（8）：2070-2076. |
|
|
|
