Literatures on Distribution Features of Traditional Chinese Medicine Syndromes and Syndrome Elements of Benign Prostatic Hyperplasia Based on Experience of Famous Doctors

Meng-ting WU; Ting WANG; Shan LIU; Cong CHEN; Qiong-yin FAN; Ze-qi SU

doi:10.13422/j.cnki.syfjx.20191724

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Literatures on Distribution Features of Traditional Chinese Medicine Syndromes and Syndrome Elements of Benign Prostatic Hyperplasia Based on Experience of Famous Doctors

Academic Discussion | 更新时间：2021-02-09

- Literatures on Distribution Features of Traditional Chinese Medicine Syndromes and Syndrome Elements of Benign Prostatic Hyperplasia Based on Experience of Famous Doctors
- Chinese Journal of Experimental Traditional Medical Formulae Vol. 25, Issue 20, Pages: 173-180(2019)
- 作者机构：
  
  1.北京中医药大学，北京　 100029；
  2.国家中医药管理局　名医名方重点研究室，北京　 100029
- 作者简介：
- 基金信息：
- DOI：10.13422/j.cnki.syfjx.20191724
  CLC： R22; R242; R2-031; R287
- Received：05 March 2019，
  
  Published Online：16 May 2019，
  
  Published：20 October 2019
- 稿件说明：
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Meng-ting WU, Ting WANG, Shan LIU, et al. Literatures on Distribution Features of Traditional Chinese Medicine Syndromes and Syndrome Elements of Benign Prostatic Hyperplasia Based on Experience of Famous Doctors[J]. Chinese journal of experimental traditional medical formulae, 2019, 25(20): 173-180.
DOI：

Meng-ting WU, Ting WANG, Shan LIU, et al. Literatures on Distribution Features of Traditional Chinese Medicine Syndromes and Syndrome Elements of Benign Prostatic Hyperplasia Based on Experience of Famous Doctors[J]. Chinese journal of experimental traditional medical formulae, 2019, 25(20): 173-180. DOI： 10.13422/j.cnki.syfjx.20191724.

摘要

目的：

基于名医名家临证经验，明确前列腺增生症(BPH)证候类型及证候要素分布规律，以期为指导临床实践及科学研究提供依据。

方法：

确定名医名家名单，系统检索1997年1月1日至2018年12月31日，中国知网(CNKI)，中国生物医学文献服务系统(CBM)、重庆维普中文期刊数据库(QVIP)、万方数据库中名医名家诊治BPH相关文献，根据纳入标准及排除标准，对检索的相关文献阅读后，纳入合格文献。建立文献分析数据库，分析、整合中医证候及证候要素相关内容，应用SPSS 20.0软件进行统计，获得BPH中医证候类型及证候要素分布特点。

结果：

该研究共纳入合格文献141篇，涉及92位名医名家，结合医家对BPH整体论述及医案列举，得到BPH常见证候类型为肾虚血瘀证、膀胱湿热证、肾阴虚证、肾阳虚证、肝郁气滞证等；病位证素主要为肾、膀胱、脾、肺、肝；病性证素主要为血瘀、气虚、热、阳虚、湿等。对医案中症状特点进行归纳整理，得到BPH常见症状为尿频、尿滴沥、尿急、夜尿增多、排尿困难等；舌质以淡红、红、暗红、瘀斑瘀点为主；舌苔以黄腻、薄白、薄黄、白腻为主；脉象以沉细、细涩、弦脉、弦滑为主。

结论：

该研究基于名医名家临证经验，得出BPH病位在下焦，主要责之肾与膀胱，核心病机总属本虚标实，肾虚为本，瘀血、湿热、痰浊、气滞为标，且以复合证型多见。

Abstract

Objective:

Based on the experience of famous doctors

the pattern of syndromes of benign prostatic hyperplasia (BPH) and the distribution of syndrome elements are defined to provide a basis for guiding clinical practice and scientific research.

Method:

The name list of famous doctors was defined. Relevant literatures on famous doctors' diagnosis and treatment of BPH between January 1

1997 and December 31

2018

were systematically retrieved in CNKI

CBM

CQVIP

Wanfang database. According to the inclusion criteria and exclusion criteria

relevant literatures were read

and eligible literatures were included. A literature analysis database was established for analysis and integration of relevant content of traditional Chinese medicine(TCM) syndromes and syndrome elements. SPSS 20.0 software was used for statistics and analysis of BPH TCM syndrome types and distribution characteristics of syndrome elements.

Result:

This study included a total of 141 eligible documents

involving 92 famous doctors. Based on the doctors' overall discussion of BPH and medical case examples

common types of BPH syndrome included kidney deficiency and blood stasis syndrome

bladder dampness syndrome

kidney Yin deficiency syndrome

kidney Yang deficiency Syndrome

liver Qi stagnation syndrome

main symptom factors of disease location included kidney

bladder

spleen

lung

liver

and main symptom factors of disease nature included blood stasis

Qi deficiency

heat

yang deficiency

and dampness. The characteristics of the symptoms in the medical case were collected and summarized

including frequent urinary symptoms

frequent urination

urinary drip

urgency

nocturia

difficulty in urinating

the tongue is mainly light red

red

dark red

and sputum

the tongue coating is mainly yellow

thin white

thin yellow and white greasy

and the pulse is mainly composed of deep

fine

string and slipping.

Conclusion:

Based on the experience of famous doctors

the core pathogenesis of BPH is deficient in origin and excessive in superficiality

the kidney deficiency is the root cause

the dampness heat is the symptom

and the compound syndrome is common.

关键词

Keywords

references

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Related Author

Yuan-yuan SHI

Ting WANG

Pei-xuan ZHU

Shan LIU

Cong CHEN

Qiong-yin FAN

Ze-qi SU

ZHANG Xinyu

Related Institution

Key Laboratory of Famous Doctors and Famous Prescriptions under State Administration of Traditional Chinese Medicine

Pingyin People's Hospital

State Key Laboratory for Innovation and Transformation of Luobing Theory，Key Laboratory of Cardiovascular Remodeling and Function Research，Chinese Ministry of Education， Chinese National Health Commission and Chinese Academy of Medical Sciences， Qilu Hospital of Shandong University

College of Traditional Chinese Medicine（TCM），Shandong University of TCM

College of TCM，Hubei University of Chinese Medicine

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