1.中国中医科学院西苑医院,北京市海淀区西苑操场1号,100091
2.中国中医科学院研究生院
通信作者:shaokq2025@163.com
收稿:2025-09-15,
修回:2025-11-15,
纸质出版:2026-02-17
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周耀星,邵魁卿,高瞻.从肺、肾、心辨治压力性尿失禁[J].中医杂志,2026,67(04):456-460.
ZHOU Yaoxing,SHAO Kuiqing,GAO Zhan.Syndrome Differentiation and Treatment of Stress Urinary Incontinence from the Perspectives of the Lungs,Kidneys,and Heart[J].Journal of Traditional Chinese Medicine,2026,67(04):456-460.
周耀星,邵魁卿,高瞻.从肺、肾、心辨治压力性尿失禁[J].中医杂志,2026,67(04):456-460. DOI: 10.13288/j.11-2166/r.2026.04.018.
ZHOU Yaoxing,SHAO Kuiqing,GAO Zhan.Syndrome Differentiation and Treatment of Stress Urinary Incontinence from the Perspectives of the Lungs,Kidneys,and Heart[J].Journal of Traditional Chinese Medicine,2026,67(04):456-460. DOI: 10.13288/j.11-2166/r.2026.04.018.
提出从肺、肾、心三脏辨治压力性尿失禁,认为肺脏不利、气机失常为病之萌,气机不畅、肾脏不安为病之渐,肾脏虚损、心神不宁为病之深。根据病情特点及病机变化,治以调理肺金、益气摄水、养肾益精、宁心安神法,可选用自拟参芪利肺汤、益气固脬汤、益肾神宁汤等方加减,以理肺、调肾、宁心,实现从肺、肾、心论治压力性尿失禁。
This article discusses the syndrome differentiation and treatment of stress urinary incontinence from the perspectives of the lungs, kidneys, and heart. It is suggested that the initial stage of the disease is marked by the dysfunction of the lung and the disorder of
qi
movement, while the intermediate stage is characterized by the obstruction of
qi
movement and the instability of the kidney, and the advanced stage is characterized by the depletion of the kidney and the disturbance of the spirit. According to the characteristics of the disease and the changes in the pathogenesis, the methods are recommended including regulating the lung, boosting
qi
and governing water, nourishing the kidney and enriching essence, and calming the mind and soothing the spirit. Accordingly, self-designed prescriptions such as
Shenqi Lifei Decoction
(参芪利肺汤),
Yiqi Gupao Decoction
(益气固脬汤), and
Yishen Shenning Decoction
(益肾神宁汤)with modifications can be used to regulate the lungs, adjust the kidneys, and calm the mind, thereby achieving the treatment of stress urinary incontinence from the perspectives of the lungs, kidneys, and heart.
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