[1]王轶森,高天,王瑞辉,等.针刺结合温阳活血利水方治疗良性前列腺增生肾阳亏虚型临床研究[J].陕西中医,2026,(1):110-114.[doi:DOI:10.3969/j.issn.1000-7369.2026.01.020]
　WANG Yisen,GAO Tian,WANG Ruihui,et al.Effect of acupuncture and Wenyang Huoxue Lishui formula on benign prostatic hyperplasia patients with kidney-yang deficiency[J].,2026,(1):110-114.[doi:DOI:10.3969/j.issn.1000-7369.2026.01.020]
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针刺结合温阳活血利水方治疗良性前列腺增生肾阳亏虚型临床研究

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2026年1期
页码:
110-114
栏目:
针灸经络
出版日期:
2026-01-05

文章信息/Info

Title:
Effect of acupuncture and Wenyang Huoxue Lishui formula on benign prostatic hyperplasia patients with kidney-yang deficiency
作者:
王轶森1; 高天1; 王瑞辉1; 殷克敬2; 宋田1; 田曜铭1; 邵照明1; 3(澳大利亚)
（1.陕西中医药大学针灸推拿学院,陕西 咸阳 712046;2.陕西中医药大学附属医院,陕西 咸阳 712000；3.墨尔本生命气医学中心,维多利亚州 3166,澳大利亚)
Author(s):
WANG Yisen1; GAO Tian1; WANG Ruihui1; YIN Kejing2; SONG Tian1; TIAN Yaoming1; SHAO Zhaoming1; 3
(1.School of Acupuncture and Tuina,Shaanxi University of Chinese Medicine,Xianyang 712046,China;2.Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712000,China;3.Life Chi Medicine,Melbourne,Victoria 3166,Australia)
关键词:
良性前列腺增生; 下尿路症状; 针刺; 经络; 温阳活血利水; 肾阳亏虚型
Keywords:
Benign prostatic hyperplasi; Lower urinary tract symptoms; Acupuncture; Meridians; Wenyang Huoxue Lishui prescription; Kidney-yang deficiency type
分类号:
R 697.3
DOI:
DOI:10.3969/j.issn.1000-7369.2026.01.020
文献标志码:
A
摘要:
目的：探讨针刺结合温阳活血利水方对于良性前列腺增生（肾阳亏虚型）的临床疗效。方法：选取64例肾阳亏虚型性前列腺增生患者，采用随机数字表法分为对照组与观察组各32例。对照组口服西药盐酸坦索罗辛缓释胶囊治疗，观察组采用针刺结合温阳活血利水方治疗，均治疗4个疗程（28 d）。比较两组患者治疗前后中医症状积分、国际前列腺症状评分（I-PSS）、生活质量指数（QOL）及膀胱残余尿量(PVR)及两组患者疗效。结果：治疗后，观察组总有效率为93.75%（30/32），对照组为81.25%（26/32），观察组总有效率高于对照组（P＜0.05）。观察组治疗28 d后排尿困难、排尿无力、夜尿增多等中医症状积分、I-PSS、QOL评分及膀胱残余尿量均较治疗前下降，观察组下降程度均大于对照组（均P＜0.05）。结论：针刺结合温阳活血利水方对良性前列腺增生（肾阳亏虚型）有显著疗效，且疗效优于单纯服用盐酸坦索罗辛缓释胶囊，可有效缓解患者下尿路症状(LUTS)，并提高生活质量。
Abstract:
Objective:To evaluate the clinical efficacy of acupuncture combined with the Wenyang Huoxue Lishui prescription in treating Benign Prostatic Hyperplasia (BPH) presenting with the Kidney-Yang deficiency Type.Methods:Sixty-four patients diagnosed with BPH and Kidney-Yang Deficiency Type were enrolled and randomly assigned via a random number table into two groups:a control group (n=32) and an observation group (n=32).The control group received oral administration of Tamsulosin Hydrochloride Sustained-Release Capsules.The observation group received a combined intervention of acupuncture and Wenyang Huoxue Lishui Prescription.Both groups underwent treatment for 4 courses (28 days total).Therapeutic efficacy was assessed by comparing pre-treatment and post-treatment scores of Traditional Chinese Medicine (TCM) syndromes,International Prostate Symptom Score (I-PSS),Quality of Life Index (QOL),and post-void residual urine volume (PVR) between the groups.Results:After treatment,the overall effective rate was significantly higher in the observation group (93.75%,30/32) than in the control group (81.25%,26/32),and the difference was statistically significant (P<0.05).Following the 28-day treatment period,the observation group exhibited significant reductions in the TCM syndromes scores (including voiding difficulty,weak urinary stream,and nocturia),I-PSS,QOL scores,and PVR compared to baseline levels.Furthermore,greater magnitude of change was observed in the observation group compared with the control group(all P<0.05).Conclusion:The combined therapy of acupuncture and the Wenyang Huoxue Lishui prescription demonstrates significant clinical efficacy for BPH patients with the Kidney-Yang deficiency type.This combined approach proved superior to monotherapy with Tamsulosin Hydrochloride Sustained-Release Capsules in alleviating lower urinary tract symptoms (LUTS) and improving quality of life.

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备注/Memo

备注/Memo:
国家自然科学基金资助项目(81674088)
更新日期/Last Update: 2026-01-08