[1]魏琦,刘洋,王政,等.基于“虚气留滞”理论探讨尿失禁病机及论治[J].陕西中医,2025,46(8):1072-1076.[doi:DOI:10.3969/j.issn.1000-7369.2025.08.012]
　WEI Qi,LIU Yang,WANG Zheng,et al.Exploration on pathogenesis and therapeutic strategies for urinary incontinence based on the theory of “deficiency-stagnation of Qi”[J].,2025,46(8):1072-1076.[doi:DOI:10.3969/j.issn.1000-7369.2025.08.012]
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基于“虚气留滞”理论探讨尿失禁病机及论治

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年8期
页码:
1072-1076
栏目:
学术探讨
出版日期:
2025-08-05

文章信息/Info

Title:
Exploration on pathogenesis and therapeutic strategies for urinary incontinence based on the theory of “deficiency-stagnation of Qi”
作者:
魏琦1; 2; 刘洋3; 王政1; 2; 刘天蕊1; 2; 周静1; 2; 阮氏蓉1; 2; 郝娜1; 2
（1.天津中医药大学第一附属医院，天津 300382；2.国家中医针灸临床医学研究中心，天津 300382；3.肥城市中医医院，山东 肥城 271600）
Author(s):
WEI Qi1; 2; LIU Yang3; WANG Zheng1; 2; LIU Tianrui1; 2; ZHOU Jing1; 2; RUAN Shirong1; 2; HAO Na1; 2
(1.First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300382,China;2.National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300382,China；3.Feicheng Traditional Chinese Medicine Hospital of Shandong Province,Feicheng 271600,China)
关键词:
尿失禁; 虚气留滞; 补虚通滞; 气虚不固; 气机壅滞; 虚实夹杂
Keywords:
Urinary incontinence; Deficiency-stagnation of Qi; Tonify deficiency and dredge stagnation; Qi deficiency failing to consolidate; Obstruction of Qi movement; Deficiency-excess complex
分类号:
R 259
DOI:
DOI:10.3969/j.issn.1000-7369.2025.08.012
文献标志码:
A
摘要:
尿失禁是腹压增加或情绪激动导致尿液不自主流出的疾病。女性尿失禁患病率逐年升高，其发病机制涉及盆底结构异常、神经功能紊乱等多方面作用。临床常采取盆腔肌肉训练、药物治疗、手术治疗等方法治疗。但混合型和难治性尿失禁患者的疗效欠佳，长期处于缓解复发状态，需要采取新策略以干预尿失禁。现将“虚气留滞”理论与尿失禁相结合，突破了尿失禁患者虚证的传统认知，形成了虚滞并存的病机模型。“虚气留滞”理论强调以虚为本，以滞为标的致病特点。其虚证表现为带脉不固、封藏失守、大气下陷等证，留滞表现为湿热内生、浊瘀互结等证。基于该病机特点，提出了补虚通滞的治疗总则，以补虚为本，辅以化浊祛瘀疏通三焦。“虚气留滞”理论体系为补虚通滞疗法提供了理论支撑，为提高混合型和难治性尿失禁的临床疗效提供了新思路。
Abstract:
Urinary incontinence (UI) is characterized by involuntary urine leakage triggered by increased abdominal pressure or emotional stress.The prevalence of female UI is increasing year by year,and its multifactorial pathogenesis involves pelvic floor disfunction,neurological disorder and systemic metabolic abnormalities.Current therapeutic strategies,including pelvic muscle training,pharmacological treatment,surgical procedures,demonstrate limited efficacy for mixed and refractory subtypes,requiring innovative approaches to address this limitation.This study innovatively proposes the integration of “deficiency-stagnation of Qi” theory into UI,challenging the traditional cognition of deficiency-only paradigms in UI.The theory of “deficiency-stagnation of Qi” delineates deficiency-rooted mechanisms (belt vessel instability,renal sealing dysfunction,thoracic qi collapse) and stagnation-driven pathologies (damp-heat accumulation,turbid stasis obstruction).Guided by this framework,a “tonify deficiency and dredge stagnation” therapeutic protocol is established,prioritizing qi reinforcement to restore visceral function while adjunctively clearing turbidity and dredging Sanjiao pathways.The theoretical system of “deficiency-stagnation of Qi” provides theoretical support for the therapy of tonifying deficiency and eliminating stagnation,and offering novel avenues to enhance clinical outcomes of mixed and refractory UI.

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备注/Memo

备注/Memo:
国家自然科学基金青年基金资助项目(81904141）;湖北省陈孝平科技发展基金会资助项目(CXPJJH122003-09)
更新日期/Last Update: 2025-08-08