補腎化瘀法治療攝護腺肥大病例報告

攝護腺肥大是中高齡男性常見的的問題，患者常有排尿困難、排尿間斷、頻尿、尿急、夜尿、餘尿等問題。西醫治療包括藥物控制及手術治療。攝護腺肥大屬於中醫「癃閉」的範疇，與年老腎氣衰，推動無力，氣機鬱滯，久成瘀血、痰濁阻絡，發為此證。本案例以腎虛為本，血瘀為標，故採用補腎化瘀法，以六味地黃丸及濟生腎氣丸補益腎氣，桂枝茯苓丸活血化瘀，攻補兼施，標本兼治。患者在經過三個月的中醫治療後，排尿順暢，頻尿改善，尿急和夜尿的情況也都趨緩，生活品質因此而提升。

關鍵字

攝護腺肥大；補腎化瘀法；中醫藥

並列摘要

Benign prostatic hyperplasia (BPH) is a common problem among middle-aged men. Symptoms may include inability to urinate, intermittent urination, frequent or urgent need to urinate, nocturia, and inability to completely empty the bladder. Treatment options including lifestyle changes, medications and surgery. BPH belongs to the category of ＂ Long Bi ＂ in Chinese medicine. It is associated with kidney qi vacuity, qi stagnation, blood stasis and phlegm turbidity. The main problem of this case is kidney qi vacuity ,but blood stasis should be considered as well. So we prescribe Liu-wei-di-huang-wan and Ji-sheng-shen-qi-wan to supplement the kidney and Gui-zhi-fu-ling-wan to transform blood stasis. After three months of the treatment, the patient experienced smooth urination, improved frequency, reduced urgency and nocturia, quality of life also improved.