基于“脏腑别通”理论辨治夜尿症

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关键词：夜尿症；脏腑别通；温肺化气；甘草干姜汤；缩泉丸；补肾温阳；金匮肾气丸中图分类号：R256.54 文献标志码：A 文章编号：1007-3213（2025）08-2070-06DOI：10.13359/j. cnki. gzxbtcm.2025.08.036

Abstract：In traditional Chinese medicine（TCM） clinical practice，nocturia is usually treated from the perspective of regulating the kidney and bladder.After analyzing the zang-fu organ extraordinary connection theory proposed by Li Chan，an physician in Ming Dynasty，which highlights the extraordinary connection of qi between the kidney and triple energizer as wellas the lung and bladder，this article proposesthat the pathogenesis of nocturia can be summarized accordingly as“deficiency cold of lung qi failing in warming and then leading to the disordered openingandclosing of bladder，”and“decline of vital gate fire in the kidney resulting in the disordered qi （20号 transformation of the triple energizer".Thetreatment of nocturia can be conducted by warming lung and transforming qi to regulate bladder function with the modifieduse of Gancao Ganjiang Decoction plus Suoquan Pills， or by tonifying kidney and warming yang to promote triple-energizer qi transformation with the modified use of Jingui Shenqi Pill.The diferentiation and treatment of nocturiaguidedbythezang-fu organ extraordinary conection theory expands the understanding of its pathogenesis and treatment approaches，and willprovide new ideas for its clinical practice.

Keywords： nocturia； zang-fu organ extraordinary connection； warming lung and transforming qi ；GancaoGanjiang Decoction； Suoquan Pills； tonifying kidney and warming yang； Jingui Shenqi Pills

夜尿症是指在主要睡眠期间需要起来排尿，不包括睡前的最后一次排尿和清晨的第一次排尿"。（剩余9586字）