《五十二病方》“疼”病考及其在肛肠良性疾病术后尿潴留中的应用价值研究

[中图分类号]R266 [文献标志码]A [文章编号]doi：10.3969/j.issn.1674-070X.2025.07.025

[Abstract]Thisstudyinvestigatestheetymology，symptomclasification，andtreatmentof"Long"diseaseasrcorded intheancient medicaltextWuShiErBingFang （FormulasforFifty-twoDiseases）unearthedfromtheMawangdui HanTomb inChangsha，anddiscusssitsapplicationvalueinthetreatmentofpostoperativeurinaryretentionofbenignanorectal diseases.Bysystematicallanalyzingtherelationshipbetween"Long"andlater-describedconditionssuchas"Long"（癃， urinaryretention）and"Lin"（淋，strangury），andintegratingthemwiththeclinicalcharacteristicsofurinaryretentionafter surgeriesforbenignanorectaldiseasesinmodemtimes，ithighlightshowancientphysiciansunderstoodandtreatedurination disorders.Studieshavefoundthat"Long"diseaseischaracterizedbydiffcultyurination，bladderfullnessandpain，and itspatters（suchasstoneandbloodpaters）arehighlyconsistent withthepathologicalmanifestationsof postoperativeurinary retention.Acupunctureandmoibustion，ChinesemedicinessuchasDongkuizi （alvae Smen），Shiwei （yosiaeFolum）daoyin （guidingandstretchingexercises）andothertherapiesrecordedinWuShiErBingFang（FormulasforFifty-twoDiseases）have cleartheoreticalbasisandclinicalvalueinimprovingpostoperative bladerfunction.Theresultsshowthattheholisticconcept andindividualizedtreatmentconceptofMawangduimedicineprovideanewideaforsolvingtheproblemofurinaryretention afteranorectal surgeryinmoderntimes，andthetriplecombinationof"acupuncture，Chinesemedicines，anddaoyin"is worthy offurther clinical verification.

[Keywords]WuShiErBing Fang （Formulas forFifty-twoDiseases）；anorectal postoperation;urinaryretention;longb （urinary retention）; Mawangdui medicine

马王堆汉墓出土的《五十二病方》作为我国现存最早的医学方书，在中医外科学领域具有重要的文献价值。（剩余8136字）