基于毒邪损络探讨慢性前列腺炎的辨治

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【中图分类号】R277.5 【文献标志码】A 【文章编号】1007-8517（2026）05-0001-05

DOI：10.3969/j. issn.1007-8517. 2026.05. zgmzmjyyzz202603001

Syndrome Differentiation and Treatment of Chronic Prostatitis Based on the Theoryof Toxin-Pathogen Damaging Collaterals： A TCM Perspective

CHENG Qiangqiang' CAI Miaoqing1WANG Huan1MEI Aobing² 1.Guizhou University of Traditional Chinese Medicine，Guiyang 55oo25，China； 2.JinyangHospital Affiliated to Guizhou Medical University，Guiyang 55Oo81，China

Abstract：Chronic prostatitisisaprevalenturologicaldisorderamongmales，with increasing incideneinyoungadultsdueto moderlifestylechanges.Characterizedbyurinarydysfunctionandpelvicpain，itsignificantlyimpairspatients’qualityoflife.West ern medicine primarily employs quinolones，macrolides，and α - blockers for treatment， yet long - term efficacy remains suboptimal. Traditional Chinese Medicine（TCM）atributesCPpathogenesistocolateralsystemdysfunction，proposingthatunderlyingdeficiency ofqiandbloodinthelowerjaopredisposesindividualstoinvasionbydampnss，hat，andstasispathogens.Thistoxin-pathogen inducedcolateraldamageleadstpersistentqi-bloodstagation，perpetuatingchonicprogresson.TisstudyexploresCPetiology， pathogenesis，andtherapeuticstrategiesthroughthelensof“Toxin-PathogenDamaging Colaterals”theory，aimingtoestablisha systematicframeworkforclinicalmanagementundercolateraldiseasedoctrine.ThefindingsmaydepenunderstandingofTCMpatho genesis in andrological disorders and enhance evidence-based integration of TCM mechanisms in urological practice.

KeyWords：Toxin-Pathogen DamagingColaterals；ChronicProstatitis；SyndromeDiffrentiationand Treatment

慢性前列腺炎（chronicprostatitis，CP），现多称为慢性盆腔疼痛综合征（chronicpelvicpainsyn-drome，CPPS），以排尿异常、骨盆区域疼痛及性功能障碍为主要临床表现[1]，病程迁延反复，严重影响患者生活质量及心理健康。（剩余8105字）