台北中医医学杂志

103.4 夜尿的中西医学临床探讨

 

夜尿的中西医学临床探讨
Clinical Exploration of Nocturia in
Traditional Chinese and Western Medicine
吕梯青
财团法人台湾省私立台北仁济院附设仁济医院,台北,台湾
【摘要】
夜尿(Nocturia,ICD10:R351)是临床常见的主诉,在高龄者盛行率超过五成,若一晚超过两次则会造成患者的困扰。传统中医主要认为夜尿是肾与膀胱虚寒所致;而西方医学则认为是膀胱储尿量的下降,夜间多尿或两者兼有。夜尿的评估主要透过问诊,排尿日记可作为重要的叁考。现代医学的治疗包括正压呼吸器,行为疗法,alpha-1-adrenergic antagonists,5-alpha reductase inhibitor, antimuscarinics,beta-3 agonists 及desmopressin 等,各种药物都有其对应的副作用。曹勇教授以缩泉丸为主方将夜尿分成四型论治,董氏奇穴与灸法在治疗夜尿也有显着的效果,完整详细的卫教则是不可或缺的。
【关键词】夜尿、肾阳虚、膀胱虚寒、缩泉丸
Lu Ti-Chin
Taipei Jen-Chi Relief Institution Jen-Chi Hopital
【Summary】
Nocturia (ICD10: R351) is a common clinical complaint, with a prevalence rate of more than 50% in the elderly. If it exceeds twice a night, it will cause trouble for the patient. Traditional Chinese medicine mainly believes that nocturia is caused by deficiency and cold of the kidneys and bladder; while Western medicine believes that it is a decrease in bladder urine storage capacity, nocturnal polyuria, or both. The evaluation of nocturia is mainly by consultation, and a voiding diary can be used as an important reference. The treatment of modern medicine includes Continuous positive airway pressure, behavioral therapy, alpha-1-adrenergic antagonists, 5-alpha reductase inhibitor, antimuscarinics, beta-3 agonists and desmopressin, etc. All kinds of drugs have their corresponding side effects. Professor Cao Yong divided nocturia into four types with Suoquan Wan as the main prescription. Tung’s Acupuncture and moxibustion also have significant effects in treating nocturia, and detailed health education is indispensable.
【Keywords】Nocturia, Kidney Yang Deficiency, Bladder Deficiency and Cold, Suoquan Pill