Differentiation and Treatment of Nocturia Under the Guidance of Zang-Fu Organ Extraordinary Connection Theory
10.13359/j.cnki.gzxbtcm.2025.08.036
- VernacularTitle:基于"脏腑别通"理论辨治夜尿症
- Author:
Ruopu XUE
1
;
Riming HE
;
Shudong YANG
Author Information
1. 广州中医药大学第四临床医学院,广东 深圳 518033
- Keywords:
nocturia;
zang-fu organ extraordinary connection;
warming lung and transforming qi;
Gancao Ganjiang Decoction;
Suoquan Pills;
tonifying kidney and warming yang;
Jingui Shenqi Pills
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(8):2070-2075
- CountryChina
- Language:Chinese
-
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 well as the lung and bladder,this article proposes that the pathogenesis of nocturia can be summarized accordingly as"deficiency-cold of lung qi failing in warming and then leading to the disordered opening and closing of bladder,"and"decline of vital gate fire in the kidney resulting in the disordered qi transformation of the triple energizer".The treatment of nocturia can be conducted by warming lung and transforming qi to regulate bladder function with the modified use 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 Pills.The differentiation and treatment of nocturia guided by the zang-fu organ extraordinary connection theory expands the understanding of its pathogenesis and treatment approaches,and will provide new ideas for its clinical practice.