郁证发微(二十三)——郁证尿频论

探讨郁证性尿频的病脉证治。惊惶忧思可致小便淋沥不利,思虑过度可致小便频数,肝痹气郁可致不寐、尿频。其病机主要有两类,一类是心气不足、心肾气虚(或心肾不交),或心火移热于小肠;另一类是肝气郁结或化火。郁证性尿频具有显性或隐性郁证的临床特征,需重视从郁论治,包括疏肝解郁、理气化痰、清肝泻火、养心清心安神及交通心肾等。现代医学神经性尿频、精神性尿频、心因性尿频等大抵属于郁证性尿频范畴。

Frequent urination due to depression syndrome

This paper discusses the therapy and syndromes of frequent urination due to depression syndrome.Panic and worry can lead to dribbling urination,excessive anxiety can induce frequent urination,and liver qi depression can cause insomnia,frequent urination. The pathogenesis mainly include two categories,one is deficiency of heart qi, deficiency of heart qi and kidney qi(or disharmony between heart and kidney),or heart fire moving downward to intestine,and the other is stagnation of liver qi or transforming into fire. Frequent urination due to depression syndrome shows the dominant or recessive clinical manifestations of depression syndrome,and should pay attention to the treatments based on relieving depression,including dispersing stagnated liver qi for relieving qi stagnation,regulating qi flowing for removing phlegm,clearing liver fire,nourishing heart and clearing heart fire for tranquillization,harmonizing the interaction of heart and kidney. The neural frequency of urination, mental frequency of urination, psychogenic frequency of urination in modern medicine are all within the category of frequent urination due to depression syndrome.