中醫藥研究論叢

291-12 柴胡劑合併針灸治療改善良性攝護腺增生致頻尿、夜尿之病例報告

TJ TCM.29(1) : 163-182, 2026

DOI : 10.6516/TJTCM.202603_29(1).0012

柴胡劑合併針灸治療改善良性攝護腺增生致頻尿、夜尿之病例報告

A Case Report on Treatment of Frequent Urination and Nocturia Due to Benign Prostatic Hyperplasia (BPH) with Cai-Hu-Based Decoction and Acupuncture Therapy

魏孟鈞1謝伯駿1,2,3,*游志勤1,3,*

1台北慈濟醫院中醫部,新北,台灣

2國立陽明交通大學中醫學系,台北,台灣

3慈濟大學學士後中醫學系,花蓮,台灣

【摘要】

良性攝護腺增生(Benign Prostate Hyperplasia, BPH)好發於五十歲以上的男性,隨著年齡增長,良性攝護腺增生的盛行率也逐漸上升。由於攝護腺位在膀胱出口下方,包覆著膀胱與尿道連接處,當攝護腺腺體組織隨著年齡增長而增生時,腫大的組織會壓迫尿道,進而出現頻尿、夜尿、尿急、解尿不暢、尿流速慢等下泌尿道症狀,造成日常生活的不便。此例為75歲男性,本身有睡眠呼吸中止症、腦中風、心肌梗塞病史,頻尿已有十年,但近兩年前開始症狀加重,且夜尿兩、三小時一行,因而影響睡眠品質。解尿時有解不盡感,白天解尿很慢,流速低,但尿量極少。診斷病機為「肝氣失調,少陽樞機不利,氣滯血瘀」,經醫師針灸合併柴胡劑以樞轉少陽,治療數月後症狀改善,追蹤回診數月後已可停用西藥,且諸症平穩,未再發生相關症狀。藉此病例報告提出不同治療思路,供未來臨床醫師參考運用。



【關鍵字】

良性攝護腺增生;少陽樞機不利;疏肝理氣;柴胡劑;頻尿



【Summary】



Benign prostate hyperplasia (BPH) is a common prostate disease in men over the age of fifty, and the prevalence raises with age. Prostate gland is located below the bladder and encases the junction of bladder and urethra. The enlarging prostate gland compresses urethra as the glandular cells over-proliferate with age, leading to some symptoms of lower urinary tract such as frequent urination, nocturia, urgency, difficult urination and slow urination rate. These symptoms may disrupt daily life of patients. This is a 75-year-old man with medical history of obstructive sleep apnea, stroke, and myocardial infarction. He has suffered from frequent urination for ten years; however, the symptom has exacerbated in recent two years, accompanied with nocturia so that has disrupted sleep. He also complained his incomplete emptying of bladder, slow urination, and low urine volume. Considering his symptoms, "stagnation of liver, dysfunction of Shao-Yang, and blood stasis" were suspected as the primary impression. After several months of treatment with acupuncture and traditional Chinese medicine, which contained Cai Hu Shu Gan decoction, his symptoms improved so that held on Dutasteride and Desmopressin. This case report is presented to offer an alternative facet toward managing benign prostate hyperplasia.
【Keywords】
Benign prostate hyperplasia ; Dysregulation of Qi of Shao-Yang ; frequent urination ; Cai Hu Shu Gan decoction