Expert consensus on the application of the "brain-heart-kidney-essence chamber" axis in benign prostatic hyperplasia (2025 edition)

Andrology Branch of the China Information Association of Traditional Chinese Medicine

doi:10.16025/j.1674-1307.2026.03.001

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Expert consensus on the application of the "brain-heart-kidney-essence chamber" axis in benign prostatic hyperplasia (2025 edition)

更新时间：2026-06-02

- Expert consensus on the application of the "brain-heart-kidney-essence chamber" axis in benign prostatic hyperplasia (2025 edition)
- Beijing Journal of Traditional Chinese Medicine Vol. 45, Issue 3, Pages: 290-294(2026)
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2026.03.001
  CLC：
- Received：10 November 2025，
  
  Published：25 March 2026
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中国中医药信息学会男科分会.“脑-心-肾-精室”轴在良性前列腺增生诊疗中的应用专家共识（2025版）［J］.北京中医药，2026，45（3）：290-294.

.Expert consensus on the application of the "brain-heart-kidney-essence chamber" axis in benign prostatic hyperplasia (2025 edition)[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(03):290-294.
中国中医药信息学会男科分会.“脑-心-肾-精室”轴在良性前列腺增生诊疗中的应用专家共识（2025版）［J］.北京中医药，2026，45（3）：290-294. DOI： 10.16025/j.1674-1307.2026.03.001.

.Expert consensus on the application of the "brain-heart-kidney-essence chamber" axis in benign prostatic hyperplasia (2025 edition)[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(03):290-294. DOI： 10.16025/j.1674-1307.2026.03.001.

摘要

本共识基于“脑-心-肾-精室”轴理论，由中国中医药信息学会男科分会组织专家讨论制定，并在国际实践指南注册平台（PREPARE-2025CN572）完成注册。共识明确了良性前列腺增生（BPH）的核心病机为“脑-心-肾-精室”轴功能失调，形成以“脑心失养”为启动因素、“肾虚气化失司”为核心环节、“精室瘀浊湿热”为病理表现的完整病机链条。据此，共识提出了包括精室湿热、脑心失养等证型的辨证分型及相应方药，并形成了以“调神、补肾、通利”为核心的针灸选穴方案及预防调护建议，为BPH的中医诊疗提供了一个多维度、个体化的整体辨治策略。

Abstract

This consensus is based on the "brain-heart-kidney-essence chamber" axis theory and was developed through expert discussions organized by the Male Branch of the China Information Association for Traditional Chinese Medicine. It has been registered on the International Practice Guideline Registration Platform （PREPARE-2025CN572）. The consensus defines the core pathogenesis of benign prostatic hyperplasia （BPH） as dysfunction of the "brain-heart-kidney-essence chamber" axis， forming a complete pathogenic chain characterized by "malnourishment of the brain and heart" as the initiating factor， "kidney deficiency with impaired qi transformation" as the central link， and "blood stasis， turbidity， dampness， and heat in the essence chamber" as the pathological manifestations. Accordingly， the consensus proposes syndrome differentiation-based classification and corresponding herbal prescriptions for syndromes such as dampness-heat in the essence chamber and malnourishment of the brain and heart. It also establishes an acupoint selection protocol centered on "regulating the spirit， tonifying the kidney， and promoting unblocking"， along with recommendations for prevention and health maintenance. This provides a multidimensional， individualized， and holistic syndrome differentiation-based strategy for the traditional Chinese medicine diagnosis and treatment of BPH.

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