中医临床多从肾与膀胱论治夜尿症。该文基于明代医家李梴提出的脏腑别通理论中的肾与三焦之气别通、肺与膀胱 之气别通的观点，提出夜尿症的病机可相应概括为“肺气虚寒失温，膀胱开阖失司”“肾中命门火衰，三焦气化失调”。其 相应的治法为温肺化气以助膀胱开阖，方用甘草干姜汤合缩泉丸化裁；补肾温阳以助三焦气化，方用金匮肾气丸化裁。从 “脏腑别通”理论辨治夜尿症，拓展了夜尿症的病机及证治，可为其临床治疗提供新思路。

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.

R256.54

广东省中医药局科研项目（编号：20223015）；深圳市中医院中医临床研究项目（编号：G3030202111）；省部共建中医湿证国家 重点实验室开放课题