李曰庆教授辨证治疗慢性附睾炎经验  

Professor Li Yueqing's experience on chronic epididymitis

作　　者：代恒恒 李海松[1] 王继升[1] 宫僖浩 李霄[1] 厉将斌[1] Dai Hengheng;Li Haisong;Wang Jisheng;Gong Xihao;Li Xiao;Li Jiangbin(Department of Andrology, Dong Zhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700)

机构地区：[1]北京中医药大学东直门医院男科,北京100700

出　　处：《现代中医临床》2018年第3期15-17,共3页Modern Chinese Clinical Medicine

基　　金：北京中医药薪火传承"3+3"工程(No.2016-SZ-C-60);北京市中医男科重点学科基金项目

摘　　要：慢性附睾炎是男性生殖系统非特异性感染中的常见疾病,多由急性附睾炎迁延而来,表现为患侧阴囊睾丸坠胀不适,性生活后加重,附睾局限性硬结。李曰庆教授认为其病因病机为感受寒湿、伤及阳气,或饮食肥甘、湿热下注,或房事不洁、感受邪毒,或跌仆外伤而致阳气受损,邪毒凝聚于肾子。病位主要在肾子,与肝肾密切相关。治疗上,在整体辨证的同时,应结合局部辨证,从发生的部位及疼痛的性质等方面考虑进行处方用药。Chronic epididymitis is a common disease of nonspecific infection of the male reproductive system, mostly induced by acute epididymitis, and the symptoms includes the discomfort of the testis of the scrotum-which was getting worse after sexual intercourse, and the epididymis partly indurated. Professor Li Yueqing believes that the pathogenesis is due to catching cold-dampness which hurt yang qi, or eating greasy or sweet foods so that damp-heat flowing downward, or frequent sexual intercourse makes getting toxin, or injured by falling so that yang is getting hurt, and all those pathogenic toxin will accumulate in testicles. The disease location is mainly in testicles, and it is highly related to the liver and kidney. In treatment, the overall syndrome differentiation should be combined with local syndrome differentiation at the same time, and prescriptions should be according to the location of disease and the characteristics of pain.

关 键 词：李曰庆 慢性附睾炎 清利湿热 温阳散结 

分 类 号：R256.59[医药卫生—中医内科学]