基于“枢机不利”的慢性附睾炎脉证并治  

Syndrome and treatment of chronic epididymitis based on the"pivotal key is obstructed"

作　　者：黄子彦 王权胜[1,2] 郑翼驰 陈露 张亚光 HUANG Ziyan;WANG Quansheng;ZHENG Yichi;CHEN Lu;ZHANG Yaguang(Department of Andrology,the First Affiliated Hospital of Guangxi University of Chinese Medicine,Naning 530023,Guangxi,China;The First Institution of Clinical Medicine,Guangxi University of Chinese Medicine,Nanning 530001,Guangxi,China)

机构地区：[1]广西中医药大学第一附属医院男科,南宁530023 [2]广西中医药大学第一临床医学院,南宁530001

出　　处：《中国性科学》2022年第7期127-130,共4页Chinese Journal of Human Sexuality

基　　金：中央引导地方科技发展专项资金(桂科ZY20198013);广西中医药大学2021年校级博士研究生科研创新项目(YCBXJ2021015)。

摘　　要：“枢机不利”常用于论述病位在半表半里、病性属半阴半阳的一类病证。慢性附睾炎在中医归属“子痈”范畴,患者常自觉阴囊局部有坠胀不适感或疼痛。慢性附睾炎病势不急,病位半表半里,病性半阴半阳,且患者常有口苦、咽干、不欲饮食等少阳证候,所以“枢机不利”是慢性附睾炎的关键病机。本研究从慢性附睾炎“枢机不利”出发,探讨小柴胡汤方证的病因病机,进而探析并论治小柴胡汤“和解少阳”在慢性附睾炎中的临床应用。The term "pivotal key is obstructed" is often used to describe a disease that is located in the half superficial and half internal position, and is half-Yin and half-Yang. Chronic epididymitis is classified as "orchitis" in Chinese medicine, and patients often feel localized discomfort or pain in the scrotum. Chronic epididymitis is not an urgent disease, the location of the disease is half superficial and half internal, the nature of the disease is half-Yin and half-Yang, and patients often have the Shaoyang symptoms of bitter mouth, dry throat, loss of appetite, etc., so the "pivotal key is obstructed" is the pathogenesis of chronic epididymitis. This paper starts from "pivotal key is obstructed" of chronic epididymitis, in order to discuss the etiology and pathogenesis of the formula of Xiaochaihu Decoction, and then discusses the clinical application of Xiaochaihu Decoction in chronic epididymitis by "reconciling Shaoyang".

关 键 词：慢性附睾炎 枢机不利 小柴胡汤 

分 类 号：R697[医药卫生—泌尿科学]