焦拥政基于“酒性辛燥”从气血精论治酒伤阳痿经验  

Jiao Yongzheng’s experience in treating impotence caused by alcohol based on the theory of qi,blood,and essence based on the“pungent and dryness nature of alcohol”

作　　者：罗成龙 苏亮 张思政 焦拥政 LUO Chenglong;SU Liang;ZHANG Sizheng;JIAO Yongzheng(Department of Andrology,Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Institute of Acupuncture and Moxibustion,China Academy of Chinese Medical Sciences,Beijing 100700,China)

机构地区：[1]中国中医科学院广安门医院男科,北京100053 [2]中国中医科学院针灸研究所,北京100700

出　　处：《中国医药导报》2023年第22期110-113,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(82074446);中国中医科学院科技创新工程项目(C12021A02202);中国中医科学院广安门医院结余经费课题(81234)。

摘　　要：酒伤阳痿是阳痿的一种常见类型,有其独特的发病规律。目前,西医一线治疗方案存在停药反复,疗效不持久等不足。焦拥政研究员从长期的临床经验总结认为酒性辛燥大热,伤及气血精分,继而导致阳痿。其病位逐渐深入,由经入络到脏,逐步发生“气分肝脾虚滞”“血分茎络痹阻”“精分肾精虚损”的病机演变。治疗上,焦拥政研究员提出四条治则治法,一以“解散酒毒”为核心;其二运脾疏肝,补中利湿;其三凉血散瘀,润补宗筋;其四填补精气,引药走茎。解散酒毒,调和气血精,从而达到治疗目的。并附医案2则,以期为临床提供思路参考。Impotence caused by alcohol is a common type of impotence,which has its own unique disease regularity.At present,the first-line treatment of western medicine has the shortcomings of repeated drug withdrawal,no lasting effect and so on.Jiao Yongzheng researcher from the long-term clinical experience summed up that the alcohol of pungent,dryness,and heat nature,damage to the qi,blood,and essence,and then lead to impotence.Its disease position gradually deepens,from the meridian into the collaterals to the viscera,and gradually occurs the pathogenesis evolution of“liver and spleen deficiency stagnation in the qifen”,“penile meridian blockage in the xuefen”,and“kidney essence deficiency loss in the jingfen”.In terms of treatment,Jiao Yongzheng researcher put forwards four treatment principles and methods,the first is to“dissipate the toxins of alcohol”as the core;the second is to transport spleen and disperse stagnated liver qi,tonify the qi of the middle-jiao and promote diuresis;the third is to cool blood for removing blood stasis,sweeten and moisten the penile meridian;the fourth is to fill the essence and draw the medicine to the penile meridian.Dissolves the poison of alcohol and reconciles qi,blood,and essence,thus achieving therapeutic goals.Two medical cases are also attached,with a view to providing clinical reference for ideas.

关 键 词：酒伤 阳痿 气血精 临床经验 

分 类 号：R277.5[医药卫生—中医学]