基于“脑-心-肾-精室”轴探讨男性生殖衰老病机及辨治思路  

Exploring the Pathogenesis Differentiation and Treatment of Male Reproductive Senescence Based on the Axis of“Brain,Heart,Kidney and Essence Chamber”

作　　者：赵明 马东岳 安晓静 刘胜京 晏斌 高庆和[1] 郭军[1] ZHAO Ming;MA Dongyue;AN Xiaojing;LIU Shengjing;YAN Bin;GAO Qinghe;GUO Jun(Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China;Graduate School,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]中国中医科学院西苑医院,北京100091 [2]北京中医药大学研究生院,北京100029

出　　处：《中医药学报》2024年第5期5-9,共5页Acta Chinese Medicine and Pharmacology

基　　金：国家中医药管理局中医药传承与创新“百千万”人才工程(岐黄工程)岐黄学者(020450008);国家自然科学基金面上项目(82174392);中国中医科学院科技创新工程项目(CI2021A02201)。

摘　　要：“脑-心-肾-精室”轴在男科疾病的发生发展中具有重要作用,其失调是导致男性生殖衰老的核心。脑、心、肾作为生命活动的主体,所主之精血神耗损,可引起精室失用,发为男性生殖衰老,常表现为生精能力下降、性功能减退、雄激素水平下降等男性特有的衰老特征等。在“脑-心-肾-精室”轴理论的指导下,防治男性生殖衰老可通过补肾填精、燮理阴阳,调畅心脑、养心安神,清除瘀阻、通利精室等治法调养精血神以恢复精室功用,从而延缓男性生殖衰老。“Brain-heart-kidney-essence chamber”axis plays an important role in the development of male diseases,and its dysregulation is the core of male reproductive aging.The brain,heart,and kidney,as the main body of life activities,govern essence,blood,and spirit.If essence,blood,and spirit are depleted,essence chamber cannot be productive,and male reproductive senescence occurs.This often manifests as male specific aging characteristics such as decreased sperm production ability,decreased sexual function,and decreased androgen levels.Under the guidance of the“brain-heart-kidney-essence chamber”axis theory,the prevention of male reproductive senescence can be achieved by tonifying the kidney and providing essence,harmonizing yin and yang,regulating and nourishing the heart and brain,tranquilizing the mind,clearing the stagnation,and restoring the function of the essence chamber,thus delaying male reproductive senescence.

关 键 词：生殖衰老 “脑-心-肾-精室”轴 精血神 辨治思路 

分 类 号：R256.59[医药卫生—中医内科学]