王柏枝“肝肾同治”思想在阴茎勃起功能障碍诊治中的应用  

Application of Wang Baizhi's thought of"simultaneous treatment of liver and kidney"in the diagnosis and treatment of erectile dysfunction

作　　者：王长江[1,2,3,4] 李春华 邹新蓉 程虹[1,2,3,4] 贾晓俊 WANG Changjiang;LI Chunhua;ZOU Xinrong;CHENG Hong;JIA Xiaojun(Department of Nephrology,Hubei Provincial Hospital of Traditional Chinese Medicine,Wuhan 430061,Hubei,China;Department of Nephrology,Affiliated Hospital,Hubei University of Chinese Medicine,Wuhan 430061,Hubei,China;Institute of Chinese Medicine Nephrology,Hubei Province Academy of Traditional Chinese Medicine,Wuhan 430074,Hubei,China;Hubei Key Laboratory of Theory and Application Research of Liver and Kidneyin Traditional Chinese Medicine(Hubei Province Hospital of Traditional Chinese Medicine),Wuhan 430061,Hubei,China;Pharmacy Department,Hubei Province Official Hospital,Wuhan 430064,Hubei,China)

机构地区：[1]湖北省中医院肾病科,武汉430061 [2]湖北中医药大学附属医院肾病科,武汉430061 [3]湖北省中医药研究院肾病研究所,武汉430074 [4]中医肝肾研究及应用湖北省重点实验室(湖北省中医院),武汉430061 [5]湖北省直属机关医院药剂科,武汉430064

出　　处：《中国性科学》2024年第6期127-130,共4页Chinese Journal of Human Sexuality

基　　金：第七批全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号);第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]1号);全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号);湖北省自然科学基金创新发展联合基金项目(2022CFD136);武汉市科技计划项目(2019020701011456);湖北省中医院院级课题(2021YJKT-18)。

摘　　要：阴茎勃起功能障碍(ED)发病机制复杂,不但是男性普遍存在的性健康问题,而且还是一个社会问题。王柏枝认为ED病情有急缓之分,病位有肝肾之别。以肾为本、肝为标,并有湿、痰、瘀夹杂其中,或有阴虚,或有内热。ED急发常责之于肝,有肝气郁结,肝经湿热,肝肾亏虚,常用疏肝理气之逍遥散、清肝利湿之龙胆泻肝汤、滋阴养肝之滋水清肝饮等。缓发养肾,自创起痿丸温肾阳、暖命门、补肾精、强宗筋、活血脉、健脾养肝。The pathogenic mechanism of erectile dysfunction(ED)is complex.It is not only a common sexual health problem in men,but also a social problem.Wang Baizhi believes that the condition of ED can be divided into acute and chronic symptoms,with different disease locations in liver or kidney.With kidney as the foundation and liver as the standard,there is a mixture of dampness,phlegm,and blood stasis,either with Yin deficiency or internal heat.The liver is often responsible for acute ED,including stagnation of liver Qi,dampness and heat in liver meridians,and deficiency of liver and kidney.Treatment commonly involves Xiaoyao Powder for soothing liver and regulating Qi,Longdan Xiegan Tang for clearing liver and promoting dampness,and Zishui Qinggan Yin for nourishing Yin and liver,etc.Chronic symptoms should nourish the kidney,the self-created Qiwei Pill can warm kidney Yang,warm vital gates,tonify kidney essence,strengthen tendons,activate blood vessels,and strengthen spleen and liver.

关 键 词：勃起功能障碍 起痿丸 肝肾同治 名老中医经验 

分 类 号：R277.5[医药卫生—中医学]