浙派中医冯兆张诊治阳痿病学术思想探析  

Analysis on Academic Thought of Erectile Dysfunction Diagnosed and Treated by Zhejiang Faction TCM Doctor FENG Zhaozhang

作　　者：闫译 刘磊 钱文君 崔云[2] 王莉[1] 叶有骏 钱鑫 张婷 徐新宇 YAN Yi;LIU Lei;QIAN Wenjun(The Third Clinical Medical School of Zhejiang Chinese Medical University,Hangzhou 310053,China)

机构地区：[1]浙江中医药大学第三临床医学院,杭州310053 [2]浙江中医药大学附属宁波市中医院 [3]上海中医药大学附属岳阳中西医结合医院

出　　处：《浙江中医药大学学报》2024年第6期713-717,共5页Journal of Zhejiang Chinese Medical University

基　　金：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);宁波市中医医学重点学科建设计划项目(2022-Z04);浙江省中医药科技计划项目(2023ZF161、2023ZF042);浙江省中医药科学研究基金项目(2022ZB337、2022ZB311);宁波市医疗卫生品牌学科资助项目(PPXK2018-07)。

摘　　要：[目的]探索浙江医家冯兆张所著《冯氏锦囊秘录》中诊治阳痿病的学术思想,为阳痿病临床实践提供参考。[方法]以《冯氏锦囊秘录》中方脉阳痿篇为主要研究对象,同时结合该书中其他篇章相关论述,对该书中治疗阳痿病的学术思想特色进行系统整理。[结果]冯氏推崇“命门”学说,尤其重视阴阳水火在疾病发生发展中的作用。其在方脉阳痿篇详细论述了阳痿病的病因病机,认为五脏受损可为病痿前兆,而多种原因引起的阴阳失调、郁火阻滞等均可导致本病发生。治疗上列举诸多方药,注重补益阴阳,且以丸剂为主,药物送服多以酒、姜汤、盐汤等,并记载了分时采用不同汤剂送服的方法及分节气服药的方法,颇具特色。[结论]冯氏对阳痿病的病因病机、诊断治疗论述颇详,认识特色鲜明,其学术思想对当今阳痿病的治疗亦具有现实意义。[Objective]To explore the academic thought of erectile dysfunction in Fengshi Jinnang Milu written by Zhejiang physician FENG Zhaozhang,and to provide reference for clinical practice of erectile dysfunction.[Methods]It takes the chapter of“Fangmai Yangwei”in Fengshi Jinnang Milu as the main research object,combines with other chapters in the book to systematically sort out the academic thought characteristics of the book in the treatment of erectile dysfunction.[Results]FENG praised the theory of“Mingmen”,and paid special attention to the role of Yin and Yang,water and fire in the occurrence and development of diseases.He discussed the etiology and pathogenesis of erectile dysfunction in detail in the chapter of“Fangmai Yangwei”.He believed that the damage of the five internal organs was the precursor of erectile dysfunction,and the imbalance of Yin and Yang,stagnation of fire caused by various reasons could lead to the occurrence of this disease.In the treatment,many prescriptions were listed,focusing on tonifying Yin and Yang,and most of them were pills.At the same time,the drug delivery was mainly based on wine,ginger soup,salt soup,etc.It also had the method of taking different decoctions at different times and the method of taking medicine by solar terms,which was quite distinctive.[Conclusion]FENG's discussion on the etiology,pathogenesis,diagnosis and treatment of erectile dysfunction is quite detailed,and his understanding is distinctive.The academic thought of impotence in his book also has practical significance for the treatment of erectile dysfunction today.

关 键 词：冯兆张 《冯氏锦囊秘录》 阳痿 学术思想 浙派中医 命门 

分 类 号：R588[医药卫生—内分泌]