朱丹溪“气郁”理论在中医男科病症的应用探析  

An analysis of the application of Zhu Danxi’s“Qi depression”theory in andrology

作　　者：王莉[1] 叶有骏 张婷 钱鑫 钱文君 刘磊 闫译 崔云[2] Wang Li;Ye Youjun;Zhang Ting;Qian Xin;Qian Wenjun;Liu Lei;Yan Yi;Cui Yun(The Third School of Clinical Medicine,Zhejiang University of Traditional Chinese Medicine,Hangzhou 310053,Zhejiang,China;Ningbo Hospital of Traditional Chinese Medicine,Zhejiang University of Traditional Chinese Medicine,Ningbo 315010,Zhejiang,China)

机构地区：[1]浙江中医药大学第三临床医学院,浙江杭州310053 [2]浙江中医药大学附属宁波市中医院,浙江宁波315010

出　　处：《中国男科学杂志》2024年第5期103-107,111,共6页Chinese Journal of Andrology

基　　金：崔云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);浙江省中医药科学研究基金项目(NO.2022ZB337,NO.2022ZB311);浙江省中医药科技计划项目(NO.2023ZF161,NO.2023ZF042)。

摘　　要：目的阐明朱丹溪“气郁”理论与中医男科诸疾之间的联系及其在男科病症中的应用。方法以古籍为研究对象,通过对《丹溪心法》中:“气血冲和,万病不生,一有怫郁,诸病生焉。故人身诸病,多生于郁。”的理解与延展思考,将男科诸疾与气郁联系起来,从理论探源和临床实际阐发两者的联系。结果朱丹溪提出“气郁”为六郁的核心,气郁不通则机体气机滞涩不畅,升降出入受阻,聚水成痰、凝血成瘀、症瘕积聚等有形实邪,或发为嗳气、呃逆等无形之气,亦可见于情志不舒等七情病症。联想到阳痿、早泄、男性不育症等男科疾患都表现出病程长、病情复杂、属于患者隐私的特点,一方面影响患者正常工作生活,另一方面使患者自信受挫、情志低落,临床常见男科疾病兼杂、郁证齐发,所以笔者将两者联系起来,以期为中医临床诊疗提供思考。结论“气郁”理论为男科疾患和郁证之间建立了理论桥梁,两者之间既可因病致郁,也可因郁致病,最终都会导致病郁同存的结果,为从气郁角度出发治疗当前复杂的男科疾患提供了依据,对今后临床治疗工作的开展提供了新的方向。Objective To elucidate the connection between Zhu Danxi's theory of“Qi depression”and male diseases and its application in male diseases.Methods Using ancient books as the research object,through the“Danxi Xinfa”in:“Qi and blood flush,all diseases do not arise,a fries and depression,all diseases born.Therefore,all diseases of the human body are mostly born in depression.”In order to understand and extend the thinking of this article,Zhu linked all diseases in male medicine with Qi and depression,and explained the connection between the two in terms of theoretical exploration and clinical practice.Results Zhu Danxi puts forward“Qi depression”as the core of six depressions,Qi depression is not through the body's Qi stagnation,elevation in and out of the obstruction of water into phlegm,blood into stasis,obstruction in the abdomen,such as the accumulation of tangible evils,or the development of belching,eructation,such as intangible Qi,but also can be seen in the seven feelings of emotional disorders,such as emotional dissonance.Associated with impotence,premature ejaculation,male infertility and other male disorders have shown a long course of disease,complexity of the condition,belonging to the patient's privacy,on the one hand,affecting the patient's normal work and life,on the other hand,make the patient's self-confidence frustrated,depressed mood,clinically common male illnesses and miscellaneous depressions occur in tandem,so the author will be the link between the two,with a view to clinical diagnosis and treatment of the thinking provided.Conclusion The theory of“Qi and depression”establishes a theoretical bridge between men's diseases and depression,which can be caused by both disease and depression,and ultimately lead to the result of disease and depression,which provides a basis for the treatment of complex men's diseases from the perspective of Qi and depression,and provides a new direction for the development of clinical treatment in the future.

关 键 词：朱丹溪 气郁 遗精 早泄 男性不育症 勃起功能障碍 男性更年期 

分 类 号：R698.2[医药卫生—泌尿科学] R277.5[医药卫生—外科学]