基于经筋理论探讨阳痿之筋痿  

Discussion on“sinew flaccidity”in erectile dysfunction from the perspective of the“meridian sinews”theory

作　　者：陈辉 冯伟栋 冯隽龙 高子翔 王彬[1] CHEN Hui;FENG Weidong;FENG Junlong;GAO Zixiang;WANG Bin(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700)

机构地区：[1]北京中医药大学东直门医院,北京100700

出　　处：《现代中医临床》2025年第1期31-34,76,共5页Modern Chinese Clinical Medicine

基　　金：国家中医药管理局全国名中医传承工作室建设项目(No.国中医药人教函〔2022〕75号)。

摘　　要：经筋为伴行十二正经分布的人体筋肉系统的简称,现代研究认为其包含肌肉、筋膜、韧带等组织,参与构建了完整的人体网络。古之筋痿包含阳痿,后筋痿多代指阳痿,但都与“筋”紧密联系。经筋理论为中医经络学的经典理论分支,但从此角度探讨阳痿与筋痿的关系较少,本文从中医经筋理论角度着眼,并在解剖基础上探讨前阴与经筋的联系,从而进一步论述阳痿与筋痿的关系。认为阳痿之筋痿属于诸筋之痿,与经筋理论系统密切相关,同时从经筋失养、筋结阻滞、筋膜失约致痿等角度探讨阳痿的发生机制,拓宽经筋理论在男科阳痿类疾病的辨治思路。“Meridian sinews”refer to the muscle and flesh system in human body accompanied by twelve main meridians.Modern research suggests that the“meridian sinews”contain muscles,fascia,ligaments,and other tissues that are involved in building a complete physical system.Sinew flaccidity,or jinwei,included erectile dysfunction(ED)and other flaccidities in the past,while currently it is primarily used for ED.However,both of them were closely related to the the concept of sinews.The“meridian sinews”theory is the classic theoretical branch of meridian theory in Traditional Chinese Medicine,but the relationship between ED and sinew flaccidity has not yet been sufficiently explored based on this theory.In this study,from the perspective of the“meridian sinews”theory,we discussed the connection between genitals and“meridian sinews”on the basis of anatomy,and further investigated the relationship between ED and sinew flaccidity.It was concluded that sinew flaccidity in ED belonged to the flaccidity of all sinews,which was closely associated with“meridian sinews”Theory.Moreover,the pathogenesis of ED was also discussed from perspectives of lack of nourishment of meridians and sinews,obstruction of sinew junctions,and contraction failure of fascia.In a word,this study broadened the thoughts in differentiation and treatment of ED using the“meridian sinews”theory.

关 键 词：经筋 阳痿 筋痿 

分 类 号：R698[医药卫生—泌尿科学] R256.5[医药卫生—外科学]