基于治未病理念从六郁理论探讨勃起功能障碍的中医证治  

Exploring the Traditional Chinese Medicine Diagnosis and Treatment of Erectile Dysfunction from the Perspective of the Six Stagnations Theory,Based on the Concept of Treating the Undiseased

作　　者：任沛轩 张明强 李杰[1] 邓龙生[1,2] REN Peixuan;ZHANG Mingqiang;LI Jie;DENG Longsheng(Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China;Xiamen Hospital of Traditional Chinese Medicine,Xiamen 361015,China)

机构地区：[1]福建中医药大学,福建福州350122 [2]厦门市中医院,福建厦门361015

出　　处：《云南中医药大学学报》2025年第1期10-15,共6页Journal of Yunnan University of Chinese Medicine

基　　金：福建省第四批老中医药专家学术经验继承工作室(闽卫中医函〔2022〕554号)。

摘　　要：勃起功能障碍是男科常见的疾病之一,近年来随着生活节奏、饮食习惯等影响因素的变化,发病率逐渐上升,严重影响了患者及其伴侣的生活质量。《黄帝内经》中最早提及了“郁”的概念,后世又有朱丹溪阐释了“六郁”理论。文章对朱丹溪的“六郁”理论进行了深入的探讨,并分析了勃起功能障碍与“六郁”理论之间的关联,进一步研究了勃起功能障碍的发病特征以及病因病机。气、血、痰、火、湿、食均可致郁,六郁相互影响,迁延难愈,文章以此为基础,结合“治未病”理念提出了“理气郁,防血郁,治血郁,兼他郁”,为临证诊治勃起功能障碍提供一定的理论依据。Erectile dysfunction is one of the common diseases in andrology,and in recent years,with changes in factors such as lifestyle rhythm and dietary habits,its incidence has gradually increased,severely affecting the quality of life of patients and their partners.The concept of"Yu"(stagnation)was first mentioned in the"Huangdi Neijing"(The Yellow Emperors Classic of Medicine),and later,Zhu Danxi elaborated on the theory of the"Six Stagnations".This paper delves into Zhu Danxis theory of"Six Stagnations"and analyzes the connection between erectile dysfunction and the"Six Stagnations"theory,further examining the characteristics and pathological mechanisms of erectile dysfunction.Qi,blood,phlegm,fire,dampness,and diet can all cause stagnation.The six stagnations interact with each other,making them difficult to cure.Based on this,the article combines the concept of"treating the undiseased"and proposes to"regulate Qi stagnation,prevent blood stagnation,treat blood stagnation,and address other stagnations",providing a theoretical basis for the clinical diagnosis and treatment of erectile dysfunction.

关 键 词：勃起功能障碍 治未病 气郁 血郁 痰郁 火郁 湿郁 食郁 

分 类 号：R256.59[医药卫生—中医内科学]