从精室络脉探讨精索静脉曲张的病机及辨治  

Discussing the pathogenesis and treatment of varicocele based on the essence chamber collaterals

作　　者：王安民[1] 马东岳 赵子维 王浩[1] 常洪源 骆第铖 王福[1] WANG Anmin;MA Dongyue;ZHAO Ziwei;WANG Hao;CHANG Hongyuan;LUO Dicheng;WANG Fu(Department of Andrology,Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China)

机构地区：[1]中国中医科学院西苑医院男科,北京100091

出　　处：《北京中医药大学学报》2025年第2期229-234,共6页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(No.82174217,No.82474322)。

摘　　要：精索静脉曲张是指精索内蔓状静脉丛异常扩张、伸长和迂曲,属于血管病变,为常见的男性生殖系统疾病。本文认为,精室络脉与精索静脉在解剖形态及生理功能上具有高度相关性,当邪气侵袭精室,精室气络失和,津络不通、血络不行,诸多病理产物杂合痹阻于精室络脉,甚至痰瘀互结积于血络,导致精索静脉曲张。基于此,本文提出和络、活络、通络的核心治则,以益气和络、行血活络、逐瘀通络为基本治法,分别辨治Ⅰ、Ⅱ、Ⅲ度精索静脉曲张,以阻精索静脉之变、疏精索静脉之曲、散精索静脉之结。精室络脉的提出对于从中西医结合视角认识精索络脉及血管病变发生、发展的共性规律与共性病理环节具有重要意义。Varicocele is a common disease of the male reproductive system,and the pampiniform plexus in the spermatic cord manifests abnormal dilatation,extension,and circuity,which is a vasculopathy.In this article,we believe that the relevance of the essence chamber collaterals to the spermatic vein in terms of anatomical morphology and physiological function is high and that when pathogenic qi invades the essence chamber,the qi and collaterals of the essence chamber are out of harmony,the fluid collaterals are impassable,and the blood collaterals are obstrcuted,and the essence chamber collaterals are blockaded with several pathological products,and even intermingled phlegm and blood stasis in the blood collaterals and form vascular clusters,resulting in the formation and development of varicocele.Based on this,this article proposes the core treatment principle of healing,harmonizing,activating,and dredging the collaterals,with the basic treatment method of nourishing qi and harmonizing collaterals,activating blood collaterals,and dredging blood stasis to,respectively treat degree Ⅰ,Ⅱ,and Ⅲ varicocele,aiming to prevent the change of the varicocele,dredge the curvature of the varicocele,and dissipate the knots of the varicocele.The proposal of essence chamber collaterals is of great significance to understanding the common law and pathological aspects of the occurrence and development of essence collateral and vascular lesions from the perspective of integrated traditional Chinese and Western medicine.

关 键 词：精室络脉 精索静脉曲张 气络 血络 

分 类 号：R277.5[医药卫生—中医学]