首页|基于《黄帝内经》"五刺应五脏"浅析阳痿论治

基于《黄帝内经》"五刺应五脏"浅析阳痿论治

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阳痿,又称勃起功能障碍,诸医家对其病因病机有不同的认识,总体为多脏腑共同致病而以肾虚为主.《灵枢·官针篇》记载:"凡刺有五,以应五脏."五刺法广泛应用于临床,不同医者对五刺法有不同的理解.笔者通过查阅文献及相关资料发现,虽然五刺法临床广泛用于治疗各种疾病,但大部分常常执着于原文中的字面意思,且未触及其与阳痿的关系.笔者临床采用五刺法治疗疾病,取得良好的治疗效果,故摒弃"五刺只能在同一部位行针"的想法,从脏腑-经络相互联系角度出发,对于病机相同的不同疾病采用相同的治法,或有奇效.研究主要基于"五刺应五脏"理论阐述五脏与阳痿的关系,旨在了解"五刺应五脏"的内涵及临床治疗阳痿的可行性,以期为临床采用五刺法治疗阳痿提供新的见解及思路.
An analysis of the treatment for impotence based on the theory of treating five viscera diseases by five acupuncture methods in Huangdi Neijing
Impotence,also called erectile dysfunction.TCM practitioners have different understandings on the etiology and pathogenesis of the disease,and generally believe that multiple Zang-fu viscera(脏腑)cause the disease jointly and kidney deficiency is the main cause.The Chapter on Guanzhen of Lingshu(《灵枢·官 针 篇》)records the theory of treating five viscera diseases by five acupuncture methods.The five acupuncture methods are widely used in clinical practice,and different doctors have different understandings on it.Through consulting literature and relevant data,the author found that although the five acupuncture methods are widely used to treat various diseases,most of them cling to the literal expression of the original text,without touching its relationship with impotence.The author adopts the five acupuncture method to treat diseases clinically,and gains good therapeutic effects.Therefore,it is believed that the idea that the five acupuncture methods can only be applied in the same part should be abandoned clinically,and applying the same treatment method for different diseases with the same pathogenesis starting from the perspective of the mutual connection between viscera and meridians,which may gain miraculous effects.Based on the theory of treating five viscera diseases by five acupuncture methods,the relationship between five viscera and impotence was expounded in this paper,aiming to understand the connotation of the theory of treating five viscera diseases by five acupuncture methods and the feasibility in the clinical treatment of impotence,in order to provide new insights and ideas for clinical treatment of impotence by five acupuncture methods.

Treating five viscera diseases by five acupuncture methodsAcupunctureImpotence

念兴涛、杨佐香、夏祎、张元艳、师菡、张富刚

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云南中医药大学第一临床医学院,云南 昆明,650500

云南省中医医院/云南中医药大学第一附属医院,云南 昆明,650021

五刺应五脏 针刺 阳痿

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(25)