首页|《黄帝内经》对"中虚精变"理论构建的启发

《黄帝内经》对"中虚精变"理论构建的启发

Inspiration of The Inner Canon of Yellow Emperor(《黄帝内经》)to the Construction of the Theory of"Middle Jiao Deficiency Causes Seminal Changes"

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"中虚精变"理论以《黄帝内经》脾胃理论为依据,侧重阐述脾胃虚衰影响男性精液疾病的途径,以及精液疾病从脾胃论治的思路与方法.根据《黄帝内经》脾胃相关论述,从疾病范畴、脾虚病因及病机变化、治疗等多个方面阐明"中虚精变"的理论内涵.认为"精"之内涵包括精液本身及精室整体,"精变"的核心病机是脾胃虚衰,且涉及肾虚.以"中虚精变"理论为指导,确立"调中理精"的治疗思路,以清补中焦、调节脾胃运化为关键,以调理精室、促进浊物代谢和精微蕴生为目的,具体分为补中理精、运中理精、清中理精三法,以期为男性精液疾病从脾胃论治提供新思路.
Based on the theory of spleen-stomach in The Inner Canon of Yellow Emperor(《黄帝内经》),the theory of"middle jiao deficiency causes seminal changes"focuses on the ways in which the spleen-stomach deficiency affect male seminal disorders,as well as the ideas and methods of treating seminal disorders from the perspective of the spleen and stomach.Based on the discussion of spleen and stomach in The Inner Canon of Yellow Emperor,the theo-retical connotations of"middle jiao deficiency causes seminal changes"are clarified in terms of the scope of the disease,the etiology of the spleen deficiency,the pathogenesis changes,and the treatment of the disease.It is believed that the connotation of"semen"includes the semen itself and the semen chamber as a whole,and that the core patho-genesis of"seminal changes"is the deficiency of spleen and stomach,which also involves kidney deficiency.Taking the theory of"middle jiao deficiency causes seminal changes"as a guide,the treatment idea of"regulating middle jiao and rectifying essence"was established,with the key of tonifying the middle jiao and regulating transportation and transformation of spleen and stomach,and the aim of regulating essence chamber and promoting the metabolism of turbid substances and the production of essence.It is divided into three methods,including tonifying,transporting,and clearing the middle jiao to rectify semen,so as to providing new ideas for the treatment of male seminal disorders from the spleen and stomach.

semendeficiency of spleen and stomachThe Inner Canon of Yellow Emperor(《黄帝内经》)

徐新宇、彭煜、朱文静

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上海中医药大学附属岳阳中西医结合医院,上海市虹口区甘河路110号,200437

精液 脾胃虚衰 《黄帝内经》

国家自然科学基金国家自然科学基金上海中医药大学附属岳阳中西医结合医院中医/中西医优势专科建设专项

8217445181973729YW2023-2024-01-04

2024

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子:1.464
ISSN:1001-1668
年,卷(期):2024.65(9)
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