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李海松从"神驭精气"辨治遗精经验

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总结李海松教授从"神驭精气"辨治遗精的临证经验.提出神驭精气观点,强调心神具有统驭人体精气的作用,认为遗精的核心病机为心神妄动、精关不固,治疗主张首重调心神,兼顾调理脏腑精气.临证分型辨治,心神失养型遗精治宜补养心气、养神秘精,自拟养心秘精方;心火亢盛型遗精治宜清心泻火、安神固精,自拟泻心固精方;心肝气郁型遗精治宜疏肝宁心、安神调精,自拟解郁安神调精方(由柴胡疏肝散化裁而来);心脾两虚型遗精治宜补脾养心、安神摄精,自拟心脾同调摄精方(由归脾汤化裁而来);心肾两虚型遗精治宜滋肾宁心、安神固精,自拟心肾两滋填精方(由水陆二仙丹合五子衍宗丸化裁而成).遣方用药调和脏腑以治本、燮理气血以养神、妙用专药以安神,灵活随症加减.
LI Haisong's Experience in Treating Spermatorrhea based on the View of"Spirit Controlling Essence and Qi"
This paper summarized Professor LI Haisong's clinical experience in treating spermatorrhea based on the view of"spirit controlling essence and qi".It is emphasized that the heart spirit has the function of controlling the essence and qi of the human body,believing the frenetic stirring of heart spirit and the insecurity of essence gate are the core pathogenesis of spermatorrhea,LI advocates to regulate the heart spirit first and take into account of the zang-fu organs,essence and qi simultaneously for the treatment.Treatment should be performed according the clinical syn-dromes differentiatied.For those with heart spirit failing to nourish syndrome,it is recommended to supplement heart qi,nourish spirit and consolidate essence with self-made Yangxin Mijing Formula(养心秘精方).In case of heart fire hyperactivity,the method of clearing heart heat and draining fire,calming spirit and consolidating essence should be used,and self-made Xiexin Gujing Formula(泻心固精方)is recommended.For heart-liver qi constraint,it is advised to soothe the liver and calm heart,calm the mind and regulate essence with self-made Jieyu Anshen Tiaojing Formula(解郁安神调精方)which is a modifcation to Chaihu Shugan Powder(柴胡疏肝散).In terms of deficiency of both heart and liver,the treatment principle is supplementing spleen and nourishing heart,calming the mind and controlling essence,for which self-made Xinpi Tongtiao Shejing Formula(心脾同调摄精方)modified from Guipi Decoction(归脾汤)can be used.For deficiency of both heart and kidney,it is better to nourish the kidney and calm heart,calm the mind and consolidate essence with self-made Xinshen Liangzi Tianjing Formula(心肾两滋填精方)that modified from Shuilu Erxian Elixir(水陆二仙丹)and Wuzi Yanzong Pill(五子衍宗丸).Prescriptions are used to treat the root by har-monizing the zang-fu organs,nourish the spirit by regulating qi and blood,and calm the mind by taking special medi-cinals,and they should be flexibly modified according to the disease.

spermatorrheaheart spiritspirit controlling essence and qiexperience of famous doctorsLI Haisong

王润泽、李恪丞、王继升、韩亮、陈晔欣、黄圣、王彬

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北京中医药大学东直门医院,北京市东城区海运仓5号,100700

北京中医药大学

北京中医药大学房山医院

遗精 心神 神驭精气 名医经验 李海松

国家中医药局全国名中医传承工作室建设项目

401091403

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(11)
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