崔云辨治遗精探析
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R277.5

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第六批全国老中医药专家学术经验继承工作项目(国中医药人教发〔2017〕29号);浙江省名老中医专家传承工作室建设计划项目(GZS20120030)


Discussion and Analysis on CUI Yun Treating Seminal Emission
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    摘要:

    崔云教授认为遗精的发生与心、肾两脏密切相关,心血不足、心脾两虚,则心神不安,夜梦遗精;肾虚不固、精关不藏,则精液妄泄;肾水不足、心火妄动,则水火失济,精液遗泄。火热之邪或湿热之邪循经下扰精室,痰瘀阻滞于精室,开合失度也是导致遗精的常见原因,临床亦需重视。治疗上常灵活采用滋阴、补肾、宁心、安神诸法,以使精安于位,闭藏而不妄泄,临床常用三才封髓丹加味治疗心肾不交型遗精,以归脾汤化裁治疗心脾两虚型遗精,以清平方加减治疗肾虚不固型遗精。崔云教授思辨灵活,遣方用药味少而精,收效显著,其经验值得临床借鉴。

    Abstract:

    Abstract:Prof. CUI Yun believes that seminal emission is closely related to the heart and kidney. He holds an opinion that heart blood insufficiency and heart-spleen deficiency lead to restless heart spirit and nocturnal emission;insecurity and deficiency of the kidney and the kidney fails to store the essence lead to the spontaneous seminal emission;insufficient kidney water and frenetic stirring heart fire lead to seminal emission. In Prof. CUI's opinion,dysfunction of the opening and closing of the essence chamber,which caused by the pathogens of fire- heat or dampness- heat moving along the channels and harassing the essence chamber and phlegm and stasis obstructing the essence chamber, is also a common cause of seminal emission,and should be attached great importance in clinical treatment. Therefore,the methods of enriching yin, supplementing the kidney, tranquilizing the heart and calming the mind are commonly adopted to ensure the essence stays in its position and to be stored and prevent spontaneous seminal emission. In clinical treatment, the modified Sancai Fengsui pellet is commonly used to treat seminal emission of the heart and kidney failing to interact type,the modified Guipi tang is used to treat the heartspleen deficiency type,and the modified Qingping prescription is used to treat the deficiency and insecurity of the kidney type. Prof. CUI has a flexible mind and the medicines he prescribed are simplified but accurate,so his experience should be regarded as a guidance in clinical treatment.

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应志康,徐新宇,管鹏飞,崔云,蒋富贵,沈泽铖,刘嘉豪,刘磊,闫译.崔云辨治遗精探析[J].新中医,2022,54(20):214-218

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  • 在线发布日期: 2022-10-28
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