从《素问·痿论》浅析赖海标辨治阳痿经验
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R249

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2023年度中山市第一批社会公益与基础研究项目(医疗卫生一般项目) 中山市科技局课题(2023B1122);广东省中医药局科研课题 面上项目(20231376)


Analysis of LAI Haibiao's Experience in Syndrome Differentiation and Treatment of Erectile Dysfunction Based on Chapter 44 of Su Wen
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    摘要:

    赖海标教授认为,阳气郁阻与宗筋失养是阳痿的基本病机,并结合现代背景特点,主张首要重视 从保护脾胃腐熟运化功能来治疗阳痿。在临床治疗时常直接调理脾胃或以调理他脏间接地调理脾胃,并就此提 出“通补俞荥不离阳明”的学术观点。现通过中医经典理论溯源,从《素问·痿论》中“调其虚实,和其顺 逆”的治疗纲领出发,自“五脏使人痿”“治痿者独取阳明”“各补其荥而通其俞”三个方面切入,浅析赖海标 教授临床治疗思路,阐发其“通补俞荥不离阳明”的临证经验,以便能够更加清晰地明确当下阳痿的核心病 因,有侧重地进行辨证论治。

    Abstract:

    Abstract:Professor LAI Haibiao believes that the basic pathogenesis of erectile dysfunction is the obstruction of yang qi and the lack of nourishment to the sinew channels. Combining the characteristics of the modern context, he advocates primarily focusing on protecting the spleen and stomach's function of decomposition, transportation, and transformation to treat erectile dysfunction.In clinical treatment,he often directly regulates the spleen and stomach or indirectly regulates them by regulating other viscera, and thus proposes the academic viewpoint of "tonifying and unblocking theShu andYing acupoints with the care of the Yangming meridian." This paper traces back to the source of classic Chinese medicine theory, starting from the treatment principle of " regulating the deficiency and excess, harmonizing along or against the meridian " in Chapter 44(Theory of Atrophy)ofSu Wen (Plain Questions) and analyzes Professor LAI Haibiao's clinical treatment ideas from three aspects: " the five viscera cause atrophy, " "treating atrophy by exclusively taking the Yangming meridian, "and"supplementing their Ying acupoints and unblocking theirShu acupoints." It elaborates on his clinical experience of "tonifying and unblocking theShu andYing acupoints with the care of the Yangming meridian, " in order to more clearly identify the core causes of erectile dysfunction and focus on syndrome differentiation and treatment.

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尹因昊,黄智峰,薛莹,谭志琴,王山云,陈奕君,指导:曾建峰.从《素问·痿论》浅析赖海标辨治阳痿经验[J].新中医,2025,57(18):212-217

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  • 在线发布日期: 2025-09-25
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