基于阴虚理论探讨早泄病机与治疗OA
Pathogenesis and Treatment of Premature Ejaculation Based on the Theory of Yin Deficiency
早泄是一种常见的性功能障碍,可严重打击患者的自信心和破坏夫妻关系的和谐.目前多数学者认为早泄由情志内伤、湿热侵袭、纵欲过度、久病体虚所致,笔者导师通过长期临床实践,认为阴虚火旺是早泄的主要病机之一.在人体生殖机能调控体系里,心、肝、肾三脏关联紧密且协同主宰精液藏泄,心阴虚则神无所依、烦躁焦虑,难以把控射精节奏;肝阴虚则宗筋失养,肝失疏泄,精液藏泄无序;肾阴虚则相火妄动,封藏失司.基于阴虚理论,诊疗遵滋补心阴、镇心安神,滋阴养肝、清泻相火,滋补肾阴、固肾涩精,升水降火、交通心肾.该法在临床实践中成效颇佳,早泄患者性生活质量获得显著提升.拟基于阴虚理论刍议早泄的病机和论治思路,并附验案以供同道参考.
Premature ejaculation(PE)is a common sexual dysfunction,which can seriously damage the patient's self-confidence and destroy the harmony of the relationship between husband and wife.At present,most scholars believe that PE is caused by emotional internal injury,damp-heat invasion,excessive desire,and chronic disease.Through long-term clinical practice,the author's tutor believes that yin deficiency and fire exuberance is one of the main pathogenesis of PE.In the regulation system of human reproductive function,the heart,liver and kidney are closely related to each other and jointly dominate the storage and discharge of semen.Heart yin deficiency leads to no support for the spirit,irritability and anxiety,and it is difficult to control the rhythm of ejaculation.Liver Yin deficiency is Zongjin malnutrition,liver failure,semen storage and discharge disorder;the kidney yin deficiency is the fire of the fire,and the storage is out of control.Based on the theory of yin deficiency,the diagnosis and treatment follow the principle of nourishing heart yin,calming the heart and tranquilizing the mind,nourishing yin and nourishing liver,clearing and purging ministerial fire,nourishing kidney yin,consolidating kidney and astringing essence,ascending water and descending fire,and communicating heart and kidney.This method has achieved good results in clinical practice,and the quality of sexual life of patients with PE has been significantly improved.Based on the theory of yin deficiency,this paper discusses the pathogenesis and treatment of PE,and attaches a case for reference.
郭保君;朱坤;杨鹏宇;昌玥;尤耀东
成都中医药大学附属医院,四川 成都 610075成都中医药大学附属医院,四川 成都 610075成都中医药大学附属医院,四川 成都 610075成都中医药大学附属医院,四川 成都 610075成都中医药大学附属医院,四川 成都 610075
医药卫生
早泄阴虚精关不固滋阴降火
premature ejaculationYin deficiencythe essence is not solidnourishing Yin and reducing fire
《陕西中医药大学学报》 2026 (3)
64-69,6
四川省科技厅创新苗子工程培育项目(2017041)
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