摘要
遗精是指成年男性非性生活时精液自行泄出。金保方教授强调要区分生理性和病理性遗精,辨证首分虚实,辨别脏腑病机。治疗应以补虚摄精、祛邪止遗为原则。初病时君相火旺,心肾不交,应清心安神,疏泄相火;湿热下注,精失固涩者,法当清热利湿;气虚不摄精者,治以补气摄精;久遗伤肾,下元虚衰者,当补虚固本,固精止遗。临证切不可一味单纯补肾固涩,犯虚虚实实之戒。遗精时切勿中途忍精,以免败精流注,致生他变。将男性生殖系统的解剖、病理生理、病位、病性及患者的心理融入到施治过程中,取得了满意的疗效。
Spermatorrhea means that there is the spontaneous sperm ejaculation without sex activities. Professor JIN Baofang differentiates them spermatorrhea into physiological and pathological types,divides this disease into deficient and excessive types,and summarizes its disease mechanism. In the early stage,the monarch and minster fire are strong and heart and kidneys fail to interact ,and therefore the treatment should be clearing the heart and calming the mind,dispersing the minister fire. When there is the downward flow of damp heat,and the sperm is not consolidated,the method should be clearing the heat and removing dampness;when there is Qi deficiency failing to consolidate,the treatment should be tonifying Qi to hold sperm; when spermatorrhea lasts for long time,resulting deficient and weak lower origins,the treatment should be tonifying the original Qi to stop spermatorrhea. During the treatment,doctor should avoid tonifying kidney and consolidating alone. Otherwise,the deficient will be more deficient and the excessive will be more excessive. When there is the occurrence of Spermatorrhea,the patient should not try to stop. Otherwise,the sperm will flow to other place and cause more diseases. Professor JIN applied the knowledge of male reproductive anatomy,pathology,physiology and psychology into the treatment and the effect was satisfactory.
出处
《山东中医杂志》
2016年第1期68-69,共2页
Shandong Journal of Traditional Chinese Medicine
关键词
遗精
腰椎间盘突出症
金保方
spermatorrhea
protrusion of lumbar intervertebral disc
JIN Baofang
