摘要
遗精是以不因为性生活而精液自行频繁泄出为主要临床表现的病证。自《黄帝内经》时期就已有相关论述,后世医家对其也各有论述,一般认为遗精分为有梦和无梦两型,其中有梦为心病,无梦为肾病。汪机、叶天士、孙一奎三位新安医家不仅总结了前人的经验,也提出了自己的看法。总的来说,他们认为遗精主要是由外邪侵袭、饮食不节、情志失调等导致肾阴亏虚、心肾不交、湿热壅盛、肝郁气滞引起的,涉及脏腑有心、肾、脾、肝。这些思想可指导临床应用,尤其是在肝的论述,可为临床治疗提供一种新的治疗思路。
Nocturnal emission is the main clinical manifestation of semen spontaneous and frequent spontaneous release not due to sex.There have been related discussions since the period of Huangdi Neijing,and later generations of physicians have also discussed them.Generally,spermatorrhea is divided into two types:dreaming and dreamless.Among them,dreams are heart disease,and dreams are kidney disease.The three Xin’an physicians WANG Ji,YE Tianshi,and SUN Yikui not only summarized the previous experience,but also put forward their own opinions.In general,they believe that spermatorrhea is mainly caused by the invasion of external evils,improper diet,emotional imbalance,etc.,which lead to deficiency of kidney yin,inadequacy of the heart and kidney,damp-heat congestion,stagnation of liver and Qi,and it involves the heart and kidneys.Spleen,liver.These ideas can guide clinical applications,especially in the discussion of the liver,and can provide a new treatment idea for clinical treatment.
作者
祝锦
朱俊
杨丽
李姿慧
ZHU Jin;ZHU Jun;YANG Li;LI Zihui(Anhui University of Chinese Medicine,Anhui Hefei 230038,China)
出处
《中医药临床杂志》
2020年第12期2231-2233,共3页
Clinical Journal of Traditional Chinese Medicine
关键词
新安医家
遗精
论治
Xin’an doctor
Spermatorrhea
Treatment
