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从精室络脉探讨精索静脉曲张的病机及辨治

王安民 马东岳 赵子维 王浩 常洪源 骆第铖 王福

北京中医药大学学报2025,Vol.48Issue(2):229-234,6.
北京中医药大学学报2025,Vol.48Issue(2):229-234,6.DOI:10.3969/j.issn.1006-2157.2025.02.012

从精室络脉探讨精索静脉曲张的病机及辨治

Discussing the pathogenesis and treatment of varicocele based on the essence chamber collaterals

王安民 1马东岳 1赵子维 1王浩 1常洪源 1骆第铖 1王福1

作者信息

  • 1. 中国中医科学院西苑医院男科 北京 100091
  • 折叠

摘要

Abstract

Varicocele is a common disease of the male reproductive system,and the pampiniform plexus in the spermatic cord manifests abnormal dilatation,extension,and circuity,which is a vasculopathy.In this article,we believe that the relevance of the essence chamber collaterals to the spermatic vein in terms of anatomical morphology and physiological function is high and that when pathogenic qi invades the essence chamber,the qi and collaterals of the essence chamber are out of harmony,the fluid collaterals are impassable,and the blood collaterals are obstrcuted,and the essence chamber collaterals are blockaded with several pathological products,and even intermingled phlegm and blood stasis in the blood collaterals and form vascular clusters,resulting in the formation and development of varicocele.Based on this,this article proposes the core treatment principle of healing,harmonizing,activating,and dredging the collaterals,with the basic treatment method of nourishing qi and harmonizing collaterals,activating blood collaterals,and dredging blood stasis to,respectively treat degree Ⅰ,Ⅱ,and Ⅲ varicocele,aiming to prevent the change of the varicocele,dredge the curvature of the varicocele,and dissipate the knots of the varicocele.The proposal of essence chamber collaterals is of great significance to understanding the common law and pathological aspects of the occurrence and development of essence collateral and vascular lesions from the perspective of integrated traditional Chinese and Western medicine.

关键词

精室络脉/精索静脉曲张/气络/血络

Key words

essence chamber collaterals/varicocele/qi collaterals/blood collaterals

分类

医药卫生

引用本文复制引用

王安民,马东岳,赵子维,王浩,常洪源,骆第铖,王福..从精室络脉探讨精索静脉曲张的病机及辨治[J].北京中医药大学学报,2025,48(2):229-234,6.

基金项目

国家自然科学基金项目(No.82174217,No.82474322) National Natural Science Foundation of China(Nos.82174217 and 82474322) (No.82174217,No.82474322)

北京中医药大学学报

OA北大核心

1006-2157

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