湖南中医药大学学报2025，Vol.45Issue(4)：719-724,6.DOI:10.3969/j.issn.1674-070X.2025.04.020
基于"玄府-气血-络脉"理论探讨阴茎异常勃起的因机证治
Etiology,pathogenesis,pattern differentiation and treatment of priapism based on the theory of"mysterious mansion-qi and blood-collaterals"
摘要
Abstract
Priapism refers to a condition in which the penis remains erect and cannot become flaccid after sexual excitement or orgasm,resulting in prolonged and painful erections.According to its clinical manifestations,ancient and modern practitioners of Chinese medicine classify priapism under categories such as"penis rigidity","prolonged penis erection",and"persistent erection".As the basic structure that regulates the filling and drainage of qi and blood in the penis,"mysterious mansion(a collective term for the minute structures through which qi,blood and body fluids circulate and move)-collaterals"participates in the whole process of penile erection and detumescence,and is the key to ensure the normal erection of the penis.Based on the theory of"mysterious mansion-qi and blood-collaterals",the core pathogenesis of this condition is emphasized as"disorder of mysterious mansion,obstruction of collaterals,and dysfunction of penis."It covers three pathological stages:exuberant fire in the liver and gallbladder causing the blockage of mysterious mansion and collaterals;yin deficiency and yang hyperactivity causing mysterious mansion disharmony and collateral malnutrition;phlegm and blood stasis obstructing mysterious mansion and collaterals.The treatment approach centers on"regulating the mysterious mansion and unblocking the collaterals."According to different pathological stages,it derives three foundational treatment strategies:soothing the liver and reducing fire,unblocking the collaterals and activating the mysterious mansion;nourishing yin and reducing fire,moistening the collaterals and nourishing the mysterious mansion;eliminating stasis and resolving phlegm,unblocking the collaterals and opening the mysterious mansion.Overall,the treatment emphasizes the principle of"applying unblocking as the essential."This paper aims to provide a new perspective for the clinical pattern differentiation and treatment of priapism.关键词
阴茎异常勃起/玄府/气血/络脉/以通为用/辨证论治Key words
priapism/mysterious mansion/qi and blood/collaterals/applying unblocking as the essential/pattern differ-entiation and treatment分类
医药卫生引用本文复制引用
韦一,洪志明,邱俊峰,陈子龙,王胜杰,陈文铄,张廉勤,陈春秀..基于"玄府-气血-络脉"理论探讨阴茎异常勃起的因机证治[J].湖南中医药大学学报,2025,45(4):719-724,6.基金项目
国家自然科学基金青年科学基金项目(82305229) （82305229）
中国中医科学院科技创新工程重大攻关项目(CI2021A02208) （CI2021A02208）
深圳市中医重点专科建设项目(深卫健中医[2019]22号) （深卫健中医[2019]22号）
深圳市科技计划资助项目(JCYJ20230807094759010,JCYJ20220531092201002). （JCYJ20230807094759010,JCYJ20220531092201002）
