山东中医药大学学报2025，Vol.49Issue(4)：417-423,7.DOI:10.16294/j.cnki.1007-659x.2025.04.003
基于"脏腑别通"理论辨治勃起功能障碍
Syndrome Differentiation and Treatment of Erectile Dysfunction Based on Theory of"Zang-Fu Organs Extraordinary Connection"
摘要
Abstract
This paper discusses syndrome differenti-ation and treatment of erectile dysfunction(ED)based on the theory of"zang-fu organs extraordinary connection".It holds that the function of penis and testes is closely related to heart,liver and kidney,and advocates that imbalance of qi movement and malnutrition of penis and testes are the core pathogenesis of ED.Regulating heart and gallbladder,liver and large intestine,kidneys and triple energizer should be used in the treatment.In cases of disharmony of heart qi and insufficient ascending of gallbladder qi,the treatment principle is to have monarch and minister assist each other,nourish heart and regulate spirit to promote the ascending of gallbladder qi.A modified formula combining Chaihu Guizhi Ganjiang Decoction(柴胡桂枝干姜汤)and Yangxin Decoction(养心汤)is used.Acupuncture is applied at acupoints such as Qiuxu(GB40),Yanglingquan(GB34),Diwuhui(GB42),Shenmen(HT7),Lingdao(HT4),Shaohai(HT3),Baihui(DU20)and other points.If liver fails to course and dredge,and large intestine fails in conduction,the treatment principle is to promote the interaction between metal and wood,relax bowels and moisten intestines to smooth liver qi.A modified formula combining Maziren Pills(麻子仁丸)and Chaihu Shugan Powder(柴胡疏肝散)is used.Acupuncture is applied at acupoints such as Hegu(LI4),Pianli(LI6),Quchi(LI11),Zhigou(SJ6),Tianshu(ST25),Taichong(LR3),Ligou(LR5),Ququan(LR8)and other points.When there is deficiency of kidney essence and disturbance of qi transformation of triple energizer,the treatment principle is to tonify middle-energizer while promoting circulation,warm kidney and replenish essence to benefit triple energizer.A modified formula combining Jingui Shenqi Pills(金匮肾气丸)and Siwu Decoction(四物汤)is used,with the addition of Tusizi(Cuscutae Semen),Yinyanghuo(Epimedii Folium),and Suoyang(Cynomorii Herba).Acupuncture is applied at acupoints such as Shenshu(BL23),Mingmen(DU4),Gaohuang(BL43),Baliao(BL33),Taixi(KI3),Zhongzhu(SJ3),Waiguan(SJ5),Huizong(SJ7)and other points.关键词
勃起功能障碍/脏腑别通/气机失调/宗筋失养/脏腑同调/针药并用Key words
erectile dysfunction/zang-fu organs extraordinary connection/imbalance of qi movement/malnutrition of penis and testes/simultaneous regulation of zang-fu organs/combined use of acupuncture and herbal medicine分类
医药卫生引用本文复制引用
方敦林,胡万春,刘通,张畅畅,彭鹏鹏,周梅芝,张俊杰,刘星..基于"脏腑别通"理论辨治勃起功能障碍[J].山东中医药大学学报,2025,49(4):417-423,7.基金项目
国家自然科学基金委员会面上项目(编号:82174482) （编号:82174482）
广东省第二中医院科研创新基金项目(编号:SEZYY2023B04) （编号:SEZYY2023B04）
广东省基础与应用基础研究基金项目(编号:2022A1515220157) （编号:2022A1515220157）
