浙江中医药大学学报2025，Vol.49Issue(10)：1277-1282,6.DOI:10.16466/j.issn1005-5509.2025.10.009
彭煜从相火论治男科病学术经验
Academic Experience of Professor PENG Yu in Treating Male Diseases from the Perspective of Ministerial Fire
摘要
Abstract
[Objective]To summarize Professor PENG Yu's academic experience in treating male diseases from the perspective of ministerial fire.[Methods]Based on a thorough understanding of the pathogenesis of male diseases and their clinical manifestations,this study systematically summarizes the impact of ministerial fire on male physiology,the pathological characteristics of ministerial fire hyperactivity and its relationship with male diseases,and the principles and methods for treating male diseases from the perspective of ministerial fire.A typical clinical case was also presented as proof.[Results]Professor PENG believes that ministerial fire plays a crucial role in maintaining the growth,development,maturation and functional expression of male reproductive organs,thereby exerting a positive impact on male physiology.However,under pathological conditions,the hyperactivity of ministerial fire is characterized by its interaction with Yin deficiency,stimulation by sovereign fire,mutual disturbance with damp-heat,and the formation of phlegm and blood stasis.These pathological changes can induce some male diseases.In terms of treatment,emphasis is placed on nourishing the kidney water and purging the kidney fire,clearing the heart fire and purging the liver fire,resolving damp-heat,and dispersing phlegm and blood stasis.Specific therapeutic principles and formulas are established based on the unique pathogenesis of each male disease.In the typical case,the patient was diagnosed as a pattern of disharmony between the heart and kidney.The treatment involved clearing the heart fire,purging the kidney fire,nourishing the kidney water,and regulating the spleen and stomach,and was treated with modified Zhibai Dihuang Decoction combined with Nianmo Decoction for over one month,resulting in marked symptoms control.[Conclusion]Professor PENG Yu is adept at analyzing the pathogenesis of male diseases from the perspective of ministerial fire hyperactivity.He focuses on the treatment of male diseases with Yin-nourishing methods,using concise and flexible medication adjustments,thus providing new insights for the clinical differentiation and treatment of male diseases.关键词
男科病/血精/遗精/前列腺癌/慢性前列腺炎/前列腺增生/滋阴降火/相火Key words
male diseases/hematospermia/nocturnal emission/prostate cancer/chronic prostatitis/prostatic hyperplasia/nourishing Yin and reducing fire/ministerial fire分类
医药卫生引用本文复制引用
徐新宇,彭煜,朱文静,王韬毓,张杰,徐静,梁文浩,刘治,刘彦飞..彭煜从相火论治男科病学术经验[J].浙江中医药大学学报,2025,49(10):1277-1282,6.基金项目
国家自然科学基金项目(82174451) （82174451）
上海吴孟超医学科技基金会临床医学基础与应用研究专项基金(JHXM-2021018) （JHXM-2021018）
中医优势专科建设专项(YW(2023-2024)-01-04) National Natural Science Foundation Project(82174451) （YW(2023-2024）
Shanghai WU Mengchao Medical Science and Technology Foundation Clinical Medical Basic and Applied Research Special Fund(JHXM-2021018) （JHXM-2021018）
TCM Advantage Specialty Construction Project(YW(2023-2024)-01-04) （YW(2023-2024）
