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张仲景治疗遗精学术思想与辨治规律探析

张哲 耿强 孙远 柳志明 廖智慧 王天一 肖靖 李昕航 赵丰 陈少峰

国医论坛2026,Vol.41Issue(3):5-8,4.
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国医论坛2026,Vol.41Issue(3):5-8,4.

张仲景治疗遗精学术思想与辨治规律探析

Exploration on ZHANG Zhongjing's Academic Thought and Regularity of Syndrome Differentiation and Treatment for Spermatorrhea

张哲 1耿强 1孙远 1柳志明 1廖智慧 1王天一 1肖靖 1李昕航 1赵丰 1陈少峰1

作者信息

  • 1. 天津中医药大学第一附属医院男病科,天津 300193||中医国家临床医学研究中心,天津 300193
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摘要

Abstract

This study systematically reviewed four original passages concerning"Shi Jing"(Spermatorrhea)in the Synopsis of Golden Chamber,together with three representative formulas-Guizhi Jia Longgu Muli Decoction,Xiaojianzhong Decoction,and Tianxiong Powder-to explore ZHANG Zhongjing's academic thought and patterns of syndrome differentiation and treatment for spermatorrhea.ZHANG's management of spermatorrhea was guided by the therapeutic principles of"deficiency as the root,the triple energizer as the framework,balance as the method,and simultaneous regulation of form and spirit."Rather than directly astringing semen,treatment empha-sized reinforcing deficiency to restore the body's intrinsic capacity to secure essence.This study provides a clas-sical theoretical model for the modern clinical management of spermatorrhea and offers important guidance for clinical practice.

关键词

遗精/虚劳/桂枝加龙骨牡蛎汤/小建中汤/天雄散/《金匮要略》/张仲景学术学说研究

Key words

Spermatorrhea/Consumptive disease/Guizhi Jia Longgu Muli Decoction/Xiaojianzhong Decoction/Tianxiong Powder/Synopsis of Golden Chamber/Research on ZHANG Zhongjing's academic doctrine

分类

医药卫生

引用本文复制引用

张哲,耿强,孙远,柳志明,廖智慧,王天一,肖靖,李昕航,赵丰,陈少峰..张仲景治疗遗精学术思想与辨治规律探析[J].国医论坛,2026,41(3):5-8,4.

基金项目

国家自然科学基金面上项目(82474513) (82474513)

国家自然科学基金青年项目(82405406) (82405406)

中国中医药信息学会科研项目(CIA-2022-FKFH-001) (CIA-2022-FKFH-001)

天津市卫生健康委员会中医中西医结合科研专项课题(2023023). (2023023)

国医论坛

1002-1078

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