从五脏气化论阳痿辨治思路
Journal of Shandong University of Traditional Chinese Medicine（2022）
Abstract
五脏气化是气血津液等基本生命物质生化、排泄的基础,人体组织器官正常运行赖于五脏气化对人体的调控.五脏气化对阴茎正常勃起有至关重要的作用,五脏气化功能失调皆可致阳痿.具体而言,心气不足、心神失养、心阳不振可致阳痿,治宜益气养心,安养心神,振奋心阳;肺气不足、气血不畅、肺失宣肃可致阳痿,治宜补肺益气,调畅气血,清热利湿;脾气亏虚、血失统摄可致阳痿,治宜健脾益气,濡养宗筋;肝气郁滞、肝气虚而不升、肝血不足可致阳痿,治宜疏肝理气,养血助肝;肾气亏虚、阴阳失和亦可致阳痿,治宜补肾益气,调和阴阳.通过阐述五脏气化理论依据,从五脏气化功能失调论治阳痿,辨证与辨病结合,灵活遣方用药,为中医药治疗阳痿提供理论依据.
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