浅谈《黄帝内经》的房劳致病思想

The Thought of Disease due to Excessive Sexual Intercourse on “Huangdi Neijing”

[目的]探讨《黄帝内经》中有关房劳的内容,以期加深对房劳的认识。[方法]通过认真研读《黄帝内经》中与房劳相关的条文,结合历代注家的观点,整理并分析《内经》中的房劳理论。[结果]《内经》中关于房劳的理论已较为完善,认为"太过"是根本原因,房劳类型可分为房事过多、醉饱行房、思想太过三种,病位主要在肾、肝、脾三脏,病机主要为汗出表不固与耗气伤精,明确提到房劳所致的疾病有内风、内热、热厥、血枯、早衰,还强调房事有节、色欲有度、守天忌及房中术对养生的重要性。[结论]对《内经》的房劳理论进行研究,有利于辨证,提高房劳病的临床疗效,亦有助于深入了解中医病因理论及发病观。

[Objective]The excessive sexual intercourse in ＂Huangdi Neijing＂ has been discussed in order to deepen the cognition on excessive sexual intercourse. [Method]The theory of excessive sexual intercourse in ＂Huangdi Neijing＂ has been collecting and analyzing through studying the relevant literature about excessive sexual carefully, as well as comments from all dynastic doctors. [Result]The theory of excessive sexual intercourse in ＂Huangdi Neijing＂ is relatively refined.It thinks the primary cause is too much. Excessive sexual intercourse can be divided into three types： excessive sexual intercourse, sexual intercourse after drunken and too much sexuality. The location of disease is majorly in the kidney, the liver and the spleen. The pathogenesis is exterior deficiency after sweating and the consumption of qi and essence. The names of diseases clearly mentioned are internal wind, internal fire, heat syncope, blood depletion and progeria. ＂Huangdi Neijing＂ also emphasizes the importance of moderate sexual activity and sexuality, observing natural taboos and sexual skills to preserve one＇s health. [Conclusion]The research of theory of excessive sexual intercourse in ＂Huangdi Neijing＂ contributes to differentiate syndrome,improve the curative effect of the disease due to excessive sexual intercourse and deepen the cognition on the theory of Chinese medical disease cause and morbidity.