戴宁教授针药结合治疗功能性不射精症经验

Professor DAI Ning’s experience in treating functional ejaculation by combining acupuncture and medicine

戴宁教授认为功能性不射精症主要责之肾虚与血瘀,亦有阴虚、湿热及肝郁的不同,藉此将不射精症分为肾阳亏虚型、瘀阻精道型、肝郁化火型、湿热下注型及阴虚火旺型5种,并分别予以输精管2号方、排精汤、丹栀逍遥散、四妙丸及知柏地黄丸治疗,尤其输精管2号方与排精汤均为戴教授多年临证经验的总结,两方的联合使用对肾虚合并血瘀型不射精症具有显著的治疗效果。同时注重针刺辅助疗法的参与,主张针药结合治病,并重视调节饮食、使用音乐及运动疗法调节情志,系列效法效方对临床具有较大指导意义。

Professor DAI Ning thought that the functional ejaculation was mainly caused by deficiency of the kidney and blood stasis,also caused by deficiency of yin,damp and heat and liver stagnation.According to those,he divided the functional ejaculation into five syndromes,which were kidney yang deficiency,blood-stasis resistance seminal duct,depression of the liver generates pathogenic fire,downward flow of damp-heat and hyperactivity of fire due to yin deficiency,and respectively treated those syndromes with Seminal Duct No.2,Paijing Decoction,Danzhi Xiaoyao Powder,Simiao Pills and Zhibo Dihuang Pills.Especially Seminal Duct No.2 and Paijing Decoction were the summaries of professor DAI’s clinical experience over the years,the combination of the two prescriptions has a significant therapeutic effect on functional ejaculation caused by deficiency of the kidney and blood stasis.At the same time,Professor DAI also pays attention to the participation of acupuncture auxiliary therapy,advocates the combination of acupuncture and medicine for treatment,and attaches importance to the adjustment of diet,the use of music and sports therapy to regulate emotion.The series effect prescription has great guiding significance for the clinical.