基于“脑-心-肾-精室”轴的男科用药原则与规律探讨

Principles and rules for andrological medication based on the axis of"brain-heart-kidney-essence chamber"

"脑-心-肾-精室"轴理论,旨在概括和把握男科发病规律,指导男科辨证与用药,是中医男科理论体系的构建和补充。该轴核心为:脑、心、肾为一个整体,在男科疾病发病中起主导作用。以"脑神"作为环境因素、社会压力因素和心理因素等当代社会男科病致病因素的概括;以与男科病发病关系最直接、最密切的"肾"作为脏腑辨证体系的核心;"精室失用"为男科发病的最终环节。本文基于该轴理论探析遣方用药特色,总结常用药物组合、经验药对和特殊用药,以期在该轴理论框架下,更好的指导男科临床用药。

The theory of the"brain-heart-kidney-essence chamber"axis,which supplements and contributes to the construction of the andrological theory system of traditional Chinese medicine,aims to summarize and grasp the laws of andrological pathogenesis and guide andrological syndrome differentiation and medication.The core concept of the axis is that the brain,heart and kidney act as a whole and play a vital role in the onset of male diseases."Brain god"is used to embrace the environmental,social pressure,psychological and other pathogenic factors for male diseases in contemporary society.The kidney,which is directly and closely related to the onset of male diseases,is considered as the core of the syndrome differentiation system of zang-fu organs.The abuse of the essence chamber is the final link in the onset of male diseases.Based on this theory,the author outlines the characteristics of prescription selection and summarizes the combinations of common,experienced and special drugs,aiming to provide a better guidance for clinical medication in andrology.