李曰庆治疗血精药对浅析

Analysis of LI Yue-qing’s experience on couplet medicines for hematospermia

血精在临床上属于男科的常见病、多发病,其发病机制主要与精囊的炎性改变密切相关。中医学对本病的认识比较早,治疗方法丰富。李曰庆教授认为血精之病机当分期而辨,初期多实证,以湿热邪毒多见;中期多虚实夹杂,以瘀血阻络多见;日久偏虚证,以气阴两虚为著。李曰庆教授对本病的辨治经验丰富,见解有独到之处,强调宏观与微观相结合,辨证与辨病相结合,中医与西医相结合,身心同治,疗效确切,现对其治疗思路及常用药对做一浅析,以供同道相互借鉴。

Hematospermia is a common and frequently-occurring disease in andrology clinically,and its pathogenesis is closely related to the inflammatory changes of the seminal vesicles.Traditional Chinese medicine has a relatively early understanding of this disease and has the rich treatment methods.Professor LI Yue-qing believes that the pathogenesis of hematospermia should be differentiated by stages.In the early stage,there are more excess syndrome,and damp-heat evil toxins are more common;In the middle stage,there are multiple deficiency and excess,and blood stasis is more common;In the later stage,the deficiency syndrome is more common,and the deficiency of both qi and yin is more common.Professor LI Yue-qing has rich experience in the diagnosis and treatment of this disease,with unique insights,emphasizing the combination of macro and micro,the combination of syndrome differentiation and disease differentiation,the combination of traditional Chinese medicine and Western medicine,and the treatment of both body and mind,and it could get definite curative effect.Now the authors analyze his specific trentment thoughts and common couplet medicines for mutual reference.