从“脑-心-肾-精室”轴的用药观探讨羊藿三七方治疗阳痿

Discussion on Yanghuo Sanqi Fang in the treatment of impotence based on the principles and rules for medication of“brain-heart-kidney-essence chamber”axis

阳痿的病因与阳虚失温、虚寒内生、凝泣血脉有关,而表现为肾虚血瘀证。基于“脑-心-肾-精室”轴用药观的指导,应用羊藿三七方治疗本病,以其禀整体与局部同治之意,达到补肾阳兼温一身之阳、善活血而疏通周身的目的,兼具补而不滞、温而不燥等优势。因此,本文探讨肾虚血瘀型阳痿的中医机制,引出“脑-心-肾-精室”轴用药思路的重要意义,基于该理论剖析羊藿三七方的具体方义及相关临证经验,并举验案,以资临床。

The cause of impotence is related to yang deficiency,presence endogenous weakness,and cold,and blood stasis stagnating collaterals.The syndrome of kidney deficiency and blood stasis can be shown.On the basis of principles and rules for medication involved in“brain-heart-kidney-essence chamber”axis,Yanghuo Sanqi Fang treats this disease with its features of treating the whole and the part at the same time to achieve the purposes of tonifying yang in kidney and then being beneficial to the yang of whole body,and making the blood be smooth,so that it can be good for the entire body’s blood flowing.It also has advantages like supplementing without stagnation,warm but not dry,and so on.Thus,this paper discusses Chinese medicine mechanism of impotence in kidney deficiency and blood stasis,eliciting the important meaning about“brain-heart-kidney-essence chamber”axis’s principles and rules for medication.And then,based on the axis,we analyze the specific meaning and experience of Yanghuo Sanqi Fang and give an example for clinical references.