王万春教授从脾、肾论治男科病经验拾萃

Professor WANG Wanchun's experience collection in treating andrology from the perspective of spleen and kidney

王万春教授深耕临床多年,针对男性病积累了大量经验,认为男科病现多由脾、肾不调为诱因,提出“青年多因脾虚,老年多见肾虚”“脾肾互根,补脾则肾精得充,益肾则脾气盈满”。脾为后天之本,肾为先天之本,男科病多为先天禀赋不足加之后天失于濡养,故治疗上常以调脾理肾为纲,佐以疏肝理气之法论治。脾肾阳虚者,多予菟丝子、枸杞子、山茱萸等温补脾肾,助阳化气;脾肾气虚者,多予山药、人参、淫羊藿等益脾强肾,补益气血。夹湿者,多予茯苓、白术燥湿利水;血瘀者,多予牡丹皮、当归活血化瘀。临床疗效良好,兹录其从脾、肾论治男科病医案4则,以飨同道。

Professor WANG Wanchun has accumulated rich experience in the treatment of male diseases for many years and put forward that male diseases were mainly caused by the spleen and kidney disorder.He proposes that"spleen deficiency is common among the youth while kidney deficiency is usually seen among the elderly",and"the spleen and kidney influence each other;kidney essence can be nourished by tonifying the spleen;the spleen qi is nourished by tonifying the kidney".Since the spleen is the foundation of acquired constitution while the kidney is the foundation of congenital constitution,male diseases are mostly caused by the insufficiency of the congenital constitution and acquired malnutrition.So,they are treated mainly by regulating the spleen and kidney,combined with soothing the liver and regulating qi.In the case of yang deficiency in the spleen and kidney,Tusizi(Semen Cuscutae),Gouqizi(Fructus Lycii),Shanzhuyu(Fructus Corni)etc.are used to warm and tonify the spleen and kidney and assist yang to dissipate qi.In the case of qi deficiency of spleen and kidney,Shanyao(Rhizoma Dioscoreae),Renshen(Radix et Rhizoma Ginseng),Yinyanghuo(Herba Epimedii)etc.are given to supplement the spleen and kidney as well as tonify qi and blood.When it is complicated with dampness,Fuling(Poria)and Baizhu(Rhizoma Atractylodis Macrocephalae)are administered to dry dampness and promote urination.When it is complicated with blood stasis,Mudanpi(Cortex Moutan)and Danggui(Radix Angelicae Sinensis)were given to circulate blood and dissolve stasis.The curative effect is remarkable.Thus,we share 4 medical records of treating male diseases from the perspective of spleen and kidney here.