从脾胃论治阳痿

Treating Impotence from Spleen and Stomach

摘要: 阳痿的治疗古今虽然主要围绕肝肾，但脾胃也是重要的治疗方向。脾胃为后天之本，运化水谷精微，传输供养全身。如果脾脏运化功能失常，肾所藏先天之精以及其化生的元气，得不到脾气运化的水谷之精的充养，无法发挥其正常的生理功能，最终造成生长发育不良，生殖机能低下。故从中医生理病理角度而言，从脾胃论治阳痿有其临床意义。临床一般分为以下几个证型：脾胃虚弱证方选参苓白术散加减；心脾两虚证方选归脾汤加减；肝郁脾虚证方选柴胡疏肝散加减；脾肾两虚证阳虚者方选右归丸加参苓白术散；阴虚者方选左归丸加参苓白术散；痰湿中阻方用二陈汤加减；暑湿困脾证方选三仁汤加减。

Abstract: Impotence treatment in ancient and modern although mainly around the liver and kidney, but the spleen and stomach is also an important direction of treatment. The spleen and stomach is the foundation of the day after tomorrow, transporting the essence of water and grain and feeding the whole body. If the spleen transport function is abnormal, the innate essence stored in the kidney and its transformed vitality cannot be nourished by the essence of the temper transport of water and grain, and cannot play its normal physiological function, eventually resulting in growth and development, low reproductive function. Therefore, from the physiopathological point of view of Traditional Chinese medicine, treating impotence from the spleen and stomach has its clinical significance. Clinical symptoms are generally divided into the following types: spleen and stomach weakness syndrome prescription shenling Baizhu Powder plus or minus; spleen-heart deficiency and spleen-heart deficiency decoction; the prescription of liver stagnation and spleen deficiency was chaihu Shugan Powder. Spleen-kidney deficiency syndrome Yang deficiency prescription choose Yougui pill plus Shenling Baizhu Powder; Yin deficiency side choose zuogui pill and Shenling Baizhu powder; Add and subtract erchen decoction for dampness and phlegm; Heat and dampness trapped spleen side choose sanren decoction.