| 吴丽通,李其信,车祖钊,等.李其信教授基于“体病相关”论辨治血精经验浅析[J].浙江中医药大学学报,2021,45(3):278-281. |
| 李其信教授基于“体病相关”论辨治血精经验浅析 |
| Professor LI Qixin‘s Experience in Treating Hematospermia Based on the Theory of “Body Disease Correlation” |
| DOI：10.16466/j.issn1005-5509.2021.03.015 |
| 中文关键词: 血精 体病相关 辨体论治 中医体质 名医经验 李其信 诊疗模式 医案 |
| 英文关键词: hematospermia body disease correlation treatment based on body differentiation constitution of traditional Chinese medicine experience of famous doctor LI Qixin diagnosis and treatment mode medical records |
| 基金项目:深圳市宝安区科技计划基础研究项目(2019JD332)；广东省基层老中医药专家传承工作室建设项目(粤中办函[2020]1号)；深圳市科技计划项目(JCYJ20180302144752020) |
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| 中文摘要: |
| [目的]探讨李其信教授基于“体病相关”中医体质理论辨治血精的临床经验。[方法]通过跟师门诊学习，整理相关病例，从体质与血精的相关性、血精常见类型、血精辨体论治三个方面，分析总结李其信教授治疗血精的临床经验，并附两则经典病案加以验证。[结果]李其信教授认为血精与体质偏颇状态高度相关，临床上血精患者体质特点以阴虚体质、湿热体质、血瘀体质为主。治疗上，阴虚体质重在滋阴培本，辅以清热；湿热体质强调分清湿热，注重凉血止血；血瘀体质以活血祛瘀为主，兼行补气行气之法。在辨病辨证的基础上，结合辨体论治，调理偏颇体质，标本兼治。所举病案一为阴虚体质，以滋阴泻火、凉血安络为法，方选知柏地黄丸加减；病案二为湿热体质，以清热利湿、凉血止血为法，方选龙胆泻肝汤加减。[结论]李其信教授根据“体病相关”论诊治血精患者，开辟了临床诊治血精的新思路、新方法，疗效显著，值得借鉴。 |
| 英文摘要: |
| [Objective]To investigate Professor LI Qixin‘s clinical experience in treating hematospermia based on the theory of “body disease correlation”.[Methods]Through studying with the teachers in the outpatient department and sorting out relevant cases， the clinical experience of Professor LI Qixin in the treatment of hematospermia was analyzed and summarized from three aspects of the correlation between constitution and hematospermia， common types of hematospermia， and the differentiation of hematospermia， and two classic medical records were added for verification.[Results] Professor LI Qixin believes that the occurrence of hematospermia is highly correlated with the constitutional bias. In clinical practice， the constitutional bias of patients with hematospermia is mainly characterized by Yin deficiency constitution， damp-heat constitution and blood stasis constitution. In terms of treatment， Yin deficiency constitution focuses on nourishing Yin and cultivating the essence， supplemented by clearing heat. The treatment of damp-heat constitution emphasizes clearing damp-heat and cooling blood to stop bleeding， while the treatment of blood stasis constitution is mainly to promote blood circulation and remove blood stasis， combined with replenishing and promoting Qi. On the basis of disease differentiation and syndrome differentiation， treatment should be combined with body differentiation and regulating the biased constitution for a long time to treat both the symptoms and the root causes. The first medical case presented above was considered as Yin deficiency constitution. The treatment methods were invigorating Yin and purging the fire， cooling the blood and calming collaterals， while Zhibai Dihuang Pill was the main prescription. The second medical case presented above was considered as damp-heat constitution. The treatment methods were clearing damp-heat， cooling blood and stop bleeding， while Longdan Xiegan Decoction was the main prescription.[Conclusion]Professor LI Qixin treats hematospermia according to the theory of “body disease correlation”， and opens up new ideas and methods for clinical diagnosis and treatment of patients with hematospermia， which has significant effect and is worthy of reference. |
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