| 何旭恺,雷根平,董盛,等.雷根平教授从痰湿论治手淫致重症劳损思路[J].浙江中医药大学学报,2022,46(8):849-852, 856. |
| 雷根平教授从痰湿论治手淫致重症劳损思路 |
| Thinking of Professor LEI Genping in Treating Severe Strain Injury Due to Masturbation from Phlegm Dampness |
| DOI：10.16466/j.issn1005-5509.2022.08.006 |
| 中文关键词: 手淫 劳损 精极 肾精不足 化痰 序贯治疗 |
| 英文关键词: masturbation strain depletion of viscera essence deficiency of kidney essence resolving phlegm sequential treatment |
| 基金项目:陕西教科文卫体系统职工雷根平(劳模)创新工作室(陕教科文卫体工字[2020]41号) |
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| 中文摘要: |
| [目的] 归纳整理研究雷根平教授治疗手淫致重症劳损的思路，以更好地理解中医理论，提高临床疗效。[方法] 通过查阅相关文献及典籍，跟师临证并记录收集典型医案，总结分析组方用药规律，并附医案二则。[结果] 雷教授认为，伤精而致痰生是手淫致重症劳损的典型病机，患者以肾虚为本，痰邪流注为其特殊病理因素，表现出了不同的痰饮症状，治疗过程中以化痰贯通治疗始终。验案一以肾气虚为本，以中阳损伤、痰饮流注为标，先扶脾阳化湿邪，后以收敛固涩、补肾填精为主，以化痰通络宁心贯通治疗始终；验案二以肾精亏虚为本，以阴阳不调、痰蒙心胆为标，先调和阴阳、补肾填精，后温阳祛寒、祛风除湿，以清热化痰贯通治疗始终。两者虽病因相同，但症状表现各异且病机复杂，然均获得满意疗效。[结论] 雷教授从痰论治重症劳损，辨证准确，疗效可靠，为重症劳损的辨治提供了新的思路，丰富了对该病因病机的认识，值得推广及学习。 |
| 英文摘要: |
| [Objective] To summarize and study Professor LEI Genping‘s thinking on the treatment of severe strain injury due to masturbation so as to better understand traditional Chinese medicine(TCM) theory， thus improve clinical efficacy. [Methods] Through reviewing the pertinent literature， following the teacher， recording and collecting typical case records， the rules of formulas and medication of Professor LEI were summarized and analyzed and two case records were attached. [Results] According to Professor LEI， the typical pathogenesis of severe strain injury due to masturbation is phlegm production due to injury of essence and blood. Kidney deficiency is the base and phlegm pathological factor flowing is special pathological factor which will exhibit different symptoms of phlegm retention. In the process of treatment， resolving phlegm is used throughout the treatment. The first case was based on the kidney deficiency， with the injury of the middle-Jiao Yang and the flow of phlegm retention as the symptoms， first treatment was strengthening the spleen Yang to resolve the pathogenic dampness， then focusing on securing and astringing and tonifying the kidney and supplementing the essence， resolving phlegm， dredging collaterals and calming the heart were sequential treatments. The second case was based on the deficiency of kidney essence， Yin-Yang disharmony and turbid phlegm blocking the heart and gallbladder was the symptoms. The treatment started from harmonizing Yin and Yang， tonifying the kidney and supplementing the essence， followed by warming Yang to expel coldness， expelling wind and removing dampness， while clearing heat and resolving phlegm ran throughout the sequential treatment. Although the two cases had the same etiology， the symptoms were different and both pathogenesis was complex， both had achieved satisfactory curative efficacy. [Conclusion] Professor LEI‘s treatment of severe strain injury from phlegm theory is accurate in syndrome differentiation and reliable in its efficacy， which provides new ideas for the treatment of severe strain injury and enriches the understanding of the etiology and pathogenesis of the disease， and is worth promoting and studying. |
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