[1]刘治,徐新宇,彭煜,等.名中医彭培初温消并举治疗泌尿男科疾病经验[J].陕西中医,2025,46(12):1686-1690.[doi:DOI:10.3969/j.issn.1000-7369.2025.12.021]
 LIU Zhi,XU Xiuyu,PENG Yu,et al.Experience of TCM master PENG Peichu in treating urological and andrological disorders through the combined strategy of warming and resolving concurrently[J].,2025,46(12):1686-1690.[doi:DOI:10.3969/j.issn.1000-7369.2025.12.021]
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名中医彭培初温消并举治疗泌尿男科疾病经验

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年12期
页码:
1686-1690
栏目:
名中医经验
出版日期:
2025-12-05

文章信息/Info

Title:
Experience of TCM master PENG Peichu in treating urological and andrological disorders through the combined strategy of warming and resolving concurrently
作者:
刘治徐新宇彭煜刘彦飞徐静张杰王韬毓
(上海中医药大学附属岳阳中西医结合医院,上海 200437)
Author(s):
LIU ZhiXU XiuyuPENG YuLIU YanfeiXU JingZHANG JieWANG Taoyu
(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)
关键词:
前列腺癌精索静脉曲张少弱精子症暖肝煎温经汤彭培初名医经验
Keywords:
Prostate cancerVaricoceleOligoasthenospermiaNuan Gan JianWenjing TangPENG PeichuClinical experience of a famous doctor
分类号:
R 243
DOI:
DOI:10.3969/j.issn.1000-7369.2025.12.021
文献标志码:
A
摘要:
彭培初教授认为阳气的周流是维系机体正常生理的根本,而阳气亏虚、运化无力是导致气、血、痰、食、水、虫等实邪积聚,进而造成多种男科疾病的重要原因。治疗上遵循温消并举的原则,以温法散寒、补益脾肾,以消法祛除寒湿、瘀血等实邪,兼顾扶正祛邪,取得显著临床效果。本文从阳和汤治疗晚期前列腺癌、暖肝煎治疗精索静脉曲张、天麻方治疗代谢综合征伴发勃起功能障碍、小续命汤治疗输尿管结石、温经汤治疗少弱精子症五个部分出发,对彭教授温消并举的诊治经验进行探析,从中挖掘其宝贵的学术精粹,以期为临床提供新的思路和方法。附典型医案以论证。
Abstract:
Professor PENG Peichu believes that the circulation of Yang energy is the foundation for maintaining normal physiological functions of the body.The deficiency of Yang energy and the weakened transformation and transportation lead to the accumulation of pathogenic factors such as Qi,blood,phlegm,food,water,and parasites,which in turn cause various and rological diseases.In treatment,the principle of warming and eliminating together is followed.Warming methods are used to dispel cold and tonify the spleen and kidney,while eliminating methods are used to remove pathogenic factors such as cold-dampness and blood stasis.Both tonifying and expelling pathogenic factors are taken into account,achieving significant clinical effects.This paper explores Professor PENG’s experience in diagnosis and treatment based on the principle of warming and eliminating together,starting from five parts:Yanghe Tang for the treatment of advanced prostate cancer,Nuan Gan Jian for the treatment of varicocele,Tianma Fang for the treatment of erectile dysfunction associated with metabolic syndrome,Xiao Xuming Tang for the treatment of ureteral calculi,and Wenjing Tang for the treatment of oligoasthenospermia.It aims to explore his valuable academic essence and provide new ideas and methods for clinical practice.Typical medical cases are attached to demonstrate the argument.

参考文献/References:

[1]徐成子,纪文雯,韩明向,等.名中医韩明向基于“阳虚阴结”从温论治肺结节经验[J].陕西中医,2025,46(8):1113-1117.
[2]李楠楠,严云,陈永魁,等.名中医李果烈基于和温消法活用桂枝汤治疗甲状腺功能减退症[J].陕西中医,2024,45(6):815-819.
[3]蒋婉,陈国庆,陈明九,等.中医药治疗前列腺癌骨转移痛的研究进展[J].现代中西医结合杂志,2022,31(8):1154-1158.
[4]徐新宇,彭煜,杜宝昕,等.基于护场与传舍理论探讨前列腺癌骨转移的防治思路[J].中国男科学杂志,2024,38(3):109-113.
[5]徐新宇,彭煜,翟靖,等.基于癌毒病机理论辨治前列腺癌探析[J].天津中医药大学学报,2024,43(10):952-956.
[6]徐新宇,彭煜,朱文静,等.彭培初分期辨治前列腺癌经验[J].中医杂志,2024,65(7):678-683.
[7]刘永浩.阳和汤治疗更年期尿道综合征疗效及对患者排尿情况和性激素水平的影响[J].陕西中医,2021,42(5):604-607.
[8]邵轶群,杨明,贾默然,等.阳和汤对晚期前列腺癌患者疼痛及生活质量的改善作用[J].陕西中医,2016,37(3):319-321.
[9]张帆,王瀚锋,孙圣坤,等.精索静脉曲张微创治疗的现状及进展[J].微创泌尿外科杂志,2022,11(6):414-419.
[10]王权胜,戴玉田.精索静脉曲张中西医结合诊断治疗指南[J].中国性科学,2025,34(2):1-7.
[11]谷雨芃,息金波.基于“恶血归肝”理论从疏肝逐瘀探讨精索静脉曲张的辨证治疗[J].环球中医药,2024,17(2):292-295.
[12]代波,林思伟,陆海旺,等.宾彬从肝论治阴囊疼痛经验[J].中医药导报,2020,26(16):200-202.
[13]马紫阳,任飞强,杨雪梅,等.中医辨证治疗阳痿研究进展[J].陕西中医,2021,42(3):402-404.
[14]董雯,陈筱璐,洪冰燕,等.代谢综合征病因及发病机制研究进展[J].湖北理工学院学报,2024,40(5):57-62.
[15]刘嘉豪.代谢综合征伴发勃起功能障碍与中医体质的相关性研究[D].杭州:浙江中医药大学,2022.
[16]徐新宇,沈泽铖,管鹏飞,等.基于岳甫嘉医案探讨从脾论治男科疾病[J].江苏中医药,2021,53(8):67-70.
[17]顾海燕,王仲建.黄连-大黄对2型糖尿病模型大鼠糖脂代谢水平的影响[J].中国药业,2025,34(2):39-44.
[18]郭丹.钬激光碎石术治疗上段输尿管结石效果及复发危险因素分析[J].陕西医学杂志,2020,49(5):575-577,607.
[19]TAO R Z,QIN Z Q,LIU F D,et al.Efficacy and safety of tamsulosin in the medical expulsion therapy for distal ureteral calculi:A systematic review and meta-analysis of placebo-controlled trials[J].Urol J,2019,16(3):224-231.
[20]徐新宇,彭煜,邵轶群,等.彭培初妙用角药治疗泌尿系统疾患经验探析[J].时珍国医国药,2024,35(9):2259-2261.
[21]慕海军,王锐,张萍.化瘀止痉汤防治aSAH后脑血管痉挛的疗效及可能作用机制[J].四川中医,2017,35(11):140-142.
[22]赵梦月,徐西元.中医药治疗中风后肢体痉挛的研究进展[J].按摩与康复医学,2023,14(5):69-72,77.
[23]ZHAO K,ZHANG Q,CONG R,et al.Metabolomic profiling of human semen in patients with oligospermia using high performance liquid chromatography-tandem mass spectrometry[J].Sci Rep,2024,14(1):23739.
[24]孙大林,金保方.微循环理论在男性不育症中西医诊治中的应用价值探讨[J].北京中医药,2022,41(12):1346-1350.
[25]莫秋柏,乔飞,刘学青.活血益精汤治疗特发性男性不育症对精液量及液化时间的影响[J].实用中医药杂志,2024,40(8):1492-1493.

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备注/Memo

备注/Memo:
国家自然科学基金资助项目(82174451);上海吴孟超医学科技基金会临床医学基础与应用研究专项基金资助项目(JHXM-2021018);中医优势专科建设专项[YW(2023-2024)-01-04]
更新日期/Last Update: 2025-12-08