文献类型：期刊文献

中文题名：陈士铎从气、血、精、津液辨治男子不育症探析

英文题名：Analysis of CHEN Shiduo's differentiation and treatment of male infertility from the perspective of‘qi,blood,essence and body fluid’

作者：肖正[1];季文达[1];张洲[1];任香霖[1];李应存[1,2]

第一作者：肖正

机构：[1]甘肃中医药大学,兰州730020;[2]敦煌医学与转化教育部重点实验室,兰州730020

第一机构：甘肃中医药大学

年份：2025

卷号：40

期号：6

起止页码：2714

中文期刊名：中华中医药杂志

外文期刊名：China Journal of Traditional Chinese Medicine and Pharmacy

收录：;北大核心:【北大核心2023】；

基金：甘肃省属高校博士点建设项目(No.BSJS2014)。

语种：中文

中文关键词：陈士铎;《辨证录》;不育症;气;血;精;津液;男科

外文关键词：CHEN Shiduo;Syndrome Differentiation Record Infertility;Qi;Blood;Essence;Body fluid;Andrology

摘要：明代医家陈土铎创立“种嗣九法”,从气、血、精、津液四大方面立论,对男子不育症的病因病机、辨证论治、选方用药等颇有贡献。脾肾气虚、心肝气滞、肝气大虚者,以补益脾肾、疏理心肝、大补肝气之法,方用助气仙丹、忘忧散、夺天丹;血气不足者,以养血宁心之法,方用当归补血汤;精少髓弱、精热火旺、精寒火衰、精滑难固者,以填精补髓、清散邪火、温补心包、补益君相之法,方用生髓育麟丹、平火散、温精毓子丹、济火延嗣丹;津液运化失司、久成痰湿者,以健脾胃温肾阳之法,方用宜男化育丹。
Ming dynasty physician CHEN Shiduo established the‘nine methods of seed inheritance’,which discussed the four major aspects of qi,blood,essence and body fluid,making significant contributions to the etiology and pathogenesis of male infertility,diagnosis and treatment based on syndrome differentiation,and selection of prescriptions and medication.For those with spleen and kidney qi deficiency,heart and liver qi stagnation,or liver qi deficiency,the method of tonifying the spleen and kidney,soothing the heart and liver,and greatly tonifying liver qi is used.The formula is to use Zhuqi Pills,Wangyou Powder,Duotian Pills;For those with insufficient blood and qi,the method of nourishing blood and calming the heart is used.The formula is to use the Danggui Buxue Decoction;For those with insufficient essence and weak marrow,hot essence and hyperactivity of fire,cold essence and fire decay,and difficulty in consolidating essence,the methods of filling essence and nourishing marrow,clearing away evil fire,warming and tonifying the pericardium,and tonifying the monarch's appearance should be used.The formula is to use Shengsui Yulin Pills,Pinghuo Powder,Wenjing Yuzi Pills,Jihuo Yansi Pills;For those with transportation and transformation of body fluids have been lost,long term accumulation of phlegm and dampness,the method of strengthening the spleen,stomach,and warming the kidney yang should be used.The formula is to use Yinan Huayu Pills.