| 引用本文: |
王能,陆包伟,胡海林,谭新华,何清湖.谭新华教授辨治血精经验[J].湖南中医药大学学报,2022,42(7):1191-1194[点击复制] |
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| 谭新华教授辨治血精经验 |
| 王能,陆包伟,胡海林,谭新华,何清湖 |
| (湖南中医药大学, 湖南 长沙 410208;湖南中医药大学第一附属医院, 湖南 长沙 410007;湖南中医药大学, 湖南 长沙 410208;湖南医药学院, 湖南 怀化 418000) |
| 摘要: |
| 谭新华教授认为血精病机复杂，多责之于肾虚、湿热、瘀滞等，导致精室络脉受损，血溢脉外，血随精出。其证型分为阴虚火旺型，治以滋阴降火、凉血止血；湿热下注型，治以化湿祛浊、清热凉血；脾肾亏虚型，治以补肾健脾、益气摄血；瘀血内结型，治以行气化瘀、活血止血。临床中各型多有兼夹，临证时应采取宏观与微观辨证相结合的策略，并重视对患者的心理疏导及预防调护以提高临床疗效。 |
| 关键词: 血精 滋阴降火 化湿祛浊 补肾健脾 行气化瘀 谭新华 |
| DOI：10.3969/j.issn.1674-070X.2022.07.021 |
| 投稿时间：2021-06-08 |
| 基金项目:国家自然科学基金项目（81774324，81973863）；湖南中医药大学“东健”研究生创新项目（2020DJ01）。 |
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| Experience of professor TAN Xinhua in differentiating and treating hematospermia |
| WANG Neng,LU Baowei,HU Hailin,TAN Xinhua,HE Qinghu |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Hunan University of Medicine, Huaihua, Hunan 418000, China) |
| Abstract: |
| Professor TAN Xinhua believes that the pathogenesis of hematospermia is complex and is mostly attributed to kidney deficiency, damp-heat and stagnation, resulting in damage to the spermatic ventricles and veins, with blood overflowing from the veins and blood following the sperm. Its clinical syndrome type is divided into the Yin deficiency and fire flourishing type, which is treated by nourishing Yin and lowering fire, cooling the blood and stopping bleeding; the damp-heat infiltration type, which is treated by removing dampness and eliminating turbidity, clearing heat and cooling the blood; the spleen and kidney deficiency type, which is treated by tonifying kidney and strengthening spleen, benefiting Qi and regulating blood; and the blood stasis type, which is treated by moving Qi, removing stasis and activating blood circulation to stop bleeding. In clinical practice, there are many cases of both types, so it is important to combine the identification of macroscopic and microscopic evidence, and to pay attention to the psychological guidance and preventive care of patients to improve the efficacy of treatment. |
| Key words: hematospermia nourishing Yin and lowering fire resolving dampness and dispelling turbidity tonifying the kidney and strengthening the spleen moving Qi and removing stasis TAN Xinhua |
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