李海松教授基于“微型癥瘕”理论治疗睾丸微石症经验
Professor Li Haisong’s experience in the treatment of testicular microlithiasis based on the "micro-accumulation" theory
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1.北京中医药大学第一临床医学院,北京 100029
2.北京中医药大学东直门医院男科,北京 100700
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王继升, 代恒恒, 邓省, 等. 李海松教授基于“微型癥瘕”理论治疗睾丸微石症经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32147199&Fpath=home&index=0
WANG Jisheng, DAI Hengheng, DENG Sheng, et al. Professor Li Haisong’s experience in the treatment of testicular microlithiasis based on the "micro-accumulation" theory[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32147199&Fpath=home&index=0
王继升, 代恒恒, 邓省, 等. 李海松教授基于“微型癥瘕”理论治疗睾丸微石症经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32147199&Fpath=home&index=0 DOI:
WANG Jisheng, DAI Hengheng, DENG Sheng, et al. Professor Li Haisong’s experience in the treatment of testicular microlithiasis based on the "micro-accumulation" theory[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32147199&Fpath=home&index=0 DOI:
睾丸微石症为临床中较罕见疾病,目前现代医学对睾丸微石症的发病原因及治疗尚未形成统一意见。李海松教授基于传统中医理论提出睾丸微石症的“微型癥瘕”的病机理论,认为睾丸微石症属于传统医学中“癥瘕”范畴,虽凭肉眼看不到有形的“癥”,但借助现代的诊疗方法,如超声、光镜、电镜等能观察到散发的细微结石,因此睾丸微石症当属“微型癥瘕”范畴。肾虚、血瘀、痰凝是形成睾丸“微型癥瘕”的基本病机,其中肾虚为本,痰凝、血瘀为标。治疗上提出益肾应平,药用当轻,切妄重剂而致阳热化火,碍障精子活力,同时兼顾消癥散结、消痰软坚,在临床中取得一定疗效,值得推广。
Testicular microlithiasis is a relatively rare disease in clinical practice.At present,there is no unified opinion on the pathogenesis and treatment of testicular microlithiasis in modern medicine.Professor Li Haisong,based on traditional Chinese medicine theory,proposes the pathogenesis theory of "micro-accumulation" of testicular microlithiasis and believes that testicular microlithiasis belongs to the category of "accumulation" in the traditional medicine.Although there are no visible "accumulation" with the naked eye,with the help of modern diagnosis and treatment methods,such as ultrasound,light microscopy,electron microscopy,etc,.,can be observed to distribute the tiny stones.Thus,testicular microlithiasis belongs to the category of "micro-accumulation" . Deficiency of the kidney,blood stasis and phlegm are the basic pathogenesis of "micro-accumulation" of testis,in which deficiency of the kidney is the root cause and phlegm and blood stasis are the manifestations.In terms of treatment,it suggests that benefitting the kidney should be gentle and the medication should be light.Do not wrongly use heavy agents to cause yang heat to turn into fire and hinder sperm motility.At the same time,it also pays attention on eliminating accumulation and dispersing mass,eliminating phlegm and softening hardness.It has achieved certain curative effect in clinical practice and is worth popularizing.
微型癥瘕睾丸微石症肾虚血瘀痰凝补肾活血消痰
Micro-accumulationTesticular microlithiasisSyndrome of kidney deficiency with blood stasis and phlegm coagulationTonifying kidney and promoting blood circulation and dissipating phlegm
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