基于“玄府-氣血-絡(luò)脈"理論探討陰莖異常勃起的因機(jī)證治

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[中圖分類號(hào)]R269 [文獻(xiàn)標(biāo)志碼]A [文章編號(hào)]doi：10.3969/j.issn.1674-070X.2025.04.020

本文引用：，.基于“玄府-氣血-絡(luò)脈"理論探討陰莖異常勃起的因機(jī)證治[J].湖南中醫(yī)藥大學(xué)學(xué)報(bào)，2025，45（4）：719-724.

[Abstract]Priapismrefers toaconditioninwhich thepenisremainserectandcannot become flaccidafter sexual excitementororgasm，resultinginprolongedandpainfulerections.Accordingtoitsclinicalmanifestations，ancientandodern practitionersofinesemedicinelasifyprapismunderategoresschs"nisgidity，"prolongedpenisretio，nd"sistet erection".Asthebasicstructurethatregulatesthefilinganddrainageofqiandbloodinthepenis，"mysteriousmansion （a colectie trmfortheminutestructuresthroughwhichqibloodandbodyfluidscirulateandmove）collterals"partipatesithe wholeprocessofpenileerectionanddetumescene，andisthekeytoensurethenormalerectionofthepenis.Basedonthetheory of"mysteriousmansion-qiandblood-colaterals"，thecorepathogenesisofthisconditionisemphasizedas"disorderof mysteriousmansion，obstructionofcollterals，anddysfunctionofpenis."Itcoversthreepathological stages：exuberantfireithe liverandgalbladercausing the blockageof mysteriousmansionandcolaterals；yindeficiencyandyang hyperactivitycausing mysterious mansiondisharmonyandcolateralmalnutrition;phlegmandbloodstasisobstructingmysteriousmansionandcolaterals. Thetreatmentapproachcenterson"regulating themysteriousmansionandunblocking thecollaterals."According todiferent pathologicalstages，itdrivestheefoundationaltreatmentstrategie：sothingtheliverandreducingfireunblockingthcolateals andactivatingthemysteriousmansion；nourishingyinandreducingfire，moisteningthecolateralsandnourishingthemsterious mansion;eliminatingstasisandresolvingphlegm，unblockingthecolateralsandopeningthemysteriousmansion.Overallthe treatmentemphasizestheprincipleof"aplyingunblockingastheessential"Thispaperaimstoprovideanewperspectiveforthe clinical pattern differentiation and treatment of priapism.

[Keywords]priapism;mysterious mansion;qiandblood;collterals；applyingunblockingastheesential;paemdiferentiation and treatment

陰莖異常勃起是指與性欲或性刺激無關(guān)，陰莖持續(xù)或長時(shí)間呈勃起狀態(tài)并伴隨疼痛的一種病癥，是泌尿男科常見的急癥之一。（剩余9937字）