从《素问·痿论》浅析赖海标辨治阳痿经验

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[关键词］阳痿；独取阳明；补荥通俞；木郁土壅；益火补土；丹阳汤；赖海标 [中图分类号］R249 [文献标志码］A [文章编号]0256-7415（2025）18-0212-06 DOI：10.13457/j.cnki.jncm.2025.18.039

Analysis of LAl Haibiao's Experience in Syndrome Differentiation and Treatment of Erectile Dysfunction Based on Chapter 44 of Su Wen

YIN Yinhao1，HUANG Zhifeng1，XUE Ying1，TAN Zhiqin1，WANG Shanyun 2 CHEN Yijun³ Instructor：ZENGJianfeng²

1.DepartmentofAndrology，ZhongshanHospitalofCineseMedicineAfiliatedtoGuangzhouUniversityofChineseMedicine，Zhogshan Guangdong 528400，China；2.YueLaiOutpatientDepartment，Zhongshan HospitalAfiatedtoGuangzhou Universityof Chinese Medicine，Zhongshan Guangdong 528400，China；3.DepartmentofUrology，Longdu Hospitalof Shaxi in Zhongshan，Zhongshan Guangdong 528400，China

Abstract：Professor LAI Haibiao believes that the basic pathogenesis of erectile dysfunction is the obstruction of yang qiand the lack of nourishment to the sinew channels．Combining the characteristicsof the modern context，he advocates primarily focusing onprotecting the spleen and stomach's function of decomposition，transportation，and transformationto treat erectiledysfunction.In clinical treatment，he often directlyregulates the spleenand stomachor indirectlyregulates them byregulating otherviscera，and thus proposes theacademicviewpointof "tonifying and unblocking the Shu and Ying acupoints with the care of the Yangming meridian." This paper traces back to the source of classic Chinese medicine theory，starting from the treatment principle of"regulating the deficiencyand excess， harmonizing along or against the meridian ″in Chapter 44（Theory of Atrophy）of Su Wen（Plain Questions）and analyzes Professor LAI Haibiao's clinical treatment ideas from three aspects："the five visceracause atrophy，" "treating atrophyby exclusively taking the Yangming meridian，"and"supplementing their Ying acupointsand unblocking their Shuacupoints."It elaborates onhis clinical experienceof"tonifyingandunblocking the ShuandYing acupoints with thecareof the Yangming meridian，"inorder tomoreclearly identify thecore causes of erectile dysfunctionand focusonsyndromedifferentiationand treatment

Keywords：Erectile dysfunction；Exclusively taking the Yangming meridian；Supplementing the Ying acupoints and unblocking the Shu acupoints；Woodconstraint and earth congestion；Enhancing fire to supplement the earth; Danyang Decoction；LAI Haibiao

赖海标教授、主任中医师是第五届广东省名中医，广州中医药大学附属中山中医院国家临床重点专科学术带头人，硕士研究生导师。（剩余8634字）