1 Jilin Changchun Jilin College of Traditional Chinese Medicine Oriental Hospital 130062
Hubei College of Traditional Chinese Medicine, Jingzhou, Hubei 434 100.
Based on the in-depth study of the pathogenesis, syndrome differentiation, prescriptions and principles of sexual health preservation of male deficiency syndrome in traditional literature, combined with the author's clinical observation, this paper puts forward a pathological turning point in the pathogenesis of male deficiency syndrome, that is, dissipating its truth because of its extreme desire, robbing and burning the viscera because of its greed, and "five zang-organs are injured, but poverty will reach the kidney". On the basis of in-depth analysis of yin-yang qi deficiency and five zang-organs essence and blood deficiency, this paper puts forward a prescription and medicine machine for diagnosing and treating male deficiency. Emphasis is placed on the application of pulse diagnosis in the diagnosis of deficiency, and the treatment of deficiency by tonifying kidney and replenishing essence and regulating five internal organs is still mainly based on warming qi and replenishing shape, supplementing taste and replenishing essence. In addition to treating deficiency with prescriptions, the role and value of sexual health theory, which is the key field of andrology theory and practice in traditional Chinese medicine, in nourishing kidney, nourishing essence and treating deficiency are re-discussed, and the concept of sexual therapy of "following the heaven and relieving alcoholism is people-oriented" is put forward.
Keywords men's vain work; Tonifying kidney and replenishing essence; Treat people with others.
Born in heaven and earth, full of qi and blood, people are confused by all the bones, five internal organs, limbs and nine senses. However, men and women have different shapes and functions. Women, born in the uterine blood chamber, belong to the category of yin, so Sun Simiao said: Women are distinguished by the differences of pregnancy, childbirth and abortion. Male, with drooping stems and ejaculation, belongs to the category of back-yang, so from ancient times to now, men and women have different syndromes and treatments. Those who test men, Yang also takes exercise as his purpose and takes ejaculation as his pleasure. Those with congenital deficiency, acquired excessive excretion, promiscuity, internal strength, five hardships, six extremes and seven injuries, and those with excessive use of diseases will have male fatigue symptoms. As for its prescription, the mechanism of medicine, the rules of rope ink and the clever operation, they are all concerned.
1 etiology and pathogenesis
The collection of tombs in Guangdong and the textual research of various documents are the beginning of the theory of men's fatigue, which is almost due to the Neijing. Su Wen holds that the kidney dominates the needling, which is based on the innate nature and hides in the essence of the five internal organs, gathering true yin and containing true yang. The internal organs are full, but they can still be discharged. If you are injured prematurely, you will feel very tired, lack of days, kidney deficiency, dryness and various symptoms will rise.
Sex between men and women is the basis of human relations and Wang Huajiao, but if it goes too far, it is harmful. "The Secret of the Jade House" leads to the cloud: the husband is yin and yang, which is the way. The reason why mortals fell is because they all hurt Doyle, who is in the transformation of yin and yang. There is a saying in Su Wenju's General Theory, I heard that all diseases are caused by qi, ... Labor consumes gas, ... Labor breathes and sweats, and it is beyond both inside and outside, so the gas consumption is gone. Ma Yuantai's "Su Wen Zhu Zheng Fa Wei" explains: "If people have labor, they breathe pneumatically, and their meaning comes from the outside. The more gas the husband breathes, the more foreign gas he sweats, so he dissipates. " "Su Wentong's Theory of Strange Heaven" says: Therefore, both vitality and kidney qi are injured, while high bones are injured. Bing Wang notes: "Strong, that is, strong into the room." In addition, Su Wenfeng said: When you enter a room, you sweat and have a stroke, which is an internal wind. Zhang Jingyue explained the cloud: "Internal consumption of its essence, external enlightenment, common cold took advantage of it, so it is called internal wind." "Ling Shu Wan Bing Shi" said: "He was born in Yin, but what can he do? Qi Bo said: Worry and sadness; Cold hurts the lungs; Anger hurts the liver; Drunk indoors, sweating when the wind hurts the spleen; Excessive exertion, if you enter the room and sweat after taking a shower, it will hurt your kidneys. In addition, patients in internal and external departments are also sick. " It can be seen that "having a hangover makes The Upper Terrace extremely free from vulgarity" is also the reason why men are tired and weak. Therefore, Neijing believes that people who die young in their half lives are those who "take wine as their pulp, run amok, get drunk at home, exhaust their essence and disperse their truth".
On the basis of Neijing, later physicians discussed the reasons why men wasted their work. Zhong Shi believes that "a thousand things are difficult, three things are difficult", and "sexual injury" is one of its pathogenesis. On the basis of the seven losses and eight benefits discussed in The Best in the World and Yang Yinying's Great Image in Su Wen, The Secret of Yufu clearly puts forward that using one's mind unwillingly leads to exhaustion. The heart is greedy for love, and the yin and yang are not harmonious, resulting in excessive essence; Yin is not strong but strong, and the middle way is strong to diarrhea and seize the pulse; Exhaustion, sweating and handover caused by gas discharge; The sudden encounter of soldiers, new defecation, uncertain body and forced use caused organ syncope; Adultery with women, personal indiscretion, excessive sexual intercourse, forced venting; The seven major causes of dragon's blood, fatigue and sweating caused by strenuous exercise are all due to excessive exertion, which damages kidney essence and five internal organs and atrioventricular organs.
According to the teacher's theory, atrioventricular injury is the so-called lust injury in later generations, and it is also a disease of spirit. Jin Shen 'ao has a saying: Gai is related to the three, and you can't leave them. Essence can be qi, qi can be spirit, and that's not all. However, the man is weak and kidney deficiency is hardly the solution. Heart, liver, spleen and lung failure, dietary fatigue, phlegm and blood stasis, six evils and seven emotions can all be caused by qi and blood, and essence and blood can lead to kidney deficiency. That is to say, according to the theory of "the soul is the essence", ignorance of fear will damage the essence, which will lead to bone weakness and syncope, and the essence will descend from bottom to top. "Su Wen Wei Lun" also said: there is no end to thinking, which is not what I want. I am addicted to the outside, and I am addicted to it. I should refrain from excessive and white prostitution. This is all caused by emotional exhaustion and impotence. As for other injuries, it is inevitable. Therefore, the author believes that the disease of male deficiency is rooted in the kidney, marked by essence, and becomes dirty. In recent years, colleagues at home and abroad put forward the pathogenesis theories of disharmony between heart and kidney, yang deficiency of spleen and kidney, liver depression of kidney deficiency and yin deficiency of lung and kidney, which enriched and developed the pathogenesis theory of male deficiency syndrome.
Zhang Jingyue pointed out: the dirty qi is connected with the sick qi; When the five internal organs are injured, poverty reaches the kidney. The inevitability of this origin is also the key to treatment. I think, if I understand this, I will think more than half.
2 Fang Yao Ji Hua
Deficiency of andrology includes deficiency of both yin and yang and deficiency of essence and blood of five internal organs. The clinical manifestations of this syndrome are deficiency of both spleen and kidney, yang deficiency, essence, clear, cold, white, strange and turbid; Deficiency of liver and kidney, deficiency of B-decyl, essence deficiency of wet dream, night dream traffic; Deficiency of kidney water, hyperactivity of heart fire, constant wet dream and vigorous yang; Deficiency of lung and kidney yin, deficiency of fire and internal heat, bloodshot in essence and often yang deficiency; Stagnation of liver qi, deficiency of kidney, nocturnal emission, misogyny; Deficiency of kidney-yang, weakness of vital fire, manifested as Lao Lin ointment, cold essence, shrinking yin and capsule weakness; Deficiency of kidney yin, deficiency of burnt cells, deficiency of blood essence and kidney stagnation; Yin deficiency and yang hyperactivity, kidney qi holding breath, indicating that chicken essence is difficult to bear and urine essence is blocked; Witchcraft hurts the kidney, wandering around the willow, showing poison drenching Myrica rubra, tendon hernia chancre; Because of lack of sex, Yuanyang is weak, but the weather is tired and dry, and the stem is small.
Oh! Men are exhausted, how can they keep the corner of kidney deficiency alone and abandon their heart, liver, spleen, lungs and related bodies! All the above syndromes, if so, are congenital deficiency, or excessive lust, and yin is less strangled and more strangled by various viscera. Although the damage caused by sexual desire is mainly in the kidney, it is actually because of the same disease of heart, liver, spleen and lung. How did you know? Mr. Danxi said: the main body is hidden, and the kidney is also; The liver is also responsible for the circulation of qi. All the five internal organs have fire, and the system belongs to the heart. Heart, fire, easy to move for things, heart moves with fire. Kidney governs nature and spleen governs nurture, both of which are warm in the yang and healthy in nature; Kidney stores essence, lung controls qi, yin deficiency is too yin, and mother and child are unclean, and each performs its duties. * * * Keep the blood and semen quiet, then the fire of the monarch will be peaceful and innocent.
On men suffering from labor, the sages are more skilled in argument, the pulse method is detailed and eloquent, so the effect is like a drum. It seems that there is no need to take the exam today. "Please take sick leave in the province and send it to your mouth. It will be in the soup compared with the need. If you don't kick your foot, you can't shake hands ... just a glance. " (Introduction to Treatise on Febrile Diseases) A sharp weapon dummy keeps a spear for himself. Western physics is skillful, and our technology can be diagnosed by experience, but after all, we can't surpass Huang Qi's diagnosis, which is very interesting!
The method of wasting a man's pulse originated from Neijing and is widely used in secondary normal schools. "synopsis of the golden chamber: deficiency of blood": a husband is like a human being, and his pulse is exhausted. There is also a cloud: the pulse is big and chord decreases, the pulse is strong, the decrease is cold, the pulse is strong and weak, and the deficiency and cold are fighting each other. ..... men are dead blood and spermatorrhea. There is another cloud: fatigue is a disease, its pulse is big, hands and feet are troublesome, spring and summer dramas, autumn and winter cups, yin and cold are acceptable, and acid must not be cut. There is another cloud: the man's pulse is weak, childless and cold. There is another cloud: men are general, with weak pulse and weak people like night sweats. It can be seen that there are several articles in Zhongjing's synopsis of the golden chamber, which have diagnosed male asthenia according to the deficiency, stagnation, delay and fineness of pulse condition. Another example is "husband's loss of sperm, less abdomen, rapid string, cold head, dizziness, extremely weak pulse, which is clear valley, blood loss and loss of sperm." The pulse is slightly tight, the man loses his sperm and the woman dreams. "On this basis, later generations will also include astringent pulse in the diagnosis of male deficiency syndrome according to the patient's condition. For example, in the Pulse Classic, the pulse is astringent, which is a symptom of insufficient blood and essence, and the husband's pulse is astringent, which is called fine injury. " "Medical Zong Jin Jing" says: the pulse is astringent and it hurts the essence. Today's sages, if Wang Qi, Xu Fusong and Chen Wenbo were teachers, would expand the field of virtual pulse science, which can be described as superb.
However, the diseases of ancient and modern times cannot be one, so how can the theory of ancestors constrain the thinking of today's people? In my opinion, the diagnostic methods of traditional Chinese medicine should be combined with the four diagnoses, and pulse science is particularly important and cannot be neglected. The evidence of today's people is abundant in materials, less in labor, increasing in fatigue, turbid in appearance, and refined in diet, so men are tired, weak, late, subtle and astringent, and so on, but between the pulses, we should also know the truth. What's more, it is necessary to give up the pulse and follow the pulse.
For Xu Ruo's dialectical work, we should be self-disciplined, adhere to the laws of our ancestors and apply them to our ancestors. I secretly tried to diagnose all kinds of deficiency diseases in andrology. Every time I talked about Hongzhi and Zhongjing's Shenqi Pills, I was repeatedly addicted to them and felt fantastic. "Neijing" said: deficiency is to make up for it. There is another cloud: those who work are warm, and those who lose are beneficial. The method of tonifying kidney and treating deficiency in andrology has been expounded in previous dynasties. "Neijing" said: those who damage the kidney will overflow the essence. Wang Bingyun: a master of strong water who makes sunshine; Benefiting the fire source to eliminate the shadow. Zhang Jingyue, a famous clinical doctor in the Ming Dynasty, once said: Those who are good at tonifying Yang must seek Yang in the yin, and then Yang will be helped by Yin and live endlessly; Those who are good at nourishing yin must seek yin in the yang, and then the yin rises in the yang, and the source is endless. A careful study of the words of various scholars is a wonderful way to tonify the kidney by yin and yang. However, the kidney is the house of fire and water, running through the five internal organs, leading reproduction and being a strong official. The deficiency of yin and yang in qi should be sought by being good at qi. Therefore, I think that the standard of the rule of tonifying kidney and treating deficiency in andrology should be "the deficiency of form depends on the temperature" in the book "On the Image of Su Wenyin Yang Ying"; If the essence is insufficient, it must be supplemented with essence. Huo Ran will be happy to see the designs of Zhongjing Shenqi Pill and Zhongjing Liuwei Pill.
On the first teacher, the best is the best. However, the ancient side is incompatible with the present side, and the origin still exists. Sages tonify kidney and replenish essence to treat fatigue, and there are more than a thousand kinds of prescriptions! However, if we don't change the patriarchal clan system and tonify the kidney, then Zhongjing's Bawei pills are also available; Tonifying kidney and nourishing yin, then Zhongjing's Liuwei pills are also available. Later doctors added Ophiopogon japonicus and Schisandra chinensis to Liuwei Pill according to the changes of deficiency of five internal organs, that is, Maiwei Dihuang Pill. Add Rhizoma Anemarrhenae and Cortex Phellodendri, and you will know Baidihuang Pill. Adding pilose antler and Schisandra chinensis to Bawei Pill is Shibu Pill. Adding Semen Plantaginis and Radix Cyathulae, or making into Jisheng Shenqi Pill. ..... Today, people can increase losses and reduce losses, which not only makes them tired, but also inhibits their academic development and becomes a pillar industry for enterprises and even social and economic development. However, his great achievements still did not abolish the criterion of tonifying kidney and treating deficiency in Neijing, and so did Zhongshi Zhongyang's ancestral prescription of tonifying kidney and treating deficiency.
I have invited my colleagues at home and friends from Japan and South Korea to sort out two documents of the Ministry of Education, namely, China Sexual Medicine Series and China Urology Classic Series. The core work is to collect the classic literature of urology, andrology, atrioventricular and health care at home and abroad, and proofread the notes. During this period, I studied in detail the prescriptions used by predecessors to tonify the kidney and treat deficiency, especially in various syndromes of andrology. In addition to the eight flavors and six flavors mentioned above, every time I use antlers, elk horns, tortoiseshell horns, five flavors, polygala tenuifolia and cnidium fruit, only the chapter of "Medicine Heart Prescription Volume 28 Medical Stone 26" appears nearly ten times. I think tonifying the kidney is not too dry for this generation, but also has the function of tonifying the kidney and benefiting the heart, especially in the collocation of five flavors and polygala tenuifolia, which is more meaningful. The deer (elk) horn glue and turtle glue together are Erxian ointment. Yin and yang complement each other, and essence and blood coexist, which is a "herb medicine, and it is difficult to have a curative effect;" The genus of qi and blood is heterogeneous and affectionate. " In addition, Chinese medicine extracts Qiu Shi from urine, which is a good product for tonifying kidney and treating deficiency in ancient times. Unfortunately, it was handled today! The purified human chorionic gonadal hormone (HCG, HMG) in western medicine is derived from urine, and it is really sad that "shine on you is better than blue"!
There is no fixed track for the prescription of tonifying kidney, and the medicine is suitable for different people. Throughout the industry, the disadvantage of tonifying kidney in andrology is "grasping the source and forgetting the mud prescription", and using epimedium leaves and actinolite to construct a pair of hot and toxic drugs, which is called the strange prescription in the sea; Evil fire burns the kidney, medical stone poisons people, and it is full of disasters. How can its harm be better than that? Look at "On Gezhiyu". Zhu Danxi refutes Qin Gui Pill, which is inspiring, and Yin Jian is not far away!
3 Bao Shen Jing Quan
Husband and wife bedroom, relationships-particularly those between men and women, single yang is not born, single yin is not successful, human nature is natural, can not be abolished. Peng Zu was quoted in the suicide note of Chu as saying: Men don't want to be childless, and if they don't have women, they will move, and if they move, they will be tired, and if they work, they will lose. The vitality of kidney essence is also limited, the lust is boundless, the tail can't help, the sea has dried up and the essence has dried up. Therefore, when the sun shines, the five internal organs can overflow, and life will be full.
Pedestrian Street Shuntiandao 3. 1
Examining the classics such as Harmony of Yin and Yang, The Best Way to Discuss the World, The Secret of Jade House, The Sutra of Plain Woman, Zi Xuan in the Cave, we can find that when men and women have intercourse, they all say that they can't keep their desires, and the theory of atrioventricular health care for treating diseases is promoted to be in harmony with nature, and diarrhea and hiding are coordinated with the four seasons.
Kong Zhong Ceng Ni Yun: Those young people should be warned. What a small world. Men and women, the way of yin and yang, semen as the room, that is, they can love it and protect their lives. However, the so-called "nourishing kidney and nourishing essence" by sages is by no means an abstinence or a simple method of fixing essence. The secret of looking at the house is that the yin is "vented", otherwise it will "cause carbuncle and blood stasis". Cherish the kidney, that is, kidney essence and kidney qi are insufficient; All essence is hidden, even the essence of the five internal organs.
"Su Wentong's Theory of Strange Heaven" says: Yin and Yang are heavy, then Yang is dense, then it is real. The two are inconsistent, if there is no autumn in spring and no winter in summer. Therefore, peace is sacred. "Yin and Yang are important, and Yang is dense." Modern people Long Bojian and Long quoted Sun Simiao's "Qian Jin Fang Juan 27 Bu Shi" as saying: The important person in the meeting of Yin and Yang keeps the secret of Yang, but does not give up. Don't forget to vent, but be strong and long-lasting, which is also the way of saints.
3.2 Zhu Jie treats people with wine.
Sun Simiao believes that people under the age of forty are indulgent; After forty, I suddenly felt that my physical strength was declining for a while, and all kinds of diseases were on the rise. The Secret of the Jade Palace quoted Chong and Zi Yun as saying: "Those who are extremely lustful will be hurt, and they are those who know clearly in the exam. In other words, it is a metaphor of treating diseases with illness and treating diseases with wine. " The Silk Books of Mawangdui Han Tomb include Secrets of Keeping Healthy in the Room, Xuannv Jing, Su Nvjing, Yu Fang Zi Bi Ji, Qian Jin Fang, Yi Xin Fang to Motome Miao Lun, Zigui Secretary, General of Learning from the Scriptures, Sanfeng Ji Dan, and House Art. All the methods of "ruling people by man" in sex therapy are widely recorded, such as eight benefits of "talking about heaven", nine forms and six potentials, thirty methods of "treating the heart", nourishing yin and tonifying yang, countercurrent of the Yellow River, Sanfeng pill, etc., which can be used to treat various deficiency diseases in andrology.
However, limited by social and cultural views, values and morality, the above-mentioned methods of treating people have been forgotten by history for thousands of years. Almost until the 1980s, when the "centralized training therapy for human sexual behavior" initiated by Mainmasters-the "new sexual behavior therapy" initiated by John and Kaplan became popular all over the world, domestic colleagues knew that the ancient art of keeping in good health in the house-the method of treating people-was a treasure containing the essence of modern therapeutics! On the other hand, in the field of andrology in China, few people can consciously bring this method of saving lives into clinical practice.
"Jing" says: the sage did not cure his disease, but did not cure it; If you don't treat it, it will be chaotic, and if you treat it, it will not be chaotic. Male fatigue, that is, congenital deficiency, is more lost in acquired care, which is more common in atrioventricular injury. However, the kidney is a strong official, and the skill of geisha is also fine. In my opinion, yin flaccid chicken essence, seven hernia drenching turbidity, essence disease is difficult to bear, and people who are close to heaven are tired. Because of kidney deficiency, you should not stay to make up. You know, dirty qi is interlinked, seeking yin in yin and seeking yin in yang. Regulating liver and kidney, communicating heart and kidney, stealing spleen and kidney, nourishing kidney and lung; It should also be noted that "drugs have their own characteristics, so that they can be used by the whole group." Knowing the situation in the house can not only make strangers, but also kill people, so as to prevent problems before they happen. It is also very important to know that the house is destroyed by essence and five internal organs, so as to prevent pathological changes and not be in an evil place. If it is true, men will be exhausted, all the syndromes will be calmed down, the dross will be suppressed and benefited, and a harmonious society will be realized.
Brief introduction of the first author Fan Youping (196 1-), male, from Jingzhou, Hubei Province, chief physician, mainly engaged in clinical work of sexual medicine and sexual psychology.