蘭茂辨治男科病證方藥運用的臨證發(fā)微

【摘 要】 蘭茂所著《醫(yī)門擥要》醫(yī)藥結(jié)合且論醫(yī)用藥，醫(yī)理明達簡要，治法方藥詳悉。文章通過研究蘭茂辨治男科病證的方藥，并結(jié)合自己的臨證心悟，分析其治療淋濁、遺精、精癃的學術(shù)思想：①先攻邪，后扶正，宜補腎為主治淋濁；②保心滋腎，因寒因熱治遺精；③滋腎清肺，氣化通利治精癃。

【關鍵詞】 蘭茂；醫(yī)門擥要；淋濁；遺精；精癃

【中圖分類號】R249   【文獻標志碼】 A    【文章編號】1007-8517（2024）03-0093-04

DOI：10.3969/j.issn.1007-8517.2024.03.zgmzmjyyzz202403021

The Clinical Evidence of LAN-Maos Use of Prescriptions and Medicines in the Treatment of Male Pathology

GUO Fuxiang DUAN Xuexiang GUO Jiagui*

Tengchong Traditional Chinese Medicine Hospital， Tengchong 679100， China

Abstract：LAN-Maos Yimen Lanyao combining medicine with medical treatment， with clear and concise medical theory， and detailed treatment methods and prescriptions. In this paper， by studying LAN-Maos prescriptions for treating andrology syndromes， combined with my own clinical insights， analyzing its academic thoughts on treating Gonorrhea and Turbid Disease， nocturnal emission， and benign prostatic hyperplasia： ① Attack pathogens first， then strengthen the body， and nourish the kidney to treat Gonorrhea and Turbid Disease; ② Protect the heart and nourish the kidney， treat nocturnal emission due to cold and heat;③ Nourish the kidney and clear the lung， and Qihua-Tongli in the treatment of benign prostatic hyperplasia.

Keywords：LAN-Mao; Yimen Lanyao; Gonorrhea and Turbid Disease; Nocturnal Emission; Benign Prostatic Hyperplasia

《醫(yī)門擥要》和《滇南本草》是云南明代著名醫(yī)藥學家蘭茂所著，后者是云南歷史上第一部兼有中醫(yī)藥和民族藥特色的現(xiàn)存地方性本草，對后世影響較大，流傳至今。（剩余7823字）