通讯作者: 崔云, oldmiddoctor@sina.com

DOI：10.12201/bmr.202505.00041

Exploring the Application of Chaihu Jia Longgu Muli Decoction in Andrological Diseases Based on the

• 摘要：早泄、勃起功能障碍、遗精及慢性前列腺炎等男科疾患虽临床症状各异,但基于中医基础理论分析,其病机均与少阳枢机不利存在密切联系。这与“异病同治”的诊疗理念高度符合。柴胡加龙骨牡蛎汤出自《伤寒论》,功专和解少阳,通畅三焦、镇静安神,已广泛应用于临床各类型疾病,展现出显著的方证对应性,体现了中医“异病同治”的治疗原则。本文从现代药理学研究与中医病因病机角度入手,揭示“异病同治”思想的科学本质,通过“整体思想”和“辨证论治”,结合“异病同治”思想,探究柴胡加龙骨牡蛎汤加减治疗男科病的可行性,以期为临床治疗提供新的思路。

  关键词： 异病同治; 柴胡加龙骨牡蛎汤; 早泄; 勃起功能障碍; 遗精; 慢性前列腺炎

   

  Abstract: Although andrological disorders such as premature ejaculation, erectile dysfunction, nocturnal emission, and chronic prostatitis exhibit distinct clinical manifestations, their pathogenesis is closely linked to dysfunction of the Shaoyang pivot mechanism based on traditional Chinese medicine (TCM) theory. This aligns with the diagnostic and therapeutic concept of same treatment for different diseases. Chaihu Jia Longgu Muli Decoction (Bupleurum plus Dragon Bone and Oyster Shell Decoction), originating from Shanghan Lun (Treatise on Cold Damage Diseases), specializes in harmonizing Shaoyang, unblocking the triple energizer, and calming the mind. It has been widely applied in clinical practice for various diseases, demonstrating remarkable compatibility between prescription and syndrome, thereby embodying the TCM principle of same treatment for different diseases. This article explores the scientific essence of the same treatment for different diseases concept through modern pharmacological research and TCM etiology-pathogenesis analysis. By integrating the holistic concept and syndrome differentiation and treatment with the same treatment for different diseases approach, we investigate the feasibility of modified Chaihu Jia Longgu Muli Decoction in treating andrological disorders, aiming to provide novel insights for clinical practice.

  Key words: Same treatment for different diseases; Chaihu Jia Longgu Muli Decoction; Premature ejaculation; Erectile dysfunction; Nocturnal emission; Chronic prostatitis

  提交时间：2025-05-27

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2025-05-03	bmr.202505.00041V1	下载

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