基于“阳明脉衰-肾气衰”辨治迟发性性腺功能减退症

程皓洋; 张小燕; 曹得中; 罗成龙; 张琪; 张思政; 焦拥政

doi:10.16025/j.1674-1307.2025.06.022

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基于“阳明脉衰-肾气衰”辨治迟发性性腺功能减退症

学术探讨 | 更新时间：2025-08-04

- 基于“阳明脉衰-肾气衰”辨治迟发性性腺功能减退症
- Differentiation and treatment of late-onset hypogonadism based on the theory of "decline of Yangming meridian-kidney qi deficiency"
- 北京中医药 2025年44卷第6期页码：773-777
- 作者机构：
  
  1.中国中医科学院广安门医院男科，北京 100053
  2.西安市中医医院皮肤科，西安 710001
  3.北京市东城区;第一人民医院中医科，北京 100077
- 作者简介：
  
  程皓洋，男，29岁，博士研究生。研究方向：泌尿男科疾病的中西医结合基础与临床研究。
  焦拥政，E-mail： yzhjiao@126.com
- 基金信息：
  
  国家自然科学基金项目(82074446;82474523);中国中医科学院科技创新工程(CI2021A02202)
- DOI：10.16025/j.1674-1307.2025.06.022
  中图分类号：
- 收稿日期：2024-06-07，
  
  纸质出版日期：2025-06-25
- 稿件说明：
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程皓洋，张小燕，曹得中，等.基于“阳明脉衰-肾气衰”辨治迟发性性腺功能减退症［J］.北京中医药，2025，44（6）：773-777.

CHENG Haoyang,ZHANG Xiaoyan,CAO Dezhong,et al.Differentiation and treatment of late-onset hypogonadism based on the theory of "decline of Yangming meridian-kidney qi deficiency"[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(06):773-777.
程皓洋，张小燕，曹得中，等.基于“阳明脉衰-肾气衰”辨治迟发性性腺功能减退症［J］.北京中医药，2025，44（6）：773-777. DOI： 10.16025/j.1674-1307.2025.06.022.

CHENG Haoyang,ZHANG Xiaoyan,CAO Dezhong,et al.Differentiation and treatment of late-onset hypogonadism based on the theory of "decline of Yangming meridian-kidney qi deficiency"[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(06):773-777. DOI： 10.16025/j.1674-1307.2025.06.022.

摘要

迟发性性腺功能减退症（late-onset hypogonadism，LOH）是发生于中老年男性的常见病。中医药治疗可有效改善LOH症状，中医认为在LOH发病过程中，“阳明脉衰”驱动“肾气衰”；脂肪组织（adipose tissue， AT）功能障碍可能是阳明脉衰、脾失健运的重要表现。治疗LOH应当兼顾脾肾，养后天以滋先天，可采用健脾益气、滋阴补肾，温肾暖脾、益气助阳，健脾补肾、利湿化浊之法，调理阳明、培补肾气。

Abstract

Late-onset hypogonadism （LOH） is a common condition in middle-aged and elderly men that severely affects their quality of life. Traditional Chinese medicine （TCM）can effectively improve LOH symptoms. TCM theory holds that in the pathogenesis of LOH， "decline of the

Yangming

meridian" drives "kidney

deficiency". Dysfunction of adipose tissue （AT） may be an important manifestation of

Yangming

meridian decline and spleen dysfunction. Treatment of LOH should address both the spleen and kidney， nourishing the acquired constitution to support the innate constitution. Methods such as invigorating the spleen and benefiting

， nourishing

yin

and tonifying the kidney， warming the kidney and spleen， benefiting

to assist

yang

， strengthening the spleen and kidney， and promoting diuresis to remove turbidity can be used to regulate the

Yangming

meridian and reinforce kidney

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references

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