曾庆琪教授辨治血精症经验

曾庆琪教授认为血精症肝肾阴虚是其本，湿热蕴结、瘀血阻络为其标，脾肾两虚乃其失精失血之结果，治疗重视恢复精室的“藏泄”功能，以滋阴降火为治疗血精之常，清热化湿为治疗血精之变，补益气血为治疗血精之本，凉血止血为治疗血精之标，临证治疗分为：肝肾阴虚型，方选二至丸合六味地黄丸加止血药化裁；湿热蕴结型，方选龙胆泻肝汤合小蓟饮子化裁；瘀血阻络型，方选失笑散合桃红四物汤化裁；脾肾两虚型，方选十全大补汤合鹿角胶丸加减。

Experience from Professor Zeng Qingqi in Treatment of Hemospermia Syndrome

Professor Zeng Qingqi thinks that Yin deficiency of liver and kidney is the nature of hemospermia, damp-heat brewing and binding blood stasis are the appearance, deficiency of spleen and kidney are the outcome of loose of blood and semen. Treatment should pay attention to restore the function of essence room, nourishing Yin and reducing fire is the common method, clearing heat and resolving dampness is changed symtom of hemospermia, replenishing Qi and the blood is the key method, cooling blood and hemostasis is the apparent method. The clinical symptoms were devided into Yin deficiency of liver and kidney syndrom treated with Erzhi pills and Liuwei Dihuang pills, damp-heat brewing and binding syndrom treated with Longdan Xiegan decoction and Xiaoji decoction, blood-stasis obstruction syndrome Shixiao powder and Taohong Siwu decoction, deficiency of spleen and kidney with Shiquan Dabu decoction and Lujiao soft capsule.