梁永瑞 李应存 李鑫浩 田云梦 顾晓霞 刘馨遥

【摘 要】 近年来，男性不育症、阳痿等男科疾病的发病率不断上涨。男科疾病由于疾病自身机制较为复杂，时有疗效不佳的情况出现，导致患者经济与心理负担不断增加。中医药在治疗阳痿、男性不育症等男科疾病方面具有疗效显著、经济负担小等优势。李应存教授在临床中运用敦煌三等丸方温肾补肝、通畅血脉的基础上，结合患者具体症状进行加减，临床效果显著。文章结合典型案例对李教授运用敦煌三等丸方论治男科疾病经验进行总结。

【关键词】 敦煌医学;三等丸方;组方分析;临床经验;李应存

【中图分类号】R249.2/.7   【文献标志码】 A    【文章编号】1007-8517（2021）21-0115-03

A case study of Professor Li Yingcun’s application of Dunhuang Third-class Pills in the treatment of androgenic diseases

LIANG Yongrui1，2 LI Yingcun1，2* LI Xinhao3 TIAN Yunmeng1，2 GU Xiaoxai1，2 LIU Xinyao1，2

1.School of Basic Medicine，Gansu University of Traditional Chinese Medicine，Lanzhou 730020， China;2.Dunhuang Key Laboratory of Medicine and Transformation，Ministry of Education，Gansu University of Traditional Chinese Medicine，Lanzhou 730020，China;3.Beijing university of Chinese medicine，Beijing 100029，China

Abstract：In recent years， the incidence of male infertility， impotence and other male diseases is rising. Due to the complex mechanism of the disease itself， andrology diseases sometimes have poor efficacy， leading to the increasing economic and psychological burden of patients. Traditional Chinese medicine in the treatment of impotence， male infertility and other male diseases has obvious curative effect， small economic burden and other advantages. On the basis of warming kidney， tonifying liver and patenting blood vessels， Professor Li combined with patients' specific symptoms to make addition and subtraction in clinical practice， and the clinical effect was remarkable. This paper summarizes Professor Li's experience in treating andrology diseases by applying Dunhuang Sanyue pill prescription with typical cases.

Key words：Dunhuang Medicine;Third Class Pill Prescription;Group Prescription Analysis;Clinical Experience;LI Ying cun

敦煌医学是敦煌学研究的重要分支学科，融合了中外多个民族的传统医学内容，包含中医药学、藏医学、西域医学和印度医学，尤其是壁画医学及佛教医学内容在中国乃至世界医学史上弥足珍贵[1]。在敦煌特殊的文化地理环境以及气候因素的影响下，敦煌石窟才能较为完整地保存了众多医学文献在唐以前的流传面貌，而且保存了相当一部分后世亡轶的宋以前的医书（如《玄感脉经》等），为中医学文献的传承贡献了一份力量。

李应存教授现为世界中医药学会联合会扁鹊医学与文化研究会副会长，甘肃中医药大学基础医学院副院长，敦煌医学研究所副所长，国家中医药管理局“十二五”重点建设学科敦煌医学学科带头人。敦煌三等丸方在临床中多属于治疗男科疾病的方剂，李应存教授将此方灵活加减，治疗男科腰膝冷痛、阳痿、弱精症、慢性前列腺炎等疾病，在临床上取得确切疗效。……