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| Analysis of impotence diagnosis and treatment based on CHEN Shiduo’s theory of “Yangming stomach fire” |
| Hits 141 Download times 77 Received:March 03, 2026 |
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| DOI
10.11656/j.issn.1673-9043.2026.08.02 |
| Key Words
flaccidity syndrome;yangming stomach fire;kidney water;CHEN Shiduo |
| Author Name | Affiliation | E-mail | | SUN Zhigang | Department of Gastroenterology, The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China | | | LIU Leilei | School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China | | | WANG Ruochong | School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China | | | SHI Lijie | Department of Gastroenterology, The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China | slj629@163.com |
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| Abstract
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| By studying the medical works of the distinguished Qing Dynasty physician CHEN Shiduo，it can be found that he divided flaccidity syndrome(wei syndrome) into five types corresponding to the five zang organs，with the core pathogenesis lying in the exuberance of yangming stomach fire，which can scorch the lung，flush the heart， injure the spleen，damage the liver，and harm the kidney. Chen analyzed the pathological process of flaccidity syndrome from the perspective of the five-phase generation and restriction cycles，providing thorough reasoning. He emphasized the pathogenic role of each zang organ in flaccidity syndrome，placing them into systematic consideration within the holistic view and dynamic perspective，and created numerous therapeutic methods， including draining stomach fire，supplementing lung qi，nourishing kidney water，replenishing spleen yin，and calming liver fire. In terms of medication，CHEN frequently used sweet，cold，cool，and moistening herbs，preferred to emphasize the principal drug，valued the compatibility rules among various medicals，and made good use of paired herbs. He summarized previous experience and created several original formulas. His style of precise syndrome differentiation，appropriate medication，and stable prescription formulation is of great value in guiding modern clinical practice. |
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