宁港 吴悔 周兴

    〔摘要〕 比较天癸及睾酮二者在分泌节律、生理功能上的相似性，论述二者的临床相关性，探讨现代男性生殖系统疾病从天癸论治的机制，可以为男科疾病的治疗提供新的思路和方法。天癸包含了现代医学中的睾酮的功能，但又要远大于它。中西医针对天癸竭与睾酮水平低下这两个关于迟发性性腺功能减退症的不同概念，运用各自的治疗手段，取长补短，可以起到更佳的疗效。

    〔关键词〕 天癸;睾酮;男性;生殖;迟发性性腺功能减退

    〔中图分类号〕R268 ? ? ? 〔文献标志码〕A ? ? ? ?〔文章编号〕doi：10.3969/j.issn.1674-070X.2022.01.014

    〔Abstract〕 To compare the similarity of secretion rhythm and physiological function of Tiangui and testosterone， discuss the clinical correlation between them， and discuss the mechanism of treatment of modern male reproductive system diseases from Tiangui， which can provide new ideas and methods for the treatment of andrological diseases. Tiangui contains the function of testosterone in modern medicine， but it is much greater than it. In view of the two different concepts of Tiangui exhaustion and low testosterone level， traditional Chinese and western medicine can play a better effect by using their own treatment methods and learning from each other.

    〔Keywords〕 Tiangui; testosterone; male; reproduction; delayed hypogonadism

    《素問·上古天真论》曰：“丈夫八岁，肾气实，发长齿更;二八肾气盛，天癸至，精气溢泻，阴阳和 ......