Analysis of Etiology,Pathogenesis,Syndrome Differentiation and Treatment of Premature Ejaculation Based on Theory of"Unobstructed in Function,Treatment with both Tonification and Purgation"
Based on the theory of"unobstructed in function"in Inner Canon of Huangdi combined with the pathogenesis characteristics of premature ejaculation,the core pathogenesis of"dysfunction of semen chamber,deficiency-excess in complexity"was summarized in this paper.It was proposed that the basic pathogenesis of premature ejaculation include:disharmony between heart and kidney,and uncon-solidation of semen chamber;kidney deficiency with pathogenic stagnation,and failure in opening and closing of semen chamber;liver depression and spleen deficiency,leading to disharmony in storing and releasing of semen chamber.The core thera-peutic principle is"unobstructed in function,treat-ment with both tonification and purgation".The basic therapeutic methods are outlined:harmonizing heart and kidney,consolidating the function of semen chamber,selecting formulas such as addition or deletion of Guizhi Jia Longgu Muli Decoction(桂枝加龙骨牡蛎汤)combined with Jiaotai Pill(交泰丸);replenishing kidney and expelling pathogen,consolidating the opening and closing of semen chamber,selecting formulas such as addition or deletion of Jingui Shenqi Pill(金匮肾气丸)combined with Shuilu Erxian Pill(水陆二仙丹);soothing liver and invigorating spleen,promoting the storing and releasing of semen chamber,selecting Zini Chaishao Changjing Formula(自拟柴芍畅精方).
premature ejaculationdysfunction of semen chamberdeficiency-excess in complexityunobstructed in functiontreatment with both tonification and purgation
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