首页|基于"和法"采用柴胡桂枝汤治疗勃起功能障碍/早泄共病的经验采撷

基于"和法"采用柴胡桂枝汤治疗勃起功能障碍/早泄共病的经验采撷

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勃起功能障碍(ED)/早泄(PE)共病是指患者在性生活进程中存在不同程度的ED和PE,临床治疗存在难度,应引起更多医务人员和患者的共同关注.精神心理因素、性腺激素、血管因素是导致ED/PE共病的常见因素,本课题组谨守"肝失疏泄、营卫气血失和"的病机,基于"和法"理论探讨柴胡桂枝汤治疗ED/PE共病的治则治法.柴胡桂枝汤首载于《伤寒论》,是小柴胡汤与桂枝汤的合方,有疏肝和营之效,用于治疗太阳少阳合病.中医治疗ED/PE共病强调阴阳和、肝经和、气血和、脏腑和,主张形神同调,在疾病诊疗过程中,应给予患者心理疏导,使患者心理状态协调平衡.本文并举验案1则,以供参考.
Experience of treating erectile dysfunction/premature ejaculation comorbidity with Chaihu Guizhi Decoction based on"harmony method"
Erectile dysfunction(ED)/premature ejaculation(PE)comorbidity means patients have varying degrees of ED and PE in the process of sexual life.The clinical treatment is difficult,which should arouse the common concern of more doctors and patients.Psychological factors,gonadal hormones and vascular factors are common factors leading to ED/PE comorbidity.Our research group keep the pathogenesis of"liver failure and Qi and blood loss of Ying and Wei"to explore the therapeutic principles and methods of Chaihu Guizhi Decoction in the treatment of ED/PE comorbidity based on the theory of"harmony method".Chaihu Guizhi Decoction is a combination of Xiaochaihu Decoction and Guizhi Decoction,which was first recorded in"Treatise on Febrile Diseases".It has the effect of soothing liver and harmonizing Ying,and was used to treat Taiyang Shaoyang disease.The treatment of ED/PE comorbidity in traditional Chinese medicine emphasizes the harmony of Yin and Yang,the harmony of liver meridian,the harmony of Qi and blood,the harmony of viscera,and pays attention to the harmony of body and spirit.In the process of disease diagnosis and treatment,patients should be given psychological counseling to maintain the coordination and balance of the mental state of patients.One test case is given in the current article for reference.

Erectile dysfunction/premature ejaculation comorbidityHarmony methodChaihu Guizhi DecoctionLiver governing catharsis

袁翔辉、郭红梅、代波、陈豪斌、王权胜、祝雨田

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广西中医药大学国际教育学院,南宁 530001

广西中医药大学第一临床医学院,南宁 530023

广西中医药大学第一附属医院男科,南宁 530023

北京大学第三医院中医科,北京 100191

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勃起功能障碍/早泄共病 和法 柴胡桂枝汤 肝主疏泄

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(12)