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221.12 中医治疗勃起功能障碍病例报告与文献探讨

TJ TCM.22(1) : 135-142, 2019

DOI : 10.6516/TJTCM.201903_22(1).0012

中医治疗勃起功能障碍病例报告与文献探讨

Treatment of Erectile Dysfunction with Chinese

Medicine-Case Report and Literature Review

陈威杰1　许航甄2　庄筱梅1*

1 台中荣民总医院传统医学科，台中，台湾

2 台中中山医学大学附设医院中西整合医疗科，台中，台湾

【摘要】

勃起功能障碍是男性常见困扰的问题，根据台湾流行病学调查，40 岁以上男性约有17.7% 有勃起功能障碍，并且勃起功能随着年龄上升而下降，这样的问题不只影响到身心的健康状况，也会带给伴侣生活上的冲击。目前西医治疗勃起功能障碍第一线用药为第五型磷酸二酯酶抑制剂(Phosphodiesterase-5 inhibitors)，但仍存在禁忌症与副作用，许多病患因此转向寻求中医的辅助治疗。

本案例是一位阳痿已四年57 岁男性，经国际勃起功能指数(Internationalindex of erectile function-5) 问卷来评估，属於严重勃起功能障碍，中医辨证为肾阴阳两虚，治则以填精补肾，滋阴壮阳方式用药。介入後一个月已回复之前性生活状况，且无勃起功能障碍问题。此有效案例提供同道叁考讨论，并同时回顾过去关於阳痿的中医文献，期许未来可以进行相关临床试验，以证实中医在勃起功能障碍上的治疗效益。

【关键词】勃起功能障碍、中药治疗、中医文献

Wei-Chieh Chen1　Hang-Chen Hsu2　Hsiao-Mei Chuang1*

1Department of Traditional Chinese medicine, Taichung Veterans General Hospital, Taichung, Taiwan

2Department of Integrated Chinese and Western Medicine, Chung Shan Medical University Hospital,

Taichung, Taiwan

【Summary】

Erectile dysfunction (ED) is a common medical problem bothering many men worldwide. According to the epidemiological study in Taiwan, the prevalence of ED was 17.7 % in men aged over 40 as erectile capacity declines with age. ED may not only influence physical and mental health status but also bring a great impact to the quality of life (QoL) between sufferers and their mates. Phosphodiesterase-5 inhibitors (PDE5) have been the first-line therapy for ED. However, there are adverse effects and contraindications, which makes many people turn to Chinese medicine for help.

We present the case of a 57-year-old male patient who suffered from impotence for 4 years and was evaluated with severe ED by International index of erectile function-5 questionnaire. Through differentiation, the diagnosis of the patient was kidney yin and yang deficiency. Based on it, we adopted Supplementing Essence and Consolidating the Kidney, nourishing yin and invigorating yang. ED was significantly improved and did not occur after about one month of Chinese medical treatment. In this study, we provided effective TCM treatment of ED for physicians as reference and reviewed Chinese literatures of ED. Further experimental studies and clinical trials are warranted to confirm the efficacy of TCM treatments on treating ED in the future.

Keywords：Erectile dysfunction, Traditional Chinese Medicine Treatment, Chinese literature

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