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中医药研究论丛
 222.14 阳痿的中医诊治病例报告
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TJ TCM.22(2) : 139-146, 2019
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阳痿的中医诊治病例报告
Case Study of Traditional Chinese Medicine Treatment on Erectile Dysfunction
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何孟杰1 黄中瑀1 林文胜1*
1 台北市立万芳医院传统医学科，台北，台湾
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【摘要】
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阳痿又称勃起功能障碍，是指男性持续性或经常性的无法达到或维持足够的阴茎勃起以进行满意的性行为，为男性最常见的困扰，除了生理上的不适外，更会造成个人精神上的压力，再因疾病较为隐私，患者有可能较不敢求助，导致严重影响身心功能。古代阳痿成因多以肾虚寒为主，但现今社会多见以肝郁、痰瘀互结为主因的患者，本篇为一位62 岁患者因糖尿病、高血压与其他慢性疾病，导致逐渐出现阴茎勃起不全的症状，辨证主因为肝郁、痰瘀阻络兼肾虚，主方选用血府逐瘀汤与甘露消毒丹，疏肝泻浊，祛瘀通络，回诊根据以通为补（实则泻之）原则加入右归丸等药补益肾阳，经治疗後症状明显改善。
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【关键词】阳痿、中医药、以通为补
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Meng-Chieh Ho1 Jung-Yu Huang1 Wen-Sheng Lin1*
1Department of Traditional Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
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【Summary】
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Erectile dysfunction, which means the inability to get and keep an erection firm enough for sex, is the most popular disorder in male population. Compared to the past, dampness and blood stasis are the dominant disease pattern nowadays instead of kidney yang vacuity. A 62-year-old male with major past history of diabetes and hypertension complained about abating sexual function gradually about 1 year. With treatment methods of coursing depression, dispelling dampness,quickening the blood and transforming stasis (Repletion is treated by draining),the Chinese herbal granule, Gan Lu Xiao Du Dan and Xue Fu Zhu Yu Tang, were prescribed primarily. After second appointment, we add You Gui Wan to assist kidney yang. Erectile dysfunction is improved.
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【Keywords】
Erectile Dysfunction, Traditional Chinese Medicine, Repletion is treated by draining
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