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蒋健. 郁证发微(八)——郁证阳痿论[J]. 上海中医药杂志, 2016,50(3):8-11.
JIANG Jian. Impotence due to depression syndrome(Ⅷ)[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(3):8-11.
探讨郁证性阳痿的病脉证治。认为对阳痿的辨治不能僵执“肾亏命门火衰”之教条,举凡忧思、焦虑、抑郁、惊恐、厌恶、胆怯、失志失意、精神紧张、心理压力、心肝火旺、慢性疲劳、亚健康甚至环境不良,亦是导致阳痿发生的常见原因。此类由情志变化因素所导致的阳痿在临床中更为多见,概属郁证性阳痿,与现代医学心因性勃起功能障碍其理相通。古代中医对有关的病脉证治论述既详且丰,惜未引起今人足够重视。临床诊治之际,需经问诊和闻诊详细了解发病原因和经过,更需见症知人、洞察内心,从临床表现识别郁证形态;治疗切不可一味填精滥补,更毋忘解郁、疏肝宽心、健脾壮胆、条畅气机。
This paper explores the therapy and syndromes of impotence due to depression syndrome. It indicates that impotence cannot be restricted to the dogma of “decline of kidney and life gate fire”. Sorrow,anxiety,depression,terrified,abominate,timidity,frustrated,psychentonia,psychological pressure,hyperactivity of heart-fire and liver-fire,chronic fatigue,sub-health,and even bad environment are familiar causes of impotence. This kind of impotence caused by emotional changes all belong to impotence due to depression syndrome,and existed much more clinically. The expound of the therapy and syndromes of impotence due to depression syndrome by ancient Chinese medicine was detailed and abundant,but it doesn’t caused enough attention. The doctors need not only to understand the etiology and course by inquiry and listening and smelling examination,but also have an insight into the heart and realize the patient,and distinguish the form of depression. We could not blindly supplement essence only in the treatment,but also dispel melancholy,soothe the liver and relaxed,tonify spleen and embolden,regulate qi movement,and indicate the patient to aware kindly. The impotence due to depression syndrome is interlinked psychogenic erectile dysfunction of modern medicine.
郁证阳痿解郁补肾
depression syndromeimpotencedispel melancholytonify the kidney
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