当归四逆汤治疗勃起功能障碍的理论探讨和临床运用

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英文篇名：Theoretical Exploration and Clinical Application of Danggui Sini Decoction (当归四逆汤) in Treatment of Erectile Dysfunction 作者：闵潇 ; 焦拥政 英文作者：MIN Xiao;JIAO Yongzheng;Guang'anman Hospital of China Academy of Chinese Medical Sciences;Graduate School of China Academy of Chinese Medical Sciences; 关键词：勃起功能障碍 ; 当归四逆汤 ; 气血 ; 络脉 英文关键词：erectile dysfunction;;Danggui Sini Decoction;;qi and blood;;collateral vessels 中文刊名：ZZYZ 英文刊名：Journal of Traditional Chinese Medicine 机构：中国中医科学院广安门医院;中国中医科学院研究生院; 出版日期：2019-01-02 出版单位：中医杂志 年：2019 期：v.60 语种：中文; 页：ZZYZ201901007 页数：4 CN：01 ISSN：11-2166/R 分类号：29-32

摘要

勃起功能障碍(ED)是男科常见病、多发病,具有多元的发病机制。提出在ED的中医诊疗中"气血""络脉"是重要的切入点,血失清宁、络失畅达,则宗筋勃举失常,是辨治ED的关键病机。当归四逆汤温通补益,可畅达宗筋之气血、通利宗筋之络脉,适用于以血虚血瘀伴阳虚寒凝为病机特点的ED治疗;其所具备的现代药理作用亦有助于纠正导致ED的多种病理改变。临证运用当归四逆汤治疗ED,应把握好其用方指征,同时宜兼顾其他病机,随症加减。
        Erectile dysfunction( ED) is a common and frequently-occurring disease in the male,with multiple pathogenesis. Traditional Chinese medicine( TCM) proposes that the "qi and blood"and "collateral vessels"in the diagnosis and treatment of ED are the important entry points,and the malnutrition of blood and the collateral obstruction can cause dysfunction of pectoral qi,sinew and erection,which is the key pathogenesis for syndrome differentiation and treatment of ED. Danggui Sini Decoction( 当归四逆汤) has functions such as warmly dredging to nourish and promoting blood circulation for removing obstruction in collaterals,which is an appropriate treatment for ED patients with blood deficiency and blood stasis syndrome and yang deficiency and cold dampness syndrome. The modern pharmacological effects of Danggui Sini Decoction also help to correct many pathological changes leading to ED. Clinical application of Danggui Sini Decoction in the treatment of ED should be well assured in the use of prescriptions and take into account other pathogenesis at the same time,with the modification according to the disease.

引文

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