李海松教授治未病理念在治疗阳痿疾病中的应用
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摘要
阳痿,即阴茎勃起功能障碍(erectile dysfunction,ED),是指阴茎持续无法达到和维持足够的勃起以获得满意的性生活。目前,现代医学常规治疗阳痿见效迅速,但难以从根本上解决问题。与之相对,中医药治疗阳痿远期治疗效果相对较好。李海松教授根据多年临证经验,提出阳痿的诊疗重在防治,应当时刻关注"治未病"理念,临床论治时注重综合考虑性命双修、身心同治、标本同治、中西合璧、夫妻同治等多个方面,取得了良好的疗效。本文将李海松教授关于阳痿治疗中应用"治未病"理念的经验进行整理,以供同道交流学习。
Impotence,namely erectile dysfunction( ED),refers to the penis cannot erection and maintain enough time of erection to obtain a satisfactory sexual life. At present,modern treatment is effective,but it is difficult to solve the problem fundamentally. In contrast,Chinese medicine treatment of impotence has relatively good long-term treatment effect. Professor Li Haisong,based on the clinical experience in the past years,put forward the ideal of ‘treating disease before its occurrence'in impotence and comprehensive consideration should be given to the coordination between spiritual and physical life,balance of physical and mental development,simultaneous treatment of principal and subordinate symptoms,combination of Chinese and western elements and concurrent treatment of spouses to realize good curative effect. This paper introduces the ideal of Professor Li Haisong in the application of impotence.
Impotence,namely erectile dysfunction( ED),refers to the penis cannot erection and maintain enough time of erection to obtain a satisfactory sexual life. At present,modern treatment is effective,but it is difficult to solve the problem fundamentally. In contrast,Chinese medicine treatment of impotence has relatively good long-term treatment effect. Professor Li Haisong,based on the clinical experience in the past years,put forward the ideal of ‘treating disease before its occurrence'in impotence and comprehensive consideration should be given to the coordination between spiritual and physical life,balance of physical and mental development,simultaneous treatment of principal and subordinate symptoms,combination of Chinese and western elements and concurrent treatment of spouses to realize good curative effect. This paper introduces the ideal of Professor Li Haisong in the application of impotence.
引文
[1]李宏军,黄宇烽.实用男科学.北京:科学出版社,2015:58.
[2]李宏军.男科诊疗常规.北京:中国医药科技出版社,2015:41.
[3]王天芳,孙涛.亚健康与“治未病”的概念、范畴及其相互关系的探讨.中国中西医结合杂志,2009,29(10):929-933.
[4]宋俐,汪华.中医饮食养生探析.湖北中医药大学学报,2013,15(5):47-49.
[5]张学毅,马红星.脾胃学说历史沿革.实用中医内科杂志,2014,28(6):174-175,177.
[6]贺占举,金杰,张凯.血脂异常与勃起功能障碍.中国性科学,2009,18(2):6-8,11.
[7]Gholami SS,Rogers R,Chang J,et al.The effect of vascular endothelial growth factor and adeno-associated virus mediated brain derived neurotrophic factor on neurogenic and vaculogenic erectile dysfunction induced by hyperlipidemia.J Uro1,2003,169(4):1577-1581.
[8]Sullivan ME,Keoghane SR,Miller MAW.Vascular risk factors and erectile dysfunction.BJU Int,2001;87(9):838-845
[9]Leroux C,Brazeau AS,Gingras V,et al.Lifestyle and cardiometabolic risk in adults with type 1 diabetes:A review.Can J Diabetes,2014,38(1):62-69.
[10]Booth FW,Roberts CK,Laye MJ.Lack of exercise is a major cause of chronic diseases.Compr Physiol,2012,2(2):1143-1211.
[11]Strasser B.Physical activity in obesity and metabolic syndrome.Ann N Y Acad Sci,2013,1281(1):141-159.
[12]贺宏波,成海生,张韬,等.阳痿中医诊治述评.中国性科学,2016,25(11):85-87.
[13]王雯,王璟琦,万锋,等.中青年男性运动与勃起功能之间的关系研究.中华男科学杂志,2014,20(12):1086-1089.
[14]张范波,姜睿.睡眠与勃起功能关系的研究进展.中华男科学杂志,2016,22(3):252-257.
[15]陈亮,周苏,钟伟.吸烟与勃起功能障碍关联性研究进展.中国男科学杂志,2010,24(1):70-72.
[16]程团结,梁琳琅,李萍,等.饮酒量与男性2型糖尿病患者勃起功能障碍的相关性研究.中国实用内科杂志,2010(5):438-440.
[18]Delphine BR,Diane G,Katell M,et al.Erectile dysfunction:An early marker for hypertension a longitudinal study in spontaneously hypertensive rats.Am J Physiol Regul Integr Comp Physiol,2005,288(1):276-283.
[19]Chitaley K,Webb RC,Dorrance AM,et al.Decreased penile erection in DOCA-salt and stroke prone-spontaneously hypertensive rats.Int J Impot Res,2001,13(S5):S16-S20.
[20]Wilkes N,White S,Stein P,et al.Phosphodiesterase-5 inhibition synergizes rho-kinase antagonism and enhances erectile response in male hypertensive rats.Int J Impot Res,2004,16(2):187-194.
[21]陈赟,戴玉田,孙则禹,等.糖尿病性勃起功能障碍多因素发病机制研究.南京大学学报(自然科学),2006,42(5):463-469.
[22]王东伟,史桂霞,夏小明.高血压及抗高血压药物对勃起功能的影响与研究进展.心血管病学进展,2006,27(5):592-595.
[23]臧志军.引起阴茎勃起功能障碍的疾病和药物.临床药物治疗杂志,2007,5(2):47-50.
[2]李宏军.男科诊疗常规.北京:中国医药科技出版社,2015:41.
[3]王天芳,孙涛.亚健康与“治未病”的概念、范畴及其相互关系的探讨.中国中西医结合杂志,2009,29(10):929-933.
[4]宋俐,汪华.中医饮食养生探析.湖北中医药大学学报,2013,15(5):47-49.
[5]张学毅,马红星.脾胃学说历史沿革.实用中医内科杂志,2014,28(6):174-175,177.
[6]贺占举,金杰,张凯.血脂异常与勃起功能障碍.中国性科学,2009,18(2):6-8,11.
[7]Gholami SS,Rogers R,Chang J,et al.The effect of vascular endothelial growth factor and adeno-associated virus mediated brain derived neurotrophic factor on neurogenic and vaculogenic erectile dysfunction induced by hyperlipidemia.J Uro1,2003,169(4):1577-1581.
[8]Sullivan ME,Keoghane SR,Miller MAW.Vascular risk factors and erectile dysfunction.BJU Int,2001;87(9):838-845
[9]Leroux C,Brazeau AS,Gingras V,et al.Lifestyle and cardiometabolic risk in adults with type 1 diabetes:A review.Can J Diabetes,2014,38(1):62-69.
[10]Booth FW,Roberts CK,Laye MJ.Lack of exercise is a major cause of chronic diseases.Compr Physiol,2012,2(2):1143-1211.
[11]Strasser B.Physical activity in obesity and metabolic syndrome.Ann N Y Acad Sci,2013,1281(1):141-159.
[12]贺宏波,成海生,张韬,等.阳痿中医诊治述评.中国性科学,2016,25(11):85-87.
[13]王雯,王璟琦,万锋,等.中青年男性运动与勃起功能之间的关系研究.中华男科学杂志,2014,20(12):1086-1089.
[14]张范波,姜睿.睡眠与勃起功能关系的研究进展.中华男科学杂志,2016,22(3):252-257.
[15]陈亮,周苏,钟伟.吸烟与勃起功能障碍关联性研究进展.中国男科学杂志,2010,24(1):70-72.
[16]程团结,梁琳琅,李萍,等.饮酒量与男性2型糖尿病患者勃起功能障碍的相关性研究.中国实用内科杂志,2010(5):438-440.
[18]Delphine BR,Diane G,Katell M,et al.Erectile dysfunction:An early marker for hypertension a longitudinal study in spontaneously hypertensive rats.Am J Physiol Regul Integr Comp Physiol,2005,288(1):276-283.
[19]Chitaley K,Webb RC,Dorrance AM,et al.Decreased penile erection in DOCA-salt and stroke prone-spontaneously hypertensive rats.Int J Impot Res,2001,13(S5):S16-S20.
[20]Wilkes N,White S,Stein P,et al.Phosphodiesterase-5 inhibition synergizes rho-kinase antagonism and enhances erectile response in male hypertensive rats.Int J Impot Res,2004,16(2):187-194.
[21]陈赟,戴玉田,孙则禹,等.糖尿病性勃起功能障碍多因素发病机制研究.南京大学学报(自然科学),2006,42(5):463-469.
[22]王东伟,史桂霞,夏小明.高血压及抗高血压药物对勃起功能的影响与研究进展.心血管病学进展,2006,27(5):592-595.
[23]臧志军.引起阴茎勃起功能障碍的疾病和药物.临床药物治疗杂志,2007,5(2):47-50.