阳痿
Alias勃起功能障碍
Traditional Chinese Medicine Definition
Yang痿, also known as erectile dysfunction, is referred to as "Yang痿" in traditional Chinese medicine. As recorded in "Internal Medicine of Traditional Chinese Medicine": "Yang痿 is characterized by the inability of a man to achieve an erection, or an erection that is not firm, or firmness that does not last long, leading to the inability to engage in sexual activity." This condition primarily manifests as a decline in male sexual function, making it difficult to complete normal sexual intercourse.
In clinical practice, Yang痿 is a common kidney-related disease in traditional Chinese medicine. Its core pathogenesis is the decline of kidney Yang, leading to malnourishment of the tendons. Common precipitating factors include emotional disorders, irregular sexual activity, excessive mental strain, and more. During the process of differentiation, it is essential to differentiate between cold, heat, deficiency, and excess:
1. Deficiency of the Gate of Life Fire: Manifested by the inability to achieve an erection, thin and cold seminal fluid, dizziness, tinnitus, and pale complexion. Treatment should focus on warming the kidneys and strengthening Yang, as well as nourishing the kidneys and replenishing essence.
2. Deficiency of both the Heart and Spleen: Manifested by the inability to achieve an erection, palpitations, insomnia, fatigue, and decreased appetite. Treatment should aim to tonify the heart and spleen, nourish the blood, and replenish the tendons.
Overall调理Direction: In clinical practice, the treatment of Yang痿 emphasizes the harmonization of Yin and Yang, tonifying the liver and kidneys, and adopting appropriate treatment methods based on specific patterns. Traditional Chinese medicine believes that by adjusting lifestyle, dietary nourishment, and herbal medicine treatment, the symptoms of Yang痿 can be improved, and quality of life can be enhanced.
Common Syndrome Types and Key Points of Differentiation
命门火衰证
Main Manifestations：阳事不举，精薄清冷，头晕耳鸣，面色晄白
Management Approach：温肾壮阳，滋肾填精
心脾两虚证
Main Manifestations：阳事不举，心悸失眠，神疲食少
Management Approach：补益心脾，养血充筋
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
For doctors, inquiring about the patient's sexual history and physical condition, and observing the hardness of the penis during erection, are fundamental to the process of differentiation.
— 李明久 中医执业医师
Related Popular Articles
Guidance for Nearby Treatment
孔家埭社区、米市社区、北星社区等周边居民可就近到正规中医医疗机构就诊，具体地址、电话及营业时间请查看关于我们。
This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)