Study On The Literature On Diet Therapy For Common Andrological Diseases in Traditional Chinese Medicine Ⅱ
Nov 12, 2024
Current status of andrology in traditional Chinese medicine
The existence of andrology in traditional Chinese medicine has a long history. In the "Historical Records of the Biography of Bian He and Cang Gong", it is recorded that "when passing through the countryside and hearing about the noble lady, it is said that the doctor was brought in". Due to historical reasons in China, TCM andrology has always lagged behind other disciplines such as internal medicine, surgery, pediatrics, and gynecology. It was only at the end of the century that TCM andrology truly became a systematic specialty. Many scholars of traditional Chinese medicine andrology have developed specialties related to male sexually transmitted diseases and conducted clinical experiments and literature research.
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Systematization of traditional Chinese medicine andrology
With the efforts of those who are interested in TCM andrology, there is a desire for further academic exchanges. In 2006, the "Academic Society of Traditional Chinese Medicine andrology" was held in Hunan, and the "China Association of Traditional Chinese Medicine" was established. The "Society of Surgery" branched off the "Andrology Professional Committee". This academic conference and the establishment of the Andrology Professional Committee are the foundation of traditional Chinese medicine. The first grand meeting and academic group of the andrology academic community has attracted great attention from medical scientists at home and abroad. Since then, the academic thought of TCM andrology has further developed, and academic branches have been established in various places. And in March 2016, the "Andrology Society of the Chinese Society of Traditional Chinese Medicine" was established in Tianjin.
With the rise of research on TCM andrology, the "Seventh Academic Conference on TCM Andrology of the Chinese Society of Traditional Chinese Medicine" was held in Kunming in 2015, and the "10th and 11th TCM Andrology Academic Conference" were held in Shanghai and Guangzhou in 2008 and 2018. A national academic institution of TCM andrology for theoretical, clinical and experimental research on andrology has been established, laying a solid foundation for the development of TCM andrology in future generations.
The systematic publication of research results and monographs on TCM andrology has made a huge contribution to the establishment of the theoretical system of TCM andrology. Excavation of ancient literature on andrology content in ancient Chinese medicine books will promote the further development of andrology theory. The contents of many ancient medical books lack systematic content for correction and research and development of new ideas. For example, Wang Qi also proposed the idea of treating impotence from the liver, Xu Fusong first advocated the theory of glands, sex, nurturing, and essence as the four main syndromes of andrology in traditional Chinese medicine, and Chen Wenwei established the treatment principles of regulating and tonifying the menstrual meridian. Some doctors such as Song Shugong, Zhou Yimou, Wang Minghui, and Wang Xudong have made great achievements in the research of traditional Chinese sexual medicine, especially the research of "Fangzhongshu". Some scholars such as Chen Guoming, Zhou Leping, and Zheng Dakun have gained great achievements in the research of traditional Chinese medicine andrology, diet and health, and traditional Chinese medicine eugenics. A long way to go.
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To sum up, after the reform and opening up, New China has experienced rapid development in various fields. Traditional Chinese medicine and traditional Chinese medicine andrology have also developed rapidly. With the development of modern scientific research, TCM andrology has gradually differentiated from other disciplines and formed an independent discipline. After years of continuous efforts, a systematic academic organization of Traditional Chinese Medicine and Andrology has been established, forming a nationwide scientific research academic network. National Cheng Kung University has organized academic conferences in various aspects, and has trained andrology professionals, summarizing the research results of Traditional Chinese Medicine Andrology. He has published academic monographs on andrology and has made remarkable developments in basic theoretical, clinical and experimental research on andrology.
Achievements in literature
Before the 1970s, TCM andrology was scattered in various clinical departments such as internal medicine, surgery, urology, and pediatrics. The content and literature related to TCM andrology are also scattered within the scope of other departments. The process of converging the related contents of andrology into an independent specialty was first carried out under the guidance of traditional Chinese medicine theory. Therefore, starting from the early 1990s, relevant theoretical monographs were gradually published. Among them, the books with high academic value and great influence are listed in chronological order from ancient times to the present. In the early 1990s, "Traditional Chinese Medicine andrology Syndrome and Treatment" written by Chong Guorong and Li Jiazhen, and "Practical Chinese Medicine for Urinary Reproduction" written by Xu Fusong in 2000. "Typology", "Traditional Chinese Medicine Andrology" compiled by Cao Kaiyong and Wang Yu, "Typology of Impotence and Premature Ejaculation" compiled by Zhang Qiwen, "Ancient Chinese Sexual Health Science" compiled by Zhang Wenge and Liu Wenhu, "Traditional Chinese Medicine" compiled by Zhang Qiwen "Withdrawal of Birth Control", "Traditional Chinese Sexual Medicine" written by Wang Minghui, "Chinese Traditional Chinese Medicine Andrology Series" edited by Wang Qi, "Clinical Manual of Traditional Chinese Medicine Andrology" edited by Cao Kaiyong, "Treatment of Male Diseases" edited by Xu Fusong and Gao Hongcheng, "Guidelines for Andrology Syndrome and Treatment" edited by Li Biao and He Yaorong in 2011, "Male Infertility and Sexual Dysfunction" edited by Nian Jin Zhigang and Chen Wenbo, "Clinical Therapeutics of Traditional Chinese Medicine andrology" edited by Leng Fangnan, "Ancient Chinese Chambers" by Song Shugong Health Preservation Collection" "Male and Female Diseases and Infertility" edited by Li Guangwen, "Clinical Certificates of Contemporary Famous Doctors and Men's Medicine Collection" written by Nian Dan Shujian and Shi Yuguang, "Andrology Compendium" written by Nian Huang Fuhua and Xu Fusong, and later The published works were further systematically organized, such as "Traditional Chinese Medicine Andrology" written by Chen Wenbo in 2011, "Andrology" edited by Guo Yinglu and Hu Lichuan in 2011, "Classical Collection of Chinese Urology and Andrology" edited by Fan Youping in 2008, "Wang Qi Andrology" edited by Wang Wei, "Practical Andrology" written by Huang Yufeng and Li Hongjun, "Practical Andrology of Traditional Chinese Medicine" written by Xu Fusong, etc. These monographs on andrology were published one after another, which not only improved the academic level of TCM andrology, but also made TCM andrology popularize all over the world faster, forming a strong bridge with modern medicine.
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Research on common andrology diseases
nocturnal emission
Spermatorrhea refers to a disease syndrome characterized by frequent semen discharge due to sexual intercourse, which is caused by deficiency of the spleen and kidneys, insufficient semen connection, or excessive fire and dampness and heat, which disturbs the sperm chamber. Those who have nocturnal emissions due to dreams are called nocturnal emissions; those who have nocturnal emissions without dreams, or even the semen comes out spontaneously when awake, are called Huajingjing.
Definition of nocturnal emission
Frequent discharge of semen not due to sexual intercourse, more than 2 times a week, or discharge of semen while sleeping with dreams, or discharge of semen without dreams, or a small amount of semen leaking out with urine, or even spontaneous discharge while awake. Outflow is often accompanied by symptoms such as dizziness, tinnitus, forgetfulness, palpitations, insomnia, backache and knee weakness, listlessness, or discomfort during urination, distension and discomfort in the lower abdomen and genitals. It is mostly caused by factors such as overwork, over-intention, indulgence, exposure to touch, exposure, spicy food and other factors. From the perspective of modern medicine, for unmarried or young men, reproductive organs such as testicles and seminal vesicles continue to produce sperm and semen. When they accumulate to a saturated state, they are excreted from the body. Therefore, "The Complete Book of Jing Yue" says, "Those who are full of energy in their prime of life and have long-term restraint on sexual desire and sexual desire, are also those who are full and overflow." This phenomenon is not a pathological state, but a physiological phenomenon.
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Diagnostic criteria for spermatorrhea
Married men who have normal sex life and have spontaneous ejaculation of semen not due to sex, or have ejaculation during sleep or when awake, and have ejaculation more than times a week, or unmarried men who have frequent ejaculation of semen, more than times a week, accompanied by tinnitus, dizziness, forgetfulness, insomnia, fatigue, backache and knee weakness, etc., and last for more than a month, can be diagnosed with ejaculation.
Modern research
Etiology and pathogenesis: The etiology of this disease is relatively complex, mainly including congenital deficiency, uncontrolled sexual intercourse, excessive concentration, unsatisfactory desires, uncontrolled diet, and invasion of dampness and heat. Li Hengsheng believes that the etiology and pathogenesis of this disease are mostly caused by kidney deficiency and inability to consolidate, excessive fire in the monarch and minister, or dampness and heat flowing downward, disturbing the sperm chamber, and causing spermatorrhea. Liang Yuechang et al. treated the disease from the heart, and treated it according to the symptoms by clearing the heart and calming the mind, clearing the heart and nourishing the essence, calming the heart and consolidating the kidney to circulate the essence, or calming the heart and soothing the liver to promote circulation, etc.
Treatment: There are many reports. Chen used Chinese medicine for internal administration based on syndrome differentiation combined with knee application therapy to treat spermatorrhea, with 10 cases cured, 10 cases improved, and 10 cases not cured, with a total effective rate of . Chang used Gujingling Pills to treat spermatorrhea of the heart-kidney disharmony type, with 10 cases cured, 0 cases significantly effective, and 0 cases not cured. ; effective cases, accounting for , ineffective cases, accounting for . Li et al. used Gujing Decoction to treat spermatorrhea, and 90% of the cases were cured, 20% were improved, and 20% were not cured. The total effective rate was . Zheng et al. used Gujing Decoction to treat spermatorrhea of heart-kidney disharmony type, and 90% of the cases were cured, 20% were significantly effective, 20% were effective, and 20% were ineffective. The recent cure rate and total effective rate were , respectively. The control group had 90% cured, 20% significantly effective, 20% effective, and 20% ineffective. The recent cure rate and total effective rate were , respectively. The recent cure rate and total effective rate of the two groups were compared, and the differences were significant. (Impotence is a disease in which the penis cannot erect or is not hard enough during intercourse, or is hard but not long-lasting, so that normal sexual intercourse cannot be completed. It is the most common male sexual dysfunction. According to foreign statistics, impotence accounts for about 30% of male sexual dysfunction. In the past, it was believed that this disease was mostly caused by mental or psychological factors, while organic factors caused 20% of the cases. There are relatively few people with organic impotence. However, in recent years, with the continuous improvement of detection methods, the incidence of organic impotence has increased compared with the past. It is reported that about 10% of patients with impotence have organic diseases, and many patients have both mental and organic factors. The disease is mostly found in adults, with an incidence of about 20%, and with the increase of age, its incidence continues to rise.
Definition of impotence
Impotence is the most common type of male sexual dysfunction. Type. It refers to a disease in which the penis cannot erect during sexual intercourse, or it is erect but not firm, or it cannot be maintained, so that the whole process of sexual intercourse cannot be completed. It is both a single disease and a common complication of certain diseases. It not only makes the patient lose the pleasure of sexual life, but also brings negative effects to the individual's physical and mental health and the stability of the family and society.
(1)Diagnostic criteria for impotence
When young and middle-aged men have sexual intercourse, due to the inability of the penis to erect, the penis is If the penis cannot be erected effectively, and the opportunity for sexual intercourse cannot be carried out, and the normal sexual life cannot be carried out, it can be diagnosed as impotence. It is mostly caused by excessive sexual intercourse, long-term illness, or frequent masturbation by teenagers. It is often accompanied by fatigue, sore waist and weak knees, fear of cold limbs, or difficulty urinating, dripping and other symptoms. Exclude impotence caused by incomplete development of sexual organs or drugs. Young and middle-aged men, due to weakness, fear or damp heat, etc. , which causes the tendons of the penis to become loose, leading to the penis becoming soft and incapable of erection, or the condition where the penis cannot become erect during intercourse.
(2) Diagnostic criteria for premature ejaculation
Premature ejaculation (PE) refers to ejaculation that always or almost always occurs before or within 1 minute of vaginal penetration, with complete or almost complete lack of ability to control ejaculation, and causes adverse consequences such as distress, anxiety, frustration, and (or) avoidance of sexual intimacy. The definition of premature ejaculation1361 includes three aspects: (1) short intravaginal ejaculation latency time (IELT); (2) lack of ability to control ejaculation; (3) inability to obtain sexual satisfaction. The length of IELT has always been an important indicator for determining whether a patient has PE, but the abnormal range of IELT has always been controversial. Due to individual differences, it is actually difficult to accurately define how long the IELT is that does not constitute PE. Moreover, some one-sided studies have shown that the definition of PE based solely on a short positive IELT cannot effectively distinguish between PE and non-PE. The patient's ability to control ejaculation and whether both parties can achieve sexual satisfaction during sexual intercourse should also be considered comprehensively.
Premature ejaculation and spermatorrhea are both symptoms of abnormal semen excretion, but they are different. Spermatorrhea is not caused by frequent ejaculation of semen during sexual intercourse, and ejaculation during sexual intercourse is normal. Premature ejaculation, on the other hand, is caused by the ejaculation of semen before sexual intercourse begins, which leads to sexual dissatisfaction. In clinical practice, it is often seen that patients with premature ejaculation often have a history of spermatorrhea (3)
Modern research
Etiology and pathogenesis: Traditional Chinese medicine 1381 believes that the storage and release of semen depends on the joint action of the heart, liver, kidney and other internal organs. The kidney is responsible for storing semen, and the liver is responsible for releasing semen. The storage and release of semen are all dependent on the mind controlled by the heart. Therefore, the cause of premature ejaculation is in the kidney, its control is in the liver, and its source is in the heart. When the heart fire is strong, the kidney essence is deficient, and the liver fails to release semen, the opening and closing of the semen orifices are out of control, that is, premature ejaculation occurs. The basic treatment principle should be to clear the heart and regulate the liver, and to tonify the kidney and consolidate the semen.
Treatment: Premature ejaculation is the most common male dysfunction disease in clinical practice. According to the statistics of Shenzhen Fuhua Integrated Chinese and Western Medicine Men's Clinic and Consultation, the incidence of premature ejaculation accounts for about 35%-50% of adult males. In the past, men often ejaculated within 1-2 minutes during sexual intercourse, which was called premature ejaculation; some modern experts define premature ejaculation as people who ejaculate due to lack of ability to adjust ejaculation at will during sexual intercourse, and when women have not reached orgasm during sexual intercourse but men have already ejaculated and this situation accounts for 50% of sexual intercourse, which can be regarded as premature ejaculation. Experts pointed out that premature ejaculation leads to poor quality of sexual life and can cause other sexual dysfunctions such as ED. In mild cases, the quality of sexual life of couples is not high, and in severe cases, it affects the feelings of couples and family harmony, which should be taken seriously and treated early. Eighty percent of premature ejaculation is secondary to chronic prostatitis. As shown below, experimental treatment of chronic prostatitis In the clinical research of prostate diseases, Xu Fusong!25 pointed out that infection and congestion are external conditions for the onset of chronic prostatitis, while physical weakness is the root cause of the disease, the so-called "when qi and blood are strong, external evil cannot interfere, when qi and blood are weak, internal righteousness cannot resist", 80 cases were treated, 48 cases were cured, and the total effective rate was 93.75%; Tang1381 divided chronic prostatitis into stasis type, damp-heat type, kidney yin deficiency and kidney yang deficiency type, and the results showed that 34 cases were significantly effective, 13 cases were effective, and the total effective rate was 96%. Huang 91 treated premature ejaculation with Zishui Qinggan Yin plus Longbi Shu. Among the 68 cases treated, 42 were clinically cured, 19 were effective, and 7 were ineffective, with a total effective rate of 89.7%; among the control group, 27 were clinically cured, 15 were effective, and 18 were ineffective, with a total effective rate of 70%. In the clinical research of sexual dysfunction, Xu Fusong 0 proposed a six-type division system, "the liver is responsible for the excess, and the kidney is responsible for the deficiency", liver depression, heart and kidney disharmony, yin deficiency and fire (impotence, premature ejaculation, no ejaculation, nocturnal emission), spleen and kidney deficiency, damp heat in the lower part of the body, and blood stasis. Qi 0 treated 123 cases with Jiawei Guizhi Longmu Decoction, 99 were cured, with a total effective rate of 80.5%;
