中医药外治法治疗早泄60例临床观察

The Clinical Observation of the Chinese Medicine External Treatment for Premature Ejaculation

目的:中医药外治法对早泄的临床观察。方法:将观察对象随机分为中药治疗组60例、西药盐酸氟西汀胶囊对照组50例。中药治疗组辨证分为肝胆湿热型、阴虚阳亢型、肾虚不固型、心脾两虚型,分别用龙胆泻肝丸、知柏地黄丸、肾气丸、归脾丸研末醋调敷脐,同时每天用中药蛇床子、菟丝子、五倍子、花椒煎水熏洗龟头阴茎;对照组每天午后中服1次盐酸氟西汀胶囊20 mg,4周为1个疗程,完成2个疗程后3个月复诊随访。结果:中医药外治与盐酸氟西汀胶囊内服均能明显改善病人症状,延长射精潜伏期,其中中药组与治疗前比较有非常显著差异(P<0.01),西药对照组与治疗前比较有显著差异(P<0.05),但中医药外治较对照组疗效更好(P<0.05),副作作更少,更易被病人接受。结论:在辨证论治的基础上,中药敷脐及熏蒸浸泡外治法是治疗早泄的简便有效途径。

Objective：The clinical observation of the Chinese medicine external treatment for premature ejaculation.Method： divide the observed participants at random into Chinese medicine treatment group which contains 60 participants,and the western medicine fluoxetine hydrochloride capsule control group which contains 50 ones.Identify dialectically the participants of the Chinese medicine treatment group as several types： dampness-heat of the liver and gallbladder syndrome,hyperactivity of yang due to yin deficiency,kidney-deficiency unconsolidation,deficiency of both heart and spleen.Apply respectively to the participants＇ umbilicus the paste made from vinegar and the powder of longdan xiegan pills,zhibai dihuang pills,shenqi pills,and guipi pills,meanwhile fumigate and wash the penis and glans daily with the medicine water made by boiling the mixture of cnidium monniri,semen cuscutae,galla chinensis,and zanthoxylum bungeanum;On the other hand,the control group participants take fluoxetine hydrochloride capsules containing 20mg after lunch every day.For both groups 4 weeks become a course of treatment,and within three months after two courses of treatment all the participants take the return visit or receive follow-ups.Results： Both Chinese medicine external treatment and oral administration of fluoxetine hydrochloride capsule can remarkably reduce the symptoms and prolong the ejaculatory latency,and the result of the Chinese medicine group treatment has much great difference from their initial situation（P0.01）,while the result of the control group has great difference from their initial situation.The treatment of Chinese medicine group is better than that of the control group（P0.05）,and its side affects is less,and easier to be accepted by the patients.Conclusion：Based on the dialectical treatment,Chinese medicine spreading umbilicus and fumigation-immense external treatment is a simple and effective method.