阳痿病名与归属及辨病演变考

A study on evoiution of the term impotence and its classification and diagnosis

阳痿在先秦名“不起” ,秦汉至金元多以“阴痿”名 ,明代始称“阳痿”后 ,明清则多以“阳痿”名 ,少数虽以“阴痿”名 ,但同一书不相互为用。唐及其以前将其归属七伤、肾脏、虚劳、五不男、房中等门疾病 ,自金以降 ,多将其归属杂证门疾病。古代主要根据阳痿的程度将其分为不举、不坚、不久三种主要类型 ,也有根据病因分类者 ,并指出阳痿是心欲动而物不为用、非不欲举乃不能举。

Called 'bu qi' (unable to erect)in the pre-Qin period, it was called 'yin wei' (yin flabbiness) during Qin-Han to Jin-yuan dynasties,and called 'yang wei' (yang flabbiness) since the Ming dynasty,though a few books called it Yin-flabbiness,but both Yang- and Yin -flabbiness didn't appear simultaneously in the same work.It was categorized under seven-injuries,kidney disorders,consumptive diseases,five non -masculine and sexual diseases before the Tang dynasty,and categorized under miscellaneous diseases since Jin dynasty.It was typed into bu ju (non erected),bu jian (non hardened) and bu jiu (non persistent).Some classified on the basis of etiology.It was pointed out that this disorder refers to inability to erect though the patient has a desire to erect,instead of unwilling to erect.The changes of the idea reflect the different levels of recognition in different historical periods.