从虚劳肝瘀论治阳痿

Treating Impotence from Asthenia and Liver stagnation

阳痿是指成年男子性交时,由于阴茎痿软不举,或举而不坚,或坚而不久,无法进行正常性生活的病证。中医对阳痿的认识已有3千年的历史,《素问?痿论》中又称"宗筋弛纵"和"筋萎","思想无穷,所愿不得,发为筋痿"。《灵枢?邪气脏腑病形》篇称阳痿为"阴痿"。《类证治裁》说"伤于内则阳不起,故阳之痿"。《伤寒杂病论》将阳痿列至虚劳篇,"男子平人,脉大为劳,极虚亦为劳"。总结历代医家思想,笔者认为应从虚劳、从肝和从瘀三个方面论治阳痿。

Impotence is an adult man’s sexual disease in which his penis fails to get hard or stay hard during the intercourse. Theunderstanding of impotence in TCM has a history of 3000 years. In Treatise of Atrophy of Plain Question, impotence was called “loosetendon” or “tendon atrophy”, “much desire with little realization will cause impotence”. In Viscera Disease Pathogen of Miraculous Pivot,impotence was called “Yinwei”. In Leizheng Zhicai, it is said that internal damage can cause impotence. In Treatise on Febrile andMiscellaneous Diseases, impotence was listed in asthenia volume. It is said a man with big pulse is considered as atrophy and severeweakness is also atrophy. From the summary of the medical theory of doctors in various dynasty, the writer thinks impotence should betreated from the aspects of atrophy, liver and stagnation.