中医药积极干预迟发性性腺功能减退症的临床意义与思路

Clinical significance and therapeutic method of traditional Chinese medicine in the active intervention of late-onset hypogonadism

迟发性性腺功能减退症(LOH)是一种与年龄增长密切相关的男科疾病,临床症状复杂多样,与抑郁症在临床表现上十分类似,值得临床医师关注与重视。中医药积极地干预治疗本病有利于有效改善患者的抑郁状态,呵护中老年男性身心健康;同时有利于规避睾酮补充治疗的风险、提高疗效、缩短病程,具有重大的临床意义。肾虚是本病的启动环节,肝郁是本病的演变枢纽,肝郁肾虚是本病的核心病机。中医药治疗本病可从补肾疏肝入手,从肝肾论治本病,同时宜兼顾它脏,随症治之。

Late-onset hypogonadism is a male related disease which is closely related to the age. The clinical symptoms of it are complex and very similar to the clinical manifestation of depression, and it is worth to gain the attention and concern by clinicians. The active intervention of traditional Chinese medicine in the treatment of this disease is conducive to the effective improvement of patients＇ depressive state and can protect the physical and mental health of the elderly men. Meanwhile, it can avoid the risk of testosterone supplementation, improve the curative effect and shorten the course of disease, which is of great clinical significance. Kidney deficiency is the starting point of this disease, liver depression is the evolution hub, and liver depression and kidney deficiency is the core pathogenesis of it. Traditional Chinese medicine can treat the disease by invigorating the kidney and dispersing stagnated liver qi, from liver and kidney to treat it. At the same time, other clinical symptoms and pathological mechanisms should be taken into account and follow the symptoms to treat the disease.