基于分消走泄法探讨早泄的辨证论治

Exploration of syndrome differentiation and treatment of premature ejaculation based on elimination of pathogens through purgation and diuresis method

早泄是常见的男性性功能障碍疾病之一,严重影响患者夫妻关系和谐及身心健康,中医药治疗早泄有一定优势。分消走泄法是治疗湿热病的常用方法,后世医家在临床中多有发挥,当前对男科疾病也有指导意义。本文认为早泄的病机主要包括脑-心-肾-精室轴紊乱、湿热阻滞精关并迫精外泄2个方面。基于分消走泄法论治早泄,注重从形神同调、脏腑分治及祛除湿热角度着手,用药强调在疾病治疗中同时关注机体各脏腑功能和精神的调和,使湿热等病邪分消祛除体外,又贵在佐轻灵药品上达醒脑,宣开郁结,精室安宁,精关得控得养,从而调节患者的心理状态和情绪,改善早泄症状,实现身心同治的目标。

Premature ejaculation is one of the common male sexual dysfunction diseases,which can seriously affect harmonious relationship between husband and wife and physical and mental health of patients.Traditional Chinese medicine has certain advantages in the treatment of premature ejaculation.The method of elimination of pathogens through purgation and diuresis is a commonly used method in the treatment of damp heat diseases,and later medical practitioners have played a significant role in clinical practice.Currently,it also has guiding significance for andrological diseases.This article believes that pathogenesis of premature ejaculation mainly includes two aspects:disorder of brain-heart-kidney-essence chamber axis,and damp heat blocking the semen and forcing the semen to leak out.Based on elimination of pathogens through purgation and diuresis method,the treatment of premature ejaculation focuses on harmonization of body and mind,separation of internal organs,and elimination of dampness and heat.The medication emphasizes paying attention to harmonization of functions of various internal organs and the spirit during disease treatment,so that dampness and heat can be dispelled and eliminated from the body.The key is to use light and clever drugs to awaken the brain,release the depression,calm the sexual organs,control the seminal vessels,and nourish them,thereby regulating the patient’s psychological state and emotions,improving premature ejaculation symptoms,and achieving the goal of treating both body and mind.