高尿酸性勃起功能障碍的中医发病机制及辨治思路  

Pathogenesis and differentiation and treatment of Chinese medicine for hyperuricemic erectile dysfunction

作　　者：葛平玉[1] 郭银雪[2] GE Pingyu;GUO Yinxue(Department of Urinary Andrology,the First Affiliated Hospital of Guiyang College of Chinese Medicine,Guiyang,Guizhou,550001,China;Department of Nephrology,the First Affiliated Hospital of Guiyang College of Chinese Medicine,Guiyang,Guizhou,550001,China)

机构地区：[1]贵阳中医学院第一附属医院泌尿男科,贵州贵阳550001 [2]贵阳中医学院第一附属医院肾内科,贵州贵阳550001

出　　处：《甘肃中医药大学学报》2019年第6期23-25,共3页Journal of Gansu University of Chinese Medicine

摘　　要：探讨高尿酸性勃起功能障碍的中医发病机制及辨治思路。本病归属于中医学“尿酸浊并阳痿”范畴,肝脾功能失调为本病发病之关键,多因脾胃虚弱、痰湿困脾、肝失疏泄导致血尿酸代谢失常,尿酸之邪阻于脉络,气血不能下达宗筋,致宗筋无以充养、无以为用,而发为阳痿,痰浊、瘀血在本病发病过程中发挥重要的作用,临证治疗时应注重调节肝脾、化痰活血通络。This paper discusses the pathogenesis and differentiation and treatment of Chinese medicine for hyperuricemic erectile dysfunction.It ascribes to the category of“uric acid turbidity and impotence”in Chinese medicine.The key to its onset is liver and spleen dysfunction,and hypofunction of spleen and stomach,phlegm-dampness encumbering the spleen and failure of liver to convey and disperse lead to blood uric acid metabolic disorder,the pathogenic factors of uric acid obstructing the channels give rise to qi and blood failure to downward reach the penis,making it nourish on nothing and use on nothing,the result of which is impotence.Turbid phlegm and blood stasis play an important role in the pathogenesis of this disease,and the clinical treatment should focus on regulating liver and spleen as well as resolving phlegm and activating blood to dredge collaterals.

关 键 词：高尿酸性勃起功能障碍 尿酸浊并阳痿 辨证论治 

分 类 号：R285.5[医药卫生—中药学]