1. Sex hormones: suitable for impotence with hypogonadism, testosterone propionate, 25mg, intramuscular injection, once every other day for 2 weeks; 5 ~ 1 units of gonadotropin, intramuscular injection, once or twice a week, for 4 weeks. (Hypothalamic and pituitary diseases)
2. Psychological: psychological counseling and sex education are the main things, supplemented by drugs.
3. Sexual hypofunction: treatment with gonadotropin and thyroxine.
4. Hyperprolactinemia: dopamine synergist (bromoergotine);
5. Inject 3 mg papaverine into the corpus cavernosum, inject 3 mg papaverine from the corpus cavernosum with 1 ml syringe and skin test needle, vertically pierce the corpus cavernosum with 1 ml syringe and skin test needle from the front side of the penis root, inject the medicinal liquid into the corpus cavernosum, press the penis root for 1 minute, and gently massage the penis for 3-5 minutes, then the penis can erect.
6. Vitamin E, 1mg, 3 times a day, oryzanol 2mg, 3 times a day.
7. Endocrine surgery: pituitary adenoma, feminized tumor, hypercorticosis and hyperthyroidism can be treated surgically.
8. Penile prosthesis.
TCM treatment of impotence
1. Treatment based on syndrome differentiation
The treatment of this disease should be based on different etiology and pathogenesis.
(1) Syndrome of stagnation of liver qi. Treatment of soothing the liver and relieving depression. Those with liver depression and fire should soothe the liver, relieve depression and clear heat. Xiaoyao powder combined with Sini powder is added with Fructus Rosae Rugosae, purple flower, Fructus Toosendan and vinegar Rhizoma Corydalis. Radix Bupleuri, Fructus Aurantii Immaturus and Herba Menthae are used to soothe the liver and relieve depression. Angelica sinensis and Paeonia lactiflora soften liver and nourish yin; The urgency of burning licorice to slow down the liver; White medicine Chenopodium enters the liver meridian, activating yang; Purple shoots enter the liver meridian and specialize in treating impotence; Toosendan Fructus and vinegar Rhizoma Corydalis can soothe the liver, relieve depression and relieve pain when they enter qi and blood. All the medicines are combined to play the role of soothing the liver and regulating qi to treat impotence. Liver-qi stagnation can easily turn into fire after a long illness, which is manifested by pain in chest and hypochondrium, red eyes and dry mouth, red tongue and thin yellow fur, and rapid pulse. Danzhi Xiaoyao Powder should be flavored to relieve liver depression and clear liver heat.
(2) Liver-qi syndrome. Treatment method: calming the liver and suppressing adverse reactions. Xiaoyao Powder is added with Os Draconis, Concha Ostreae, Concha Haliotidis, Fructus Tribuli and antelope horn powder. All the above five drugs enter the liver meridian, calming the liver and lowering qi, soothing the liver qi and curing impotence.
(3) Damp-heat syndrome of liver meridian. Treatment of heat and dampness. Prescription Longdan Xiegan Decoction plus Fructus Cnidii. In the prescription, Radix Gentianae purges the liver meridian for excess fire, Radix Bupleuri is used as the liver ambassador, Radix Glycyrrhizae is used to relieve liver anxiety, and Poria, Fructus Gardeniae, Caulis Akebiae, Rhizoma Alismatis and Semen Plantaginis are used as auxiliary materials to clear away heat and promote diuresis, so that all damp heat can be removed from the stool, and Fructus Cnidii can dry dampness to help yang. Add Angelica sinensis and Radix Rehmanniae to nourish the liver. The recipe lies in purging the liver and supplementing the liver, covering the liver as the dirty part of storing blood, and enriching the blood is the way to replenish the liver. Fructus Cnidii is hard and dry, and specializes in treating impotence.
(4) Syndrome of blood stasis blocking collaterals. Treatment method: activating blood circulation, removing blood stasis and dredging collaterals. Prescription centipede Daluo decoction Scolopendra is the monarch drug in the prescription, which can dredge blood stasis and collaterals, and has the strongest force of escaping; Chuanxiong, Salvia Miltiorrhiza, Paeonia Rubra, Rana sinensis, Aspongopus and Bombyx Batryticatus are minister drugs to help centipede to get rid of collaterals. Bupleurum chinense Regulates Qi, Astragalus membranaceus Regulates Qi, and Purple Shoot Flower Regulates Qi and strengthens yang, and * * * is an adjuvant medicine; The behavior of Achyranthes bidentata leads to drugs. The compatibility of all the medicines has the effects of regulating qi and promoting blood circulation, removing blood stasis and dredging collaterals to treat impotence. Hirudo, Lumbricus and Fructus Lipuidambaris can also be added to Xuefu Zhuyu Decoction. Leech, earthworm and Lulutong in the prescription promote blood circulation and enter collaterals; Radix Angelicae Sinensis, Radix Achyranthis Bidentatae, Flos Carthami, Semen Persicae, Radix Paeoniae Rubra and Rhizoma Chuanxiong nourish blood, promote blood circulation and remove blood stasis; Radix Rehmanniae nourishing yin, Radix Bupleuri soothing liver and regulating qi; Fructus Aurantii, Radix Platycodi and Radix Glycyrrhizae promote lung qi and promote blood circulation. Looking at the whole prescription, * * * plays the role of benefiting qi, promoting blood circulation and dredging collaterals.
(5) Syndrome of fire failure of life gate. Treatment warms up the fire of life gate. Prescription medicine cold valley spring health pill. This prescription was originally designed for the treatment of "deficiency, cold, old age, impotence, fine aging and childlessness" in the Collection of Fairy Prescriptions. The recipe uses cornu Cervi Pantotrichum, Herba Epimedii, Radix Morindae Officinalis, Herba Cistanches, Semen Allii Tuberosi, Eucommiae Cortex, Rhizoma Curculiginis, Fructus Cnidii, Radix Aconiti Lateralis Preparata and Cortex Cinnamomi to warm the fire of Mingmen. Radix Rehmanniae Preparata, Radix Angelicae Sinensis, Fructus Lycii and Fructus Corni, nourishing yin, tonifying kidney and liver, and taking the meaning that "those who are good at nourishing yang must seek yang in yin"; Ginseng and Atractylodes macrocephala strengthen the spleen and replenish qi to help the source of biochemistry. The compatibility of all kinds of medicines can warm yang, tonify kidney, replenish essence and blood, and play the role of tonifying kidney and strengthening yang to treat impotence.
(6) Deficiency of kidney yin. Treatment method: nourishing yin and tonifying kidney. Those with both yin deficiency and excessive fire should nourish yin and tonify kidney, and also clear away deficiency and heat. Prescription medicinal Zuogui Pill. In the prescription, the cultivated land is reused, and the kidney is nourished to fill the true yin; Lycium barbarum is good for your eyes; Cornus officinalis is astringent and astringent. Turtle and deer glue is a kind of flesh and blood, deer glue tends to tonify yang, turtle glue tends to nourish yin, and the two glue forces together to communicate the two veins of Ren and Du, benefit essence and fill marrow, and seek yin from yang. Cuscuta chinensis with Achyranthes bidentata strengthens the waist and knees and strengthens the bones and muscles. Yam nourishes the spleen and kidney. The combination of all kinds of medicines has the effect of nourishing kidney, nourishing yin and nourishing yang and latent yin to treat impotence. For those with excessive fire due to yin deficiency, drugs such as Radix Rehmanniae, Cortex Moutan, Fructus Ligustri Lucidi and Ecliptae Herba should be added above to nourish yin and reduce fire.
(7) Syndrome of stagnation of liver pulse due to cold. Treatment method: Warming meridians, warming liver and dispelling cold. The recipe, Warm Liver Decoction, is added with Fructus Corni, Aspongopus, Rhizoma Curculiginis, Herba Epimedii and Radix Morindae Officinalis. Foeniculum vulgare L. and Cinnamomum cassia L. in the prescription are used for warming channels to relieve cold and pain; Lindera root and agarwood warm the kidney to dispel cold and promote qi; Lycium barbarum and angelica nourish liver and kidney; Poria cocos strengthens spleen, strengthens middle energizer, and adds Corni Fructus, Aspongopus, Rhizoma Curculiginis, Herba Epimedii, and Cortex Cinnamomi to warm kidney and strengthen yang, so as to treat the cold evil of liver pulse. All the medicines are combined to play the role of warming meridians and dispelling cold to treat impotence.
(8) Syndrome of kidney injury caused by gallbladder deficiency and panic. Treating the law is beneficial to kidney and liver, encouraging courage and calming the mind. Prescription medicine Qiyang Entertainment Heart Pill. Qiyang Entertainment Heart Pill was originally designed in Dialectical Records to treat impotence caused by "failure of will and spirit, failure of yang qi, depression of heart fire, and failure of kidney fire". Ginseng, Semen Cuscutae, Radix Angelicae Sinensis and Radix Paeoniae Alba in the prescription are beneficial to kidney, liver and courage. Polygalae, God, Acorus gramineus, and Ziziphus jujuba Linn, soothe the nerves and treat panic; Amomum villosum, Atractylodes macrocephala, Dioscorea opposita, Glycyrrhiza uralensis Fisch. tonify spleen and stomach; Bupleurum chinense and tangerine orange regulate qi, which leads to qi depression due to panic. The compatibility of all kinds of medicines plays the role of tonifying kidney, strengthening courage and calming the mind to treat impotence.
(9) Liver-blood deficiency syndrome. Treatment of nourishing blood and liver. Prescription Guipi decoction Radix Codonopsis, Radix Astragali, Rhizoma Atractylodis Macrocephalae, and Radix Glycyrrhizae in the prescription tonify spleen and qi to generate blood; Angelica sinensis and Radix Rehmanniae can replenish blood and yin; Fu Shen and jujube kernel nourish the heart and soothe the nerves; With less woody herbs, the qi is regulated and the spleen is awakened, so that the tonic is not stagnant. All the medicines are combined to play the role of nourishing blood and tendons to treat impotence.
(1) Syndrome of phlegm-dampness blocking collaterals. Smelting method to eliminate phlegm, dampness and dredging collaterals. The prescription uses stiff silkworm Daluo drink. In the prescription, Bombyx Batryticatus is pungent and salty, non-toxic, good at resolving phlegm and resolving hard mass, promoting blood circulation and dredging collaterals to treat impotence, which is the monarch drug; Radix Stephaniae Tetrandrae, Rhizoma Atractylodis, Rhizoma Pinelliae, Pericarpium Citri Tangerinae, Poria, Fructus Trichosanthis, and Coicis Semen are minister drugs to help monarch to damp and resolve phlegm. Astragalus membranaceus strengthens the spleen, the nidus vespae warms the spleen and yang, produces pollen Typhae to dissipate blood stasis, and aspongopus and stomach to disperse stagnation, which are adjuvant drugs; Guizhi and Lulutong regulate qi, promote yang and eliminate phlegm, and lead all kinds of medicines directly to the diseased place, so as to make medicines. All the medicines are used together to treat impotence by eliminating phlegm, eliminating dampness and dredging collaterals.
(11) spleen and stomach qi deficiency syndrome. Treatment of qi, spleen, and stomach. Prescription jiuxiang Changchun drink. In the prescription, aspongopus is the monarch drug, which can strengthen the spleen and benefit the stomach and treat impotence well; Nivespae, ginseng, spleen, qi and flaccidity; Astragalus membranaceus, Atractylodes macrocephala, Poria, and Alisma orientalis are minister drugs for invigorating spleen and treating dampness. Dioscorea opposita and Paeonia lactiflora are adjuvant drugs to tonify spleen and yin and prevent all kinds of drugs from going too far. Ramulus Cinnamomi can activate spleen and dredge collaterals, lead drugs directly to the affected area, roast licorice, strengthen spleen and regulate stomach, and harmonize various drugs. The compatibility of various drugs and the efficacy of * * * in treating impotence due to qi deficiency of middle energizer.
Second, single prescription treatment
1. Good water porridge prescription: Cook porridge with clean and sweet water in the morning to protect yin qi and make yang qi firm.
2. Tiaoji is the sauce prescription: Ophiopogon japonicus is made into sour slurry, which can strengthen bone marrow, benefit qi and treat aging.
3. Take it as a prescription: taking bird eggs with wheat porridge can nourish yin and strengthen yang and treat impotence.
4. Prescription for treating yin flaccidity: 1 rooster liver, 4 carp gall, dried in the shade as the end, birds and eggs mixed, and 1 pill swallowed with adzuki bean.
5. There is no cure for yang: one silkworm moth is not connected, and the head and feet are feathered in the shade. Finally, the white honey is like a swallow, and one pill is taken at night. Ten rooms are feasible, and calamus wine will stop it.
6. prescription for impotence of yang: 6g of purple flower and 6 g of raw keel, with a little musk as the last, and 2 pills of honey pill, with distilled liquor. If you want to solve it, introduce ginger and licorice field.
7. Divide dried oyster (roasted), Fructus Cnidii, dried lotus leaf and duckweed into equal parts, sieve coarse powder, use two spoonfuls each, add a large bowl of water, fry for three or five times, filter out my juice, and wash with spy. Treat scrotal swelling and pain, wetness, itching and weakness of yin.
8. Ershen Zhuyang Powder: Eucommia ulmoides, Cistanche deserticola, Morinda officinalis, Foeniculum vulgare, old paper, green salt, and kidney of pig and goat are cooked together, and aging can make them young again. Eucommia ulmoides Oliv., Cistanche deserticola, Morinda officinalis, Herba Epimedii, Foeniculum vulgare L., broken paper and green salt are equally divided into fine powders. Each time, one kidney of pig lamb without water is split with a bamboo knife, and each medicine is charged with thread, wrapped in several layers of wet paper, cooked in fire ashes, chewed carefully before going to sleep, and served with good wine, and white soup for those who cannot drink. Warming kidney and supporting yang, treating impotence.
Third, qigong treatment
1. Relaxation is suitable for impotence caused by stagnation of liver qi or kidney injury caused by gallbladder deficiency and panic.
2. Sitting-type internal nourishing exercises can relieve liver depression, communicate liver and kidney, and promote yang, which is suitable for impotence caused by stagnation of liver qi.
3. the guiding function can harmonize yin and yang, strengthen tendons and bones, and invigorate yang, which is suitable for the deficiency of kidney yin and the decline of yuan yang.
4. The five-dragon disc method balances yin and yang, and absorbs qi to the root, which is suitable for impotence due to chronic physical weakness and kidney failure to absorb qi.
5. The fire-training method can strengthen Yuan Yang, increase energy and promote Yang, which is suitable for impotence caused by the decline of Ming-men fire.
IV. External treatment of drugs
1. One line should be based on the following prescriptions: Fructus Cnidii 3g, Radix Tianxiong 2g, Radix Polygalae 2g each, Cortex Cinnamomi 1g, and 1 piece of Galla. The last five tastes are not good. Spitting pills, such as Wuzi, are applied to the glans of penis and put in Yuquan, and sometimes they are all hot. Tonify kidney, strengthen yang and improve sexual function of men and women.
2. Yin flaccidity can't afford it: the hive is gray. If you lie on the shade at night, it will get hot, and you can't apply it without a wife.
3. Seed Zhenyang ointment: 6g sesame oil, 6g licorice, 9g asparagus, Ophiopogon japonicus, Radix Rehmanniae, Radix Rehmanniae Preparata, Radix Cyathulae, Cortex et Radix Polygalae, Fructus Cnidii (soaked in the above wine), Rhizoma Cyperi, Herba Eriocauli, Cortex Cinnamomi, Radix Dipsaci, almond, dog tibia, purple flower, Momordica sinensis, Cistanchis Herba, and Herba Epimedii. Add 12 g of rosin and fry it. Stir it constantly with Sophora japonica. Don't be too old. Then add 3g of sulfur, 3 g of keel and 3 g of halloysitum rubrum, 6g of Venenum Bufonis, 12g of yellow and 129 of pilose antler, and fry until the drop of water becomes a pearl, not old. When the fire breaks out, put 6 grams of clove, 6 grams of banksia rose, 12 grams of frankincense and 12 grams of myrrh, spread the ointment as big as money and stick it in the navel. On the 5 th, it was changed, and it was pasted with sheepskin gold, and the left foot was pasted. Efficacy of tonifying kidney and strengthening yang. It can be used for various syndromes, such as asthenia, impotence, weakness of women, etc.
4. Umbilical plaster: actinolite, Fructus Cnidii, Rhizoma Cyperi and Semen Allii Tuberosi, 3g each, 7 hyenae (satin with wings and feet removed), 1.5g each of Dafengzi (shelled), Moschus and sulfur, which are finely ground, and the refined honey is as big as a pill. Apply oil paper to the navel one hour before the same sex, and fix it with silk tape. Take the medicine after sex. Used for impotence.
5. Umbilical application prescription: tribulus terrestris 3g, asarum 3g, raw sulfur 3g, Evodia rutaecarpa 15g, pangolin scales 1g, prepared nux vomica 1g, borneol 5g, and the medicine is ground into fine powder for later use. Apply 3g tonic to umbilicus every time, apply Qugu point, fix it with adhesive tape, change it every 2 days, and iron it with warm water bag. Used for impotence.