Zhao Wei, Xu Fu-Song
Department of Andrology, Jiangsu Provincial Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210028, China.
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Zhonghua Nan Ke Xue. 2018 Oct;24(10):911-915.
To analyze the essentials of the differentiation and standardization of syndromes for male impotence in Xu Fu-song's clinical practice.
We conducted a randomized survey of 183 cases of male impotence diagnosed and treated at Professor Xu Fu-song's Clinic. We collected the data on the four diagnostic methods of traditional Chinese medicine (TCM), namely, observation, auscultation and olfaction, inquiry, and pulse feeling and palpation, and subjected them to principal component and factor analyses.
Eleven common factors were extracted in the principal component and factor analyses, which were in accordance with Xu Fu-song's clinical practice. Based on the results of the analysis of the 11 factors, male impotence is differentiated as 11 syndrome types as follows: damp-heat syndrome, with the manifestations of bitter taste, scrotal moisture, reddish yellow urine, dribbling urination, frequent urination, urgent urination, sticky stool, red tongue, yellow greasy fur, rapid pulse, slippery pulse, and soggy pulse; kidney-yin deficiency syndrome, featured by polyhidrosis of hands and feet, night sweating, cold drink preference, dry mouth, red tongue, less fur, thready pulse, and rapid pulse; liver-qi stagnation syndrome, presented as depression, anxiety, introvert, dark tongue, and stringy pulse; phlegm turbidity syndrome, shown as sticky mouth, phlegmy mouth, throat discomfort, chest congestion, gastric fullness, low sexual desire, white greasy fur, and slippery pulse; kidney-yang deficiency syndrome, manifested as intolerance of cold, mental fatigue, lower abdominal cold, nocturnal enuresis, hot drink preference, pale tongue, and deep pulse; lung and spleen deficiency syndrome, with the presentations of cough, easy cold, spontaneous sweating, nasal stuffiness, pale tongue, and thready pulse; qi stagnation and blood stasis syndrome, characterized by lower abdominal pain, perineal or testicular prolapse, purple tongue, and deep pulse; heart-kidney disharmony syndrome, distinguished by insomnia, gonobolia, premature ejaculation, red tongue, and thready pulse; heart and spleen deficiency syndrome, featured by palpitation, amnesia, pale complexion, pale tongue, and deep pulse; spleen and kidney deficiency syndrome, manifested as dizziness, pale complexion, pale tongue, deep pulse, and thready pulse; lung and kidney deficiency syndrome, characterized by five-center dysphoria, tinnitus, general heaviness, pale tongue, less fur, and thready pulse.
The syndromes of male impotence are regularly differentiated and standardized in Xu Fu-song's clinical practice, each with its core symptoms and typical tongue and pulse manifestations.
分析徐福松临床辨治男性阳痿的证型要点及规范化。
对徐福松门诊诊治的183例男性阳痿患者进行随机调查。收集中医四诊（望、闻、问、切）资料，并进行主成分分析和因子分析。
主成分分析和因子分析提取出11个公因子，与徐福松临床实际相符。根据11个因子的分析结果，男性阳痿分为11种证型如下：湿热证，表现为口苦、阴囊潮湿、小便红黄、小便淋沥、尿频、尿急、大便黏腻、舌红、苔黄腻、脉数、脉滑、脉濡；肾阴虚证，特点为手足多汗、盗汗、喜冷饮、口干、舌红、苔少、脉细数；肝郁气滞证，表现为抑郁、焦虑、内向、舌暗、脉弦；痰浊证，表现为口黏、痰多、咽喉不适、胸闷、胃脘胀满、性欲低下、苔白腻、脉滑；肾阳虚证，表现为畏寒、精神疲惫、少腹冷、夜尿、喜热饮、舌淡、脉沉；肺脾气虚证，表现为咳嗽、易感冒、自汗、鼻塞、舌淡、脉细；气滞血瘀证，特点为少腹痛、会阴或睾丸坠胀、舌紫、脉沉；心肾不交证，表现为失眠、遗精、早泄、舌红、脉细数；心脾两虚证，特点为心悸、健忘、面色苍白、舌淡、脉沉；脾肾两虚证，表现为头晕、面色苍白、舌淡、脉沉细；肺肾两虚证，特点为五心烦热、耳鸣、周身沉重、舌淡、苔少、脉细数。
徐福松临床辨治男性阳痿证型有规律可循且规范，各证型有其核心症状及典型舌脉表现。
