Cov chaw soj ntsuam soj ntsuam nyob rau hauv cov chaw kuaj mob thiab Moxibuster ua ke nrog tshuaj kho cov tshuaj kho mob Ed
Mar 28, 2025
Tsis zoo siv
Lub Hom Phiaj:Txhawm rau ntsuas qhov kev ua tau zoo ntawm kev kho cov tshuaj Suav teb ua ke nrog Tadalafil hauv kev ua haujlwm zoo ntawm kev ua haujlwm Suav thiab Western hauv kev kho ed.
Cov hau kev:Cov neeg mob raug kuaj mob nrog rau EdePuncture Chaw kuaj mob ntawm Xinjiang Uygur Lub Ib Hlis Ntuj 1, 2017 (paub tseeb los ntawm Western Kev Kuaj Xyuas Kev Kho Mob Sab Hnub Poob) tau muaj nyob hauv kev kawm. Cov neeg mob ntsib cov txheej txheem kev kuaj mob rau cov neeg ua haujlwm tau raug xaiv los ua peb pawg neeg: Cov pab pawg tau muab faib ua peb pawg neeg (pab pawg b), thiab tadalafil-tsuas yog pab pawg (pab pawg c). Pab Pawg Tau Txais Kev Kho Mob Ua ke nrog Tadalafil, thaum pab pawg B Under Cov Ntsiab Lus Kho Mob, thiab Moxib Limition ntawm Guanyuan acupoint. Pab Pawg C tau txais tsuas yog tshuaj tadalafil. Tom qab ob chav kho mob, Internal Performance index ntawm erectile index {}} (msf} (msf} (msf} (msf} (msf} (msf} (msf} (msf}
Cov txiaj ntsig:
Iief -5 qhab nia sib piv:Tom qab kev kho mob i6 {1}} cov qhab nia txhim kho ntau yam kev txhim kho rau pawg B thiab C, nrog cov lus qhia tseem ceeb (P<0.01).
Msf -4 qhab nia sib piv:Msf -4 cov qhab nia nce nyob rau hauv tag nrho peb pawg tom qab kev kho mob, nrog pab pawg ib qho kev txhim kho tseem ceeb tshaj plaws. Qhov sib txawv piv rau pawg B thiab C yog cov lej tseem ceeb (P<0.01).
Zuag qhia tag nrho kev sib piv:Tus nqi kho tau zoo yog 67% hauv pawg A, 35% hauv pawg B, thiab 40% nyob rau hauv pab pawg C. Pab pawg sib txawv tau piv rau pawg B thiab C (P<0.01).
Kev ntsuas kev nyab xeeb:Tsis pom zoo cov nyom tau pom muaj nyob rau hauv ib pawg ntawm peb pawg thaum lub sijhawm kho mob.
Xaus:Acupuncture ua ke nrog Tadalafil yog qhov ua tau zoo thiab muaj kev nyab xeeb hauv kev kho mob ed. Cov hau kev no qhia tau cov khoom noj muaj txiaj ntsig zoo thiab tuaj yeem txhawb nqa raws li txoj kev tshiab rau kev kho cov haujlwm zoo.
Cov ntsiab lus: Tsoos Suav Acupuncture; Ua hauj lwm ed; Tadalafil ntsiav tshuaj
Tshuaj ntsuab pab kho erectile kawg (ed)
Lub hauv paus rau phau ntawv
ESECTile kawg (ED) yog tus mob uas feem ntau los ntawm tus txiv neej noov kom ua tiav lossis tswj tau cov tsos mob xws li txo libido thiab kev ua ntej ntxov. Ed yog ib qho ntawm kev sib deev uas muaj ntau tshaj plaws nyob rau hauv cov txiv neej niaj hnub [1], cuam tshuam rau lawv lub cev thiab lub hlwb noj qab haus huv. Cov ntaub ntawv Epidemiological qhia tau hais tias kwv yees li 52% ntawm cov txiv neej hnub nyoog 40-70 kev sib txawv ntawm Ed, nrog tus naj npawb ntawm cov neeg mob mus txog 322 lab thoob plaws hauv ntiaj teb los ntawm 2025 [2]. Raws li cov koom haum urological (EUA) ntawm Erectile kawg (2015), lub zog thiab qhov tshwm sim ntawm ed yog high thoob ntiaj teb [3]. Daim ntawv ntsuam xyuas thoob 11 lub nroog hauv Suav tau qhia tias kev tiv thaiv ntawm cov txiv neej laus dua 40 xyoo yog 40.2% [4]. Yog li, kev tiv thaiv thiab kev kho mob ntawm Ed tau ua kom zoo zuj zus nyob thoob txhua hom neeg.
Raws li nws cov kev coj ua, ed tau categorized ua haujlwm (psycogenic), organic, lossis sib xyaw [3]. Cov tshuaj niaj hnub muaj cov kev kho mob sib txawv rau kev ua haujlwm zoo, suav nrog kev siv tshuaj 5}}? Ntawm cov no, PDE 5- tseem nyob thawj-kab kev kho rau ED [5]. Common PDE5-Is used in China include sildenafil, vardenafil, and tadalafil, with tadalafil having the longest half-life [6]. Cov thawj coj niaj hnub ua rau 5 mg tadalafil rau ed tau txais kev saib xyuas tseem ceeb nyob rau xyoo tas los no [7]. Cov kev tshawb fawb tau pom tias piv rau cov tsoos-thov kom txhim kho kev sib deev ntawm kev sib deev, thiab cov qhab nia zoo nkauj txhua hnub (thiab txhim kho kev sib deev zoo rau ob tus khub. Ib qho ntxiv, nws txhim kho cov neeg mob ntawm ed neeg [{17}}], ua rau nws muaj kev txhawb nqa kev kho mob tshiab rau Ed [12].
Tsoos suav tshuaj (TCM) muaj ntau txoj hauv kev rau kev kho ed, nrog acupuncture tau pom dav rau nws cov kev ua tau zoo tau pom zoo rau nws txoj kev ua tau zoo nyob rau hauv kev daws qhov ua haujlwm [13]. Hauv 2016, Pawg Neeg Andrology ntawm Tuam Tsev Suav thiab Western tshuaj suav nrog kev kuaj mob hauv "kev kuaj mob hauv Erectile (sim)" [7]. Raws li Delpi tau qhab nia TCM, Acupuncture rau AV raug pom zoo ntawm qib C [14]. Kev tshawb fawb tau pom tias kev pom zoo yog qhov tshwj xeeb hauv kev kho ed nrog concurrent lu libido li libido [15]. MOXibustion Kev Kho Mob, ib qho TCM kev xyaum nrog keeb kwm kev ncua sijhawm ntau txhiab xyoo, txhawb nqa kev sib tw ntawm cov roj thiab ntshav, thiab ua kom sov. Nws yog dav siv los tswj kev ua me nyuam ua me nyuam ua haujlwm [16] thiab txhim kho kev ua tau zoo ntawm ed kev kho mob. Ntawm MOpibusion kho, kev kho mob ntawm Ed los ntawm Moxibalustion ua haujlwm tshaj plaws [17], tshwj xeeb tshaj yog rau kev ua me nyuam cuam tshuam tsis zoo [18]. Txoj kev rov ntsuam xyuas txoj kev xav los ntawm Xing Xuelian [19] ntawm 752 kev tshawb fawb soj ntsuam yog qhov feem ntau siv rau kev kho cov mob muaj me nyuam muaj mob, nrog kev siv ntawm 67.6%. Liu Xiaoyan li al. [20] Pom tias cov thaub qab Moxibusion ntawm Guananuan Acupoint tseem txhim kho kev yug me nyuam ua kom muaj txiaj ntsig kev ua me tub ua haujlwm thiab tiv thaiv kev ua luam taus kev luam tawm. Chen Zhongjie [21] Tau pom tias Moxibusion ntawm Guanentan Acupots cov tsos mob zoo li kev hloov kho TCM, thiab lub hauv caug tsis muaj zog ntawm kev txhim kho TCM cov tsos mob ntawm kev ua haujlwm tsis zoo.
Ob qho tib si TCM acupcture kev kho kho thiab kev tswj hwm ntawm 5 Mg Tadalafil yog kev kho kom muaj txiaj ntsig rau ed. Yuav ua kom sib txuas ob txoj hauv kev hauv kev xyaum kuaj mob tsim cov txiaj ntsig syergistic thiab txhim kho? Qhov kev kawm no lub hom phiaj los saib xyuas qhov ua tau zoo ntawm TCM acupcture ua ke nrog kev kho cov tshuaj tiv thaiv TCM thiab Western tshuaj mus kom ze rau kev kho ed.
1. Cov ntaub ntawv kuaj mob
1.1 qhov chaw ntawm rooj plaub
Cov kev kawm tshawb fawb tau raug xaiv los ntawm cov tib neeg uas nrhiav kev kho mob ntawm Acupuncture Chaw kho mob ntawm lub Ib Hlis Ntuj thiab Kaum Ib Hlis. Qhov kev coj tus kab mob tau ua los ntawm cov kws kho mob nrog kev tsim nyog ntawm cov npe kws tshaj lij lossis cov neeg mob ntsib cov qauv kev kuaj mob tau suav nrog. Kev sib cais zaum kawg TCM kev sib txawv thiab kev faib tawm tau ua los ntawm TCM cov kws kho mob nrog cov npe kev sib tw hauv nruab nrab lossis siab dua.
1.2 Cov Qauv Kev Kho Mob
1.2.1 Western Kev Kho Mob Kho Mob Cov Qauv Kho Mob
Raws li National Institutes ntawm kev noj qab haus huv (Nih) lub ntsiab lus ntawm ed [22]: Qhov tsis muaj peev xwm ua tiav lossis tswj hwm kev ua phem rau kev sib deev txaus siab rau kev sib deev ntev dua 3 hlis. Tsis tas li ntawd, cov neeg mob nrog kev ntsuas kev ua haujlwm thoob ntiaj teb {}} (i}}) qhab nia [24] ntawm tsawg dua 21 raug kuaj pom nrog ED [24].
1.2.2 Tsoos Suav Tshuaj Kev Duaj Tshuaj Kws Kho Mob Suav thiab Kev Ua Haujlwm
Raws li qhov "15th tsib caug txoj kev npaj" Lub Tebchaws Phau NtawvInternal tshuaj tshuaj ntawm cov tshuaj suav tshuaj[25], Ed txhais tau tias yog qhov tsis muaj peev xwm ntawm tus txiv neej noov kom ua tiav txoj kev erection, lossis ib lub sijhawm luv ntawm erection uas tsis muaj kev sib deev tsis tau muaj txiaj ntsig hauv ntau dua 75% ntawm cov neeg mob. Cov mob no yuav tsum ua haujlwm rau 3 lub hlis lossis ntev dua los kuaj tus mob uas tsis tuaj yeem.
Raws liKev kuaj mob thiab cov qauv ua tau zoo ntawm TCM cov kab mob thiab syndromesTawm los ntawm Lub Xeev Cov Thawj Coj ntawm Suav Tshuaj Hauv Suav [26], thiab "13th tsib-xyoo phiaj xwm" Lub Tebchaws Phau NtawvAndrology ntawm cov tshuaj tsoos tshuaj[27], TCM kev faib tawm ntawm cov syndromes yog raws li hauv qab no:
1.2.2.1 Daim Siab Qi Stagnation
Cov tsos mob tseem ceeb:
(1) tsis muaj peev xwm ua kom tiav erection.
(2) tsis muaj peev xwm tswj tau erection.
Cov tsos mob theem nrab:
(1) kev nyuaj siab lossis ntau zaus xye.
(2) Poob ntawm kev mob siab, kev ua xyem xyeem.
(3) Fullness nyob rau hauv lub hauv siab thiab hypochondrium.
(4) kev npau taws thiab kev npau taws.
(5) EDigastric distension thiab tsis qab los noj mov tsis zoo.
Tus nplaig thiab Mem Tes:
Tus nplaig yog daj ntseg liab lossis muaj cov npoo liab, nrog daim tawv dawb nyias. Mem tes yog wiry thiab nyias.
Kev kuaj mob:
Kev kuaj mob ntawm daim siab yog tus mob? Yog tias tus neeg mob cov tsos mob tshwm sim yog (1)
1.2.2.2 noo noo-cua sov qis dua
Cov tsos mob tseem ceeb:
(1) tsis muaj peev xwm ua kom tiav erection.
(2) tsis muaj peev xwm tswj tau erection.
Cov tsos mob theem nrab:
(1) kiv taub hau thiab kev nkag siab ntawm hnyav.
(2) Qeeb zog lossis lub plab fullness nrog hypochondriac distension.
(3) Dampness lossis khaus nyob rau hauv lub scrotum, nrog ib tug foul tsw.
(4) Cov zis daj daj nrog cov tso zis tso zis tawm lossis hnov tsw.
(5) hlawv mob hauv qhov zis.
(6) xeev siab thiab iab nyob rau hauv lub qhov ncauj.
Tus nplaig thiab Mem Tes:
Tus nplaig yog xim liab nrog lub greasy daj txheej. Mem tes yog mos thiab nrawm, lossis nplua thiab nplua thiab nrawm.
Kev kuaj mob:
Kev kuaj mob ntawm damp-tshav kub qis qis hom Ed tuaj yeem ua yog tias tus neeg mob cov tsos mob tshwm sim yog tias muaj qee tus tsos mob tshwm sim,.
1.2.2.3.3 Lub siab thiab tus po
Cov tsos mob tseem ceeb:
(1) tsis muaj peev xwm ua kom tiav erection.
(2) tsis muaj peev xwm tswj tau erection.
Cov tsos mob theem nrab:
(1) palpitations lossis insomnia nrog npau suav nquag.
(2) ntxhov siab thiab hnov qab.
(3) daj ntseg daj ua si.
(4) Qoob Luv thiab tsis muaj zog.
(5) Tsis pub mov tsis zoo thiab mob plab.
(6) xoob cov quav los yog tsis txaus ntseeg txoj hnyuv txav.
Tus nplaig thiab Mem Tes:
Tus nplaig yog daj ntseg nrog nyias nyias txheej. Mem tes yog nyias thiab tsis muaj zog.
Kev kuaj mob:
Kev kuaj mob ntawm lub plawv thiab tus mob puas yog hom tshuaj kho mob tau yog tias tus neeg mob cov tsos mob tseem ceeb (nrog rau lwm tus tsos mob lossis ob qho tsos mob ob.
1.2.2.4 Stasis cuam tshuam cov collusals
Cov tsos mob tseem ceeb:
Tsis muaj peev xwm ua tiav erection.
Kev tsis muaj peev xwm tswj tau erection, lossis txawm tias ua tiav poob ntawm erection.
Cov tsos mob theem nrab:
Kev ntxhov siab ntawm lub hlwb.
Poob ntawm libido.
Ntxhib thiab qhuav tawv nqaij.
Ib qho kev xav ntawm fullness lossis throbbing mob nyob rau hauv lub pob ntseg.
Stabbing mob hauv cov kev sim.
Tus nplaig thiab Mem Tes:
Liab doog lossis tus nplaig tsaus nti, tej zaum nrog potechiae. Mem tes yog ntom.
Kev kuaj mob:
Kev kuaj mob ntawm stasis cuam tshuam collilowals hom tshuaj ed tuaj yeem ua yog tias tus neeg mob cov tsos mob tshwm sim yog, nrog rau lwm tus tsos mob lossis ob qho tsos mob thib ob.
1.2.2.5 yin deficiency nrog hypertactive Hluav Taws
Cov tsos mob tseem ceeb:
Libido yog tam sim no.
Erefle tsis txaus lossis ntxov ntxov thaum arousal.
Cov tsos mob theem nrab:
Kiv taub hau thiab hnov qab.
Tinnitus.
Tsis muaj zog thiab mob plab nyob hauv qab thiab lub hauv caug.
Qhov chaw nruab nrab ntawm kev ntsuas kub (xib teg, soles, thiab lub hauv siab).
Caj pas qhuav thiab yaug cheekbones.
Daj zis thiab cov quav qhuav.
Tus nplaig thiab Mem Tes:
Liab tus nplaig nrog me me los yog nyias xim daj, lossis nrog cov txheej exfoliated thiab tawg. Mem tshuaj yog nyias thiab nrawm.
Kev kuaj mob:
Kev kuaj mob ntawm yin deficiency nrog hindperactive Hluav Taws Xob hom Ed tuaj yeem ua yog tias tus neeg mob cov tsos mob pom, nrog rau lwm tus tsos mob lossis ob qho tsos mob ob.
1.2.2.6 Kev poob qis ntawm mingmen hluav taws
Cov tsos mob tseem ceeb:
Tsis muaj peev xwm ua tiav erection.
Muaj peev xwm tswj tau erection.
Cov tsos mob theem nrab:
Cong limbs thiab lub cev.
Pale complexion.
Kiv taub hau thiab tinnitus.
Tsis muaj zog thiab mob plab nyob hauv qab thiab lub hauv caug.
Mob khaub thuas nyob rau hauv tus qau lossis nyias, ntshiab phev.
Nquag thiab ntev ntev thaum hmo ntuj.
Tus nplaig thiab Mem Tes:
Daj ntseg thiab o tus nplaig nrog ib daim tawv dawb nyias. Mem tes yog sib sib zog nqus, nyias, thiab tsis muaj zog, tshwj xeeb tshaj yog pom nyob rau hauv txoj cai chi txoj cai.
Kev kuaj mob:
Kev kuaj mob ntawm kev poob ntawm Mingmen Hluav Taws Xob Hom Ed tuaj yeem ua yog tias tus neeg mob cov tsos mob tshwm sim (nrog rau lwm tus tsos mob lossis ob qho tsos mob ob.
1.2.3 Cov Qauv Kev Kho Mob rau Kev Ua Haujlwm Ed [28]
Raws li qhov hloov kho thib ob ntawm covSuav kev faib tawm ntawm cov hlwb(CCMD-II-R):
Kev ua kom tau zoo ed txhais tau nyob rau hauv cov txiv neej hnub nyoog 20-65 raws li lub xub ntiag tab sis ib qho tsis muaj peev xwm ua tiav lossis ua kom muaj kev sib zog heev lossis tsis txaus ntseeg lub chaw mos. Tus mob yuav tsum muaj tsawg li 3 hlis thiab cais tawm ua rau xws li cov tshuaj, kev puas tsuaj organic, haus dej, lossis co toxins.
1.3 Cov Kev Sib Tham
Ua tau raws li cov txheej txheem kuaj mob rau kev ua haujlwm ed.
Hnub nyoog 20-65 xyoo.
Sib yuav, Cohabiting, thiab nyob hauv cov xwm txheej zoo.
Tus txij nkawm koom tes nrog kev kho mob.
Tolerates Acupuncture thiab kev kho tshuaj noj.
Tsis suav nrog cov neeg muaj kev puas siab puas ntsws, neurological, plawv, lossis lwm yam kab mob uas muaj mob hnyav.
Cov neeg mob yuav tsum muab kev pom zoo tso cai.
1.4 Cov qauv txiav txim plaub ntug
Tsis tau raws li cov qauv kuaj mob saum toj no.
Ed tshwm sim los ntawm kev mob siab rau cov organic, pharmacological, lossis kev mob siab, los yog ua ke nrog lwm cov kab mob organic.
Tus txij nkawm muaj mob hnyav heev.
Cov neeg mob uas muaj xwm txheej tseem ceeb xws li dyslipidemia, hyperglycemia, hypertension lub siab, tsis zoo rau lub siab, mob siab, endocrine distorders, lossis kev puas siab ntsws.
Lwm yam uas tsis tau raws li cov kev suav nrog.
1.5 Cov qauv rau kev tshem tawm thiab rooj plaub
Cov neeg mob twb muaj nyob rau hauv txoj kev kawm tab sis pom tias yuav tsum tau cais cov qauv lossis tsis tau raws li cov kev suav ntxiv tom qab kev ntsuas ntxiv.
Cov ntaub ntawv nrog cov ntaub ntawv tus neeg mob tsis tiav, ua kom pom tseeb kev tsom xam lossis ntsuas tsis yooj yim sua.
Cov neeg mob uas cov kev kho mob yuav tsis ua tiav vim cov neeg mob tsis tau kho, ploj ntawm kev sib tiv tauj, lossis lwm yam xwm txheej tshwj xeeb.
Cov xwm txheej qhov twg muaj cov xwm txheej hnyav lossis teeb meem tshwm sim thaum kho, ua rau nws tsis tuaj yeem txuas ntxiv.
Cov neeg uas tsis kam koom ua ke, tsis tuaj yeem lees paub ua raws li, thiab tsis tuaj yeem ntsuas qhov tshwm sim raug.
Cov uas nquag thov tshem tawm vim tus neeg mob lossis cov neeg hauv tsev neeg tsis xav tau kev kho ntxiv.
