2. Cov kev sib tw thiab yav tom ntej kev cia siab

2.1 Tsis muaj cov kev sib tawg loj hauv kev ua tau zoo

Cwj chim erection yog acomplex physiological txheej txheemkoom nroglub paj hlwb, endocrine system, vascular system, thiab corpus cavernosum, txhua tus ua haujlwm ua ke hauv kev sib koom tes. Tus txheej txheem no suav nrogNeurotransmitter tso tawm, qees lusterial filling, corpus cavernosum du leeg cov leeg so, thiab venous occlusion, nrogCov Hnyav Tej YamTsis tas li ntawd ua si ib lub luag haujlwm tseem ceeb hauv kev ua haujlwm erectile. Vim yog cov nyom etiology ntawmEd, khoMixed-Hom Thiab Organic Edtseem nyuaj, thiab ua tiav cov kev sib tawg tseem ceeb hauv kev ua tau zoo yog qhov nyuaj.

Tam sim no,Qhov ncauj phosphodiesterase -5} inhibitors (PDE5I)yog tusThawj-Kab Kev Kho Mobrau ed. Txawm li cas los xij, aCov feem tseem ceeb ntawm cov neeg mobqhiaKev teb tsis zoorau PDE5I Kev Kho Mob thiabtsis ua tiav cov txiaj ntsig txaus siab.

 

Tshuaj ntsuab cistance rau kev kho ed

 

2.1.1 Cov nyom hauv kev kho cov refactory ed

Kev kuaj mob thiab kho mobRefractory Edtoob kasib qho kev pab, ntau txoj hauv kevlos ntawm Andriation tus kws tshaj lij. Nws yog qhov tseem ceeb rauTxheeb xyuas thiab daws cov xwm txheej ntawm lub siabxws liNtxhov siab vim thiab kev nyuaj siabhauv cov neeg mob ED. Thaum tsim nyog,PDE5I Kev Kho Mobtuaj yeem ua ke nrogTCM cov qauv rau kev ua kom lub siab thiab kev ntxhov siab kev ntxhov siab, thiab / lossisCov tshuaj tiv thaiv qis thiab ntxhov siab, nrogKev kho mob lub cev thiab kev sab laj.

Rau ed tshwm sim los ntawmntshav qab zib, atherosclerosis, lossis kev kub siab, kho yuav tsumUa raws li cov ntsiab lus TCM ntawm kev daws lub hauv paus ua rau muaj tus kabmobCov. Qhov no suav nrog:

Nquag tswj hwm thawj qhov xwm txheej

Stabilizing ntshav qab zib, lipid, thiab cov ntshav siab ntau

Tiv thaiv kev vascular ntxiv, neural, thiab du leeg puas hauv lub cornus Cavernosum

Los ntawm kev ua li ntawd, kev nce qib ntawm thawj cov kab mob tuaj yeem tswj tau, txo kev puas tsuaj thiab txhim kho kev puas tsuaj.

Rauhypogonadism-cuam tshuam ed, cov kws kho mob yuav tsum ceev faj rau cov tsos mob xws liQaug zog, qaug zog, thiab kev rogCov. Tom qab uaTsim nyog kuaj mobthiab txiav txim tawm cov contraindications,Testosterone txhawb nqatuaj yeem suav nrogPDE5I Kev Kho Mob thiab Raum-Toninging thiab Ntshav-Ua Kom Tau Kev Kho Mob TCM.

Tshuaj ntsuab cistance rau kev kho ed

2.1.2 Kev Txhim Kho Txawj Ntse hauv TCM Kev Kho Mob rau Ed

Txhawm rau txhim kho cov tshuaj kho mob ntawmKev kho mob TCM rau Ed, ob peb cov ntsiab lus tseem ceeb yuav tsum tau txiav txim siab:

Kev kab mob ua ke thiab mob-txhawb kom kuaj

Vam khom rausib txawvThaum tsis quav ntsejUnderlying Kab Mobtuaj yeem ua rauKev kho mob dhau lawmnrogtxwv kev ua tau zoo.

TCM cov kws qhia yuav tsumTsim kev txawj ntse nyob rau sab hnub poob kev kuaj mobmuaj caiandrtricy, suav nrogStaging, kev faib tawm, thiab kab mob kev vam meej.

Xws li suav tshuaj suav thiab Western rau kev kho tau zoo

RauMixed-Hom Thiab Organic Ed, qhov twgTCM ib leeg yuav tsis txaus, WesternPDE5I yeeb tshuajxws liSildenafil (Viagra) thiab tadalafil (cialis)yuav tsum tau sib xyaw ua keTCM theoretical taw qhia.

Kev Txhim Kho Tshiab

Cov Kev Kho Mob Tam Sim No Rau Edtsis tag nrho cov neeg mob xav tau.

Kev tshawb fawb ntxiv thiab kev loj hlob ntawmKev siv tshuaj tshiabyog qhov tsim nyog raunthuav kev kho cov kev kho mob thiab txhim kho cov txiaj ntsig tshuaj ntsuam.

 

2. Cov kev sib tw thiab yav tom ntej kev cia siab

2.2 Tsis muaj kev ntsuas qauv qauv thiab kev kho qauv

Tam sim no, cov ntaub ntawv xa mus rauKev kuaj mob TCM thiab kev kho mob ntawm EdXws li:

Cov lus qhia rau kev tshawb fawb soj ntsuam ntawm cov tshuaj tshiab

Kev Kho Mob Tsoos

Kev sib xyaw Suav thiab Western tshuaj phais

Tsoos Suav Andrology

Tsoos Suav Urology thiab Andrology

Tswv yim ua yeeb yam Suav Andrology

Tshiab Cov Qauv Qhia Txog Suav Andrology

Wang Qi's Andriology

Xu Fusong Cov Lus Taw Qhia Suav Andrology

Tus mob sib txawv cov kev faib tawm rau cov sib txawv ntawm5 txog 11 hom, nrogtsis muaj mob syndriceskuj muajLub raum-yin deficiency, raum-yang deficiency (poob ntawm lub rooj vag rooj vag hluav taws), lub plawv tsis muaj peev xwm, thiab tus po, thaumTshaj syndromesyuavQi Stagnation, Plamp-Tshav Kub, thiab Cov Ntshav Stasis.

TusTsis muaj cov qauv sib txuam rau cov sib txawvNyob rau hauv Ed cov txiaj ntsig hauvKev kuaj mob tsis pom tseeb, tsis sib xws lo lusrau synromes, kab mob, thiab cov tsos mob, thiabKev faib tawm cov txheej txheem sib tshoojCov. Nokev kawm thiab tsis sib xwstau tsim cov kev sib tw rauKev Tshawb Fawb Txog Kev Kawm thiab Kev KawmCov. Tsis tas li ntawd,TCM ntawv nyeem ntawm Ed Syndromestsis muajCov Kev Tshawb Nrhiav Kev Tshawb Fawb Niaj Hnub Niaj Hnub, Cov Kev Pab Nyiaj Siv Technology, thiab Kev Siv Tau Tshaj TawmCov. Kev tshawb fawb sim ntawmkev ua haujlwm tsis zoo ntawm cov ntsuas, tsis muaj cov biomarkers tshwj xeeb, thiab kev kawm daws tsis tau.

Raws li TCM kev nce qib-tshwj xeeb los ntawmNiaj hnub nimno thiab thoob ntiaj teb-Ua Qauv Ed Syndrrome Sib txawvyog qhov tseem ceeb. Txhawm rau hais txog qhov no, kev siv zog yuav tsum tsom rau:

Ua cov kev kawm txog kabmob kabmob kabmob ntawm ED syndromeslos txiav tximKev faib tawm thiab kev vam meej.

Tsim kev lag luam kev lag luam thiab kev txhim kho cov txheej txheem saib xyuas mob.

Tsim Kev Ua Haujlwm Thoob Ntiaj Teb tau lees paub hom mob TCM qauv thiab kho cov qauv rau Ed.

Kev Tsim Kho TCM-tshwj xeeb cov qauv tshuaj ntsuamrau kev kho mob kho mob.

Qauv qauv TCM thiab kev kho mobTxhim kho kev kawm kho mob, txhim kho cov txiaj ntsig kho mob ED, thiab pab txhawb kev tshawb fawb loj, ntau-chaw tshawb nrhiav kev siv cov ntaub ntawv loj, thaum kawg txhawb nqa lubKev loj hlob siab ntawm TCM.

2.3 elucidation ntawm kev kho cov tshuab thiab kev tshawb fawb pom tseeb

Tshawb nrhiav covKev tshawb fawb thiab kev nkag siab ntawm kev kho mob ntawm TCM kev kho rau EDyog aQhov Tseem CeebCov. Kev tshawb fawb TCM yuav tsum tau sib xyawKev nce qib los ntawm lwm cov kev qhuab qhia, xws liKev ua lej, cov tshuaj khib nyiab, biology, thiab computer science, Siv cov thev naus laus zis niaj hnub zoo liTshuab tshuaj tsom xam, Transcriptomics, thiab Network Pharmologymus soj ntsuamCov txheej txheem ntawm kev kho mob TCM rau Ed [25].

Tam sim no, muaj kev nkag siab loj hlob ntawm lub luag haujlwm ntawm lubTSIS MUAJ / CGMP SUCOMALShauvEd pathaus ed pathogenesis thiab kev kho mobCov. Txawm li cas los xij, tuskev siv hluav taws xob qis dua edractory edTseem tsis paub meej, thiab kev sib cuam tshuam ntawm cov kev sib txawv yuav tsum tau tshawb nrhiav ntau ntxiv. Cov Kev Tshawb Nrhiav Kev Tshawb Nrhiav muaj ntau yam, suav nrogvascular, neurological, leeg, nqaij, endocrine, kev puas siab ntsws, thiab cov khoom siv hluav taws xob.

 

2.3.1 Kev sib xyaw TCM kev tshawb nrhiav nrog kev tshawb fawb tshiab niaj hnub no

Kev tshawb fawb tcm yuav tsum tswj hwm nwsCov yam ntxwv sib txawv, kev sib xyawCov ntsiab lus tsoos nrog cov kev tshawb fawb niaj hnubCov. Cov thev naus laus zis yuav tsum tau siv rauTxhais lus TCM theories, thaum TCM cov ntsiab cai yuav tsumQhia Kev Tshawb Nrhiav.

Kev sib txuas TCM "cov kab mob sib xyaw" lub tswv yim nrog vascular, leeg, mob kev tshawb fawb, thiab neurological:

Tshawb nrhiav Yuav ua li casCov ntshav "tshuaj ntsuab thiab thaiv cov pa roj hmab" txoj kevtxhim khovascular endothelial muaj nuj nqi, Tiv thaiv kev ua kom du cov leeg nqaij fibrosis, Txo cov tshuaj hauv zos hauv lub cornus cavernosum, thiabtiv thaiv kev puas tsuaj rau kev puas tsuajhauv ed.

Txuas daim siab stagnation nrog psycogenic ed kev tshawb fawb:

Eluc tw cov txheej txheem uasMob siab stagnation thiab kev ntxhov siab ntxhov siab pab txhawb rau Edthiab tshawb li casQhov "soothing lub siab thiab tshem tawm kev nyuaj siab" txoj kevhais txog lub siab ntsws.

Txuas lub raum tsis txaus nrog Endocrine Kev Tshawb Fawb:

Tshawb nrhiav Yuav ua li casRaum-tonifying khocuam ​​tshuam lubhypothalic-pituitary-gonadal (hpg) axis thiab hypothalamic-pituitary-adrenal-adrenal (HPA) axis, qhia ntxiv tias lub raum scientific ntawm lub raum-tonify kev kho mob.

RauRefractory Ed, xws liNtshav Qab Zib-ntsig Ed, tshawb fawb yuav tsum tau ua los ntawmNtau qhov kev xav thiab ntawm qib sib txawvtxhawm rau txhim kho cov khoom siv tshuaj kho mob. Tsis tas li ntawd,TCM-Raws li tus kab mob tus kab mob thiab tus qauv ntawm tesyuav tsum tau tsim-tshwj xeeb tshaj yog raucomplex syndrome ua ke-tau muab aFoundation rau kev tshawb fawb ntxivthiab pabDaim Ntawv Cog Tseg Hauv Teb Chaws.

 

2.3.2 Kev Tshawb Fawb Txog Kev Tshawb Fawb thiab Kev Kho Mob hauv TCM Kev Kho Mob Rau Ed

Raunce kev paub thoob ntiaj teb, kev siv zog yuav tsum tsom rau:

Txhim kho qhov zoo ntawm cov kev tshawb fawb thiab kev soj ntsuam kuaj mob.

Txhawb txoj kev txhawb nqa theoretical thiab txuj ci tsim kho.

Kev tsim cov qauv tshuaj ntsuab tshiab thiab cov tswv yim kho tshiab.

Tsim kev pom zoo thoob plaws hauv kev kho mob.

 

Tag

Nyob rau hauv xyoo tas los,Tcm andologytau uatseem ceebhauvKev Tshawb Fawb thiab Kev Kho Mob ntawm Ed, ua rauQhov kev nkag siab ntawm Ed PathogenesisthiabKev sib koom ua ke ntau dua ntawm TCM thiab Western tshuajCov. Kev tshawb fawb mechanistic tseem tau nthuav dav, muab cov kev pom tob.

Txawm li cas los xij, ntau txoj kev sib tw nyob:

Tsawg cov kev sib tawg hauv kev kho cov txiaj ntsig

Inconsistent TCM theories thiab kev faib tawm

Cov kev nkag siab tsis tiav ntawm kev kho cov cuab yeej

Ua ntejTCM-based ED Kev Kho Mob, cov kev siv zog ntxiv yuav tsum tsom rau:

Nrhiav cov nquag siv cov khoom siv tshiab thiab kev txhim kho cov tshuaj tshiab thiab tshuajTxhawm rau txhim khoSecmical Efficacy.

Ua cov kev kawm txog kabmob kabmob kabmob ntawm ED syndromeslos tsimKev kuaj mob raws li kev kuaj mob thiab kev kho mob.

Qhia meej cov txheej txheem ntawm cov kev kho mob TCMthiabUnveiling cov hauv paus scientic ntawm TCM theories.

Los ntawm kev daws cov kev cov nyom no,TCM Tshiab thiab Kev Paub Txog Kev Ua Haujlwm Thoob Ntiaj Tebtuaj yeem ua tiav, thaum kawg txhim khoKev txais kev qhuas thoob ntiaj teb thiab kev sib xyaw ntawm cov kev kho mob TCM rau Ed.