| Objective:Men’s low libido,also known as Male Hypoactive Sexual Desire Diso rder,is one of the most common male diseases in today’s society,is a kind of sex ual dysfunction.in all range of sexual dysfunction,it was proposed later,the resear ch on it is less and insufficient.The patient’s own attention to the disease is not eno ugh,rarely to the hospital specialized treatment as soon as possible;A part of patient s is aware of the importance of medical care,however,due to the sake of secrecy,they chose some of the less formal hospitals,result in the treatment time is delayed and the prognosis is reduced.Although MHSDD does not affect life,it gradually com promises the harmony of the patient’s sexual life,which can seriously affect the qual ity of life of both husband and wife.In recent years,the number of male patients wi th HSDD has been increasing year by year,which has attracted the attention of andr ology doctors in the medical field.Although the study of MHSDD is gradually increas ing,there are no systematic guidelines for diagnosis and treatment in China and abr oad.The pathogenesis is also unclear,and there is no accurate data support for the ep idemiology of MHSDD.It is also a result of clinical treatment,and that physician f ail to reach a consensus consensual.In traditional Chinese medicine,the treatment of traditional Chinese medicine such as traditional Chinese medicine and acupuncture is effective,but there is no uniform syndrome classification and corresponding treatment of syndrome differentiation.In view of the present of Chinese and western medicine di agnosis and treatment on MHSDD,under the guidance of a mentor to the author,on the basis of the seniors before conducting the survey research,expect to get mor e information about MHSDD,deepen the understanding of the disease,to master t he TCM syndrome type distribution and population characteristics of the disease.Methods:This study was conducted by a group of male patients who had visited t he urology department of Eastern Hospital of Beijing University of Chinese Medicine in the past six years.Reference CCMD-3,ICD-10,the DSM-Ⅳ on the definition and diagnostic criteria of HSDD and "standard of diagnosis of disease and curative ef fect of traditional Chinese medicine" to develop a unified,"Eastern Hospital MHSDD Medical records "(see appendix),Total collection matches 202 cases.According to Ep idata3.1,the database was created to record the survey data.After the verification,the database was established,and SPSS21.0 software was used for analysis.Finally,the crowd characteristics,TCM syndrome distribution pattern and the correlation bet ween them.Results:1.Through the investigation and analysis in patients with 202 cases of male libido and sexual excitement,low sexual desire can be found in the male crowd and interest are less close to 50%.More than half of the population had impotence or premature ejaculation,low sexual desire(no complications)and less than 10%.Patients with 98.02%of the patients had secondary sexual desire.All patients were active patients,and nearly 80%of them actively asked for sexual problems.The number of people who drank alcohol was 14.36 percent,and the number of smokers was 39.11 percent.More than 60 percent of people are overweight(BMI is greater than 24kg/kg),and more than 20%of them are seriously obese.There are more than 80%of the social psychology and working life factors among the crowd of MHSDD,mainly including the influence of work stress,anxiety and guilt caused by other sexual dysfunction,it is the main factor in many factors of HSDD,followed by disease factors(including systemic diseases,local diseases and endocrine diseases).2.The survey participants included 202 cases of patients,in addition to no obvious symptoms without card discernible 7 exception,single card type,a total of 76 cases,including:deficiency of the kidney-yang 34 cases(44.74%),stagnation of liver Qi 17 cases(22.37%),accumulation of damp heat 7 cases(9.21%),asthenia kidney yin 8 cases(10.53%),blockage of blood stasis 5 cases(6.58%),heart-spleen dual vacuity 4 cases(5.26%),stagnation of phlegm-dampness 1 case(1.32%).Composite type,a total of 119 cases,including:deficiency of the kidney-yang 100 cases(84.03%),stagnation of liver Qi 69 cases(57.98%),accumulation of damp heat 65 cases(54.62%),asthenia kidney yin 3 cases(2.52%),blockage of blood stasis 20 cases(16.81%),heart-spleen dual vacuity 31 cases(26.05%).The total,deficiency of the kidney-yang 66.34%,stagnation of liver Qi 42.57%,accumulation of damp heat 35.64%,asthenia kidney yin 5.45%,blockage of blood stasis 12.38%,heart-spleen dual vacuity 17.33%,stagnation of phlegm-dampness 49%.3.Compared with other syndromes,impotence(occurs after low libido)could be a risk factor for stagnation of liver Qi.Anejaculation,asexual orgasm,local lesion,abstinence(previous heavy drinking),and lack of sexual intercourse between husband and wife may be a risk factor for accumulation of damp heat.Local disease(Most of them are prostatitis)and epididymis abnormality may be a risk factor for blockage of blood stasis.The Self psychological conflict may be a risk factor for heart-spleen dual vacuity,and the normal body mass index may be the protective factor for heart-spleen dual vacuity.Conclusion:Among the TCM syndromes of male with Hypoactive Sexual Desire Disorder,the most single syndrome type is deficiency of the kidney-yang(44.74%),the most complex syndrome type is deficiency of the kidney-yang+stagnation of liver Qi(21.01%),the most total syndrome type is deficiency of the kidney-yang(66.34%).Men with HSDD are most is secondary sexual desire,often with other sexual dysfunction,and more than half of them are overweight,and heavy smoking and drinking is not uncommon.Among the crowd of MHSDD,the social psychology and working life factors(mainly including the influence of work stress,anxiety and guilt caused by other sexual dysfunction),is the main factor in all the factors,followed by disease factors(including systemic diseases,local diseases and endocrine diseases). |
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