Male sexual dysfunction includes abnormal libido, premature ejaculation, erectile dysfunction, seminal emission, etc. It belongs to the category of “Yang thing does not lift” and “sperm when from down” in Chinese medicine. This disease has a great impact on the patient’s spirit, family and quality of life, and most of them are functional. While adopting comprehensive treatment methods, attention should be paid to diet and health.
I. Theoretical basis
Chinese medicine believes that the kidney collects essence, the main reproduction, for the innate essence, the kidney collects yuan yin yuan yang, for human growth and development of the root, the internal organs function activity of the root, human development and decline with the kidney is closely related, in the normal play of sexual function, the physiological function of the kidney plays a dominant position, kidney energy is strong sexual force, kidney deficiency is insufficient sexual function, kidney deficiency, clinical sexual dysfunction is mostly related to kidney deficiency, kidney is the treatment of sexual dysfunction The fundamental method of sexual dysfunction, people often take kidney medicine to improve and improve sexual ability. The spleen is the master of transportation and transformation, and it is the source of biochemistry of qi and blood, and the spleen and kidney have mutual roots. On the one hand, the spleen’s transportation depends on the kidney’s warmth, “Fu Qingzheng female science” said that “although the spleen and stomach gas filled in the spleen and stomach, actually born in the two kidneys. Without the water in the kidneys, the gas in the stomach can not take off; without the fire in the kidneys, the gas of the spleen can not be transformed.” On the other hand, the essence in the kidneys depends on the spleen and stomach to produce the essence of water and grain, that is, the essence of the afterlife, as stated in Su Wen. In the book of meridians and veins, it is said that “food gas into the stomach, overflowing essence, upward transmission in the spleen, spleen qi dispersed essence”, Chen Xiuyuan cloud: “the human being is born, all rely on the middle palace to transfer essence to the kidneys, and then the kidneys can be supplemented.” Therefore, only the spleen and stomach health, the kidney in the innate essence can be abundant, in order to “essence overflow diarrhea” and normal sexual function. So the diet when and improper to the human sexual function has an important impact. As the ancient cloud: “addicted to alcohol and wine, thick taste, brewing damp heat, flowing into the lower jiao, disturbing the sperm chamber, is spermatorrhea”. The “spicy food, fat and sweet, damage to the spleen and stomach, transport and transformation is not normal, damp heat down to the injection of the Yang thing does not move”, here the spermatorium, Yang thing does not move are the sexual dysfunction produced by improper diet. Therefore, the treatment of sexual dysfunction and protection of normal sexual function, Chinese medicine diet regimen is one of the important auxiliary means.
Second, the characteristics and principles of dietary regimen
The pathogenesis of sexual dysfunction is more complex, the situation of each person is different, therefore, must use the basic theory of Chinese medicine, in the premise of the overall concept of diagnosis and treatment of Chinese medicine, pay attention to the overall concept and discriminatory food, according to the person, due to the disease, due to the place, due to the time of food, so that the medicine and food must be, cold and temperature, the five flavors are appropriate, improve the effectiveness of treatment, so that patients recover as soon as possible.
1.Whole concept and evidence-based food administration
The human body is a unified whole, the normal function of each organ depends on the harmony and balance of the human body as a whole, and people and nature are also unified. The human body relies on diet to obtain the energy and material basis for the body’s activities, thus achieving the balance and unity between yin and yang, qi and blood, and the five internal organs of the body. Under the guidance of the idea of evidence-based treatment, the implementation of food therapy emphasizes evidence-based food administration. If we hope that food can better play a role in preventing and treating diseases, it must be administered according to the person, the disease, the place and the time, because food also has the four qi and five tastes of cold, hot, warm and cool, pungent, sweet, sour, bitter and salty. Such as Yang deficiency fear of cold people should eat cattle, sheep, dogs and other warm Yang food; Yin deficiency of internal heat people should eat water duck, water fish, turtle and other food; in the summer should eat more mung beans and other heat relief, in winter should eat more litchi meat, longan meat and other warm food.
2, pay attention to the combination of drug therapy and food therapy
Diet therapy is an important complementary therapy to drug therapy. Ancient medical doctors in the affirmation of drug therapy based on the main, fully emphasize the importance of dietary therapy. The theory of “deficiency is tonic, medicine to dispel, food to follow” shows that the prevention and treatment of disease can not rely solely on drugs, should pay more attention to the efficacy of food in the prevention and treatment of disease, especially to drug therapy and food therapy corresponding, avoid drug therapy at the same time and eat the opposite of drug therapy food, to avoid aggravating the disease and prolong the course of the disease.
3, emphasize the corresponding body type of dietary contraindications
All kinds of food have their own taste and efficacy. Sun Simiao of the Tang Dynasty “food treatment” clearly pointed out that “food can cure disease, but also cause disease” point of view. Food therapy must be in line with the needs of the body, according to the corresponding body type, the specific situation, the specific disease evidence to choose the appropriate diet therapy, or vice versa, it is harmful. The Golden Horoscope” cloud: “the taste of food, there are appropriate with the disease, there are harmful to the body, if appropriate to complement the body, harm will become a disease”. For example: yin deficiency fire type of body is appropriate to nourish yin fire products, such as water duck, water fish, rabbit meat, etc., avoid cattle, sheep, dogs, geese, chicken. Because cattle, sheep, dogs, geese, chicken is warm nature of the product, for the Yin deficiency fire, is the same as fuel on the fire.
4, coordinate the internal organs, care for the spleen and stomach
The human body is an organic whole centered on the internal organs, the internal organs coordinate with each other physiologically, promote each other, and jointly maintain the relative constancy of the internal and external environment of the body, and affect each other pathologically, any one organ lesion may affect the function of other internal organs. The spleen and stomach are the officials of the warehouse, the source of Qi and blood biochemistry, the stomach is the main receiver, the spleen is the main transporter, after the diet into the stomach, through the role of the spleen and stomach, into Qi and blood, moisten the internal organs of the hundred veins, in order to maintain the normal function of the five organs. Therefore, while regulating the functions of the internal organs and restoring the physiological balance of the body, food therapy should pay special attention to protecting and strengthening the functions of the spleen and stomach. If the function of spleen and stomach is sound, meals can be prepared according to different requirements according to the needs of specific diseases. If you have poor appetite, bloating, dry stools, you can add a little lycopodium, one can open the stomach and eliminate stagnation, the other can resolve phlegm and laxative, so that you can coordinate the internal organs and care for the spleen and stomach. If the spleen and stomach are dysfunctional, it is necessary to regulate the spleen and stomach first. Such as food stagnation is very much first with grain buds, wheat sprouts stewed duck kidney; such as wet Sheng is with lentils, coix seeds, cloud ling stewed pork tripe; spleen qi deficiency first with ginseng, poria, white atractylodes stewed niu zhan strengthen the spleen and benefit the qi, to be restored to the spleen and stomach function, and then treated with the symptoms. Because the strength of the spleen and stomach function, is often the key to determine whether food therapy can work. For the weakness of the internal organs of the patient, do not emphasize “deficiency is tonic”, so as to avoid “deficiency is not tonic”, not only can not play a tonic role, but also increase the burden on the spleen and stomach, aggravate the disease or become the symptoms. We can reduce the quantity of dietary ingredients or add less qi-raising products, such as Citrus aurantium shells and Chen Pi, to avoid aggravating the burden on the spleen and stomach.
Food therapy prescriptions for common types of symptoms
Jing Yue Quan Shu mentions: “Men’s Yang withered, mostly due to the failure of the vital gate fire, the essence of deficiency cold, or with the seven emotions of strain, damage to the vitality of Yang ….. to the zong tendon relaxation and weakness.” It can be seen that kidney deficiency is the most important type of sexual dysfunction.
Sexual dysfunction can generally be divided into kidney deficiency (Yang deficiency, Yin deficiency), spleen deficiency, damp heat and other evidence. The first two evidence is deficiency, the latter evidence is real. However, the clinical appearance alone is less, the deficiency is mixed with more, most of the deficiency is less. The pathogenesis is mostly dampness, heat and deficiency. Long-term injury to the spleen and kidneys, spleen qi deficiency is more difficult to wet, the kidney injury is easy to drain the essence.
1, kidney deficiency, divided into Yang deficiency and Yin deficiency
(1) Kidney Yang deficiency
Symptoms: cold form and cold limbs, nocturnal urination, clear and long, indifferent sexual desire, light fat tongue, side teeth marks, sunken and weak pulse.
Treatment: warming the kidney and helping Yang
Prescription: 10g of locking yang, 15g of heliotrope, 15g of black beans, 3 seahorses, 2 lambs’ waists.
(2) Kidney Yin deficiency
Symptoms: dizziness and tinnitus, dry mouth and throat, insomnia, hot flashes and night sweats, easy to move Yang, red tongue with little coating or peeling, fine pulse.
Treatment: Tonifying the kidney and benefiting the essence
Prescription: American ginseng 6g, lily of the valley 10g, dendrobium 6g, lean pork (rabbit meat, water fish, water duck) 2 taels.
2.Spleen deficiency
Symptoms: tiredness and fatigue, reduced diet, pale face, pale lips, abdominal distension, dullness, loose stools, pale tongue with white fur, weak pulse.
Treatment: Tonifying the spleen and benefiting the essence
Prescription: 3 grams of red ginseng, 8 grams of Yun Ling, 3 grams of Atractylodes Macrocephala, 150 grams of beef, and appropriate amount of ginger.
3.Dampness and heat accumulation
Symptoms: bitter and tasteless mouth, yellow and red urine, frequent or even painful urination, residual drainage, wet and itchy scrotum, swelling and discomfort in the perineum, red tongue with yellow and greasy coating, slippery pulse.
Treatment: Clearing heat and relieving dampness
Prescription: 15g of plantain, 15g of amaranth, 15g of coix seed, and one small tripe of pig.
4, psychological treatment of food therapy prescription
Clinically, many patients with sexual dysfunction are more or less accompanied by psychological symptoms, such as insomnia, forgetfulness, anxiety, depression and other symptoms of neurosis. These symptoms more or less aggravate the pathological changes of sexual dysfunction, so in the treatment of sexual dysfunction, it is necessary for us to improve and eliminate these symptoms.
Prescription for neurasthenia diet: 15g of floating wheat, 12g of jujube, 10g of methi, 15g of lily, 3g of American ginseng, and 2 taels of lean pork.